Surgical Outcome Prediction By Using Mannheim Peritonitis Index And Apache II Scoring Systems In Patients With Secondary Peritonitis Admitted At University Of Dodoma Affiliated Teaching Hospi

ABSTRACT

Background: Secondary Peritonitis is a familiarcondition surgeonfaces in daily clinical practice with high morbidity, mortality, and poor prognosis. Its outcome depends on the interface of many factors, including patient, surgeon's and institutional factors,etc.Early initiation of specific therapeutic procedures predicts a good outcome. There is no locally acceptable surgical outcome predictor to minimize morbidity and mortality and improve resuscitation outcome for high-risk patients.; therefore, early assessment by scoring systems will influence management and prognosis.

Methods: This is a prospective cross-sectional hospital-based study conducted in UDOM affiliated teaching hospitals using73 consecutive patients (51males, 22 female) having secondaryPeritonitis from May 2019 to April 2020. We applied both scoring systems (APACHE II and MPI) to patients before Laparotomy. We organized Patients into three groups according to their scores. We recorded the outcomeand evaluated the accuracy of the two systems.