Comparison of Accuracy between Mannheim Peritonitis Index and Jabalpur Score in Predicting the Mortality in Perforative Peritonitis Patients Presenting for Emergency Surgery at a Tertiary Care Setup of Eastern India

Abstract

Background and Objective: Peritonitis following hollow viscus perforation is commonly encountered in surgical emergency, which needs prompt and aggressive management. Unlike foreign nations, no score is routinely used in most tertiary medical colleges of India for prognostication of these patients preoperatively, leading to delay in adequate management and poor outcome. The aim of this research is to compare the accuracy of Mannheim peritonitis index (MPI) and Jabalpur score in prediction of mortality of patients presenting with perforative peritonitis. Materials and Methods: Fifty-one patients presenting with perforative peritonitis between November 2022 and April 2024 were scored using the two scoring systems and patients followed up over 30 days. Mortality based on scores of the scoring systems was analyzed. Results: Both scores had a significant P value, suggesting that both are efficient scoring systems. Receiver operating characteristic curves for both scores were plotted, and the area under the curve was calculated. Chi-square test showed no significant difference between the two scoring systems. Conclusion: Jabalpur score and MPI are both efficient scoring systems. Utilization of either of the scoring systems depends on the availability of resources in the health-care setup.

Keywords

• jabalpur
• mannheim
• mortality
• perforation
• peritonitis