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Comparison of Apache-II vs Mannheims Scoring System in Prediction of the outcome in the Patient with Peritonitis

Aditya Godkhindi, Assistant Professor, Department of General Surgery, SDM College of Medical Sciences and Hospital, Manjushree Nagar, Sattur, Dharwad, Karnataka 580009, India. , Abhilash Gautham Ramesh1 , Aditya Godkhindi2

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New Indian Journal of Surgery 9(3):p 385-389, May-June 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.27

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Abstract

Methodology: A prospective survey of patients with acute generalized peritonitis due to hollow viscus perforation was carried out in general surgical wards of our institute during the period starting from September 2014 to September 2015. Study population consisted of 75 consecutive patients with perforativeperitonitis, which confirmed on emergency laparotomy.

Statistical analysis: APACHE II and MPI scores were tested by quantitative
methods based on statistical criteria.

Results: The area under the curve was 0.938 for APACHE II and 0.914 for MPI as shown in.The APACHE II curve showed that it discriminated better than the MPI. The sensitivity of APACHE II was superior to MPI at any given point of specificity. This difference was maintained across the entire range of values. The area below the curve was 0.938 for APACHE II and 0.914 for MPI showing that APACHE II is better than MPI (p < 0.01).

Conclusion: As per our analyses APACHE II and MPI both had good sensitivity and specificity. Both the scoring systems were accurate, sharp and reliable in predicting outcome. In all these aspects, APACHE II found to be better than MPI in prediction

Keywords: Apache Ii; Mpi Score; Peritonitis.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.27

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