Related Experiment Video

Updated: Apr 3, 2026

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
09:00

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair

Published on: November 12, 2021

2.4K

Prognostic Value of the Mannheim Peritonitis Index in Predicting Mortality Following Emergency Surgery for Hollow

Hong Quan Dang1, Van Bi Nguyen2, Quoc Viet Cao2

  • 1Department of Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.

Journal of Emergencies, Trauma, and Shock
|April 2, 2026
PubMed
Abstract

Insights

The Mannheim peritonitis index (MPI) accurately predicts mortality in patients with secondary peritonitis. An MPI score of 25 or higher identifies high-risk individuals for better surgical decision-making.

Area of Science:

  • Surgical Gastroenterology
  • Critical Care Medicine
  • Epidemiology

Background:

  • Perforation peritonitis presents a significant global health challenge with high mortality rates.
  • Effective early risk stratification is crucial, especially in resource-limited healthcare environments.
  • The Mannheim peritonitis index (MPI) is a validated prognostic tool, yet its utility in Vietnamese populations requires further investigation.

Purpose of the Study:

  • To assess the prognostic accuracy of the Mannheim peritonitis index (MPI) in predicting in-hospital mortality.
  • To evaluate MPI's performance in patients undergoing surgery for secondary peritonitis caused by hollow viscus perforation in Vietnam.

Main Methods:

  • A prospective observational study was conducted with 176 patients in southern Vietnam.
  • Clinical data were collected to compute MPI scores, and outcomes were analyzed using ROC curves and logistic regression.

Main Results:

  • The study population had a mean age of 64.9 years, with 70.5% males. Generalized peritonitis was prevalent (96%).
  • Overall mortality was 21%. The MPI demonstrated strong predictive capability (AUC = 0.944).
  • An MPI score ≥25 showed high sensitivity (91.9%) and specificity (79.9%) for mortality prediction. Feculent peritonitis and preoperative organ failure were independent predictors.

Conclusions:

  • The Mannheim peritonitis index (MPI) is a reliable tool for early mortality risk stratification in secondary peritonitis.
  • Integrating an MPI threshold of ≥25 into clinical practice can aid in identifying high-risk patients for timely intervention.
Keywords:
Emergency laparotomyMannheim peritonitis indexVietnammortality predictionrisk stratificationsecondary peritonitis

More Related Videos

Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis06:45

Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis

Published on: December 18, 2010

20.0K
Multimodality Diagnosis of Mesenteric Ischemia05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

1.4K

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
962
Peptic Ulcer01:27

Peptic Ulcer

Peptic ulcers are erosive lesions of the gastric or duodenal lining, most commonly caused by Helicobacter pylori infection. This Gram-negative, helical bacterium has adapted to survive the stomach’s acidic environment by producing urease, which converts urea into ammonia and carbon dioxide. The ammonia neutralizes gastric acid in the bacterium’s immediate environment, allowing colonization of the gastric mucosa. H. pylori attaches to mucus-secreting epithelial cells, penetrates the...
30
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
788