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 hospitals – Tanzania.

Muhuga, Joseph Raphael

dc.creator	Muhuga, Joseph Raphael
dc.date	2021-02-25T11:56:24Z
dc.date	2021-02-25T11:56:24Z
dc.date	2020
dc.date.accessioned	2022-10-20T14:03:19Z
dc.date.available	2022-10-20T14:03:19Z
dc.identifier	Muhuga, J. R. (2020). 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 hospitals – Tanzania (Master dissertation). The University of Dodoma, Dodoma.
dc.identifier	http://hdl.handle.net/20.500.12661/2830
dc.identifier.uri	http://hdl.handle.net/20.500.12661/2830
dc.description	Dissertation (MMED General Surgery)
dc.description	Secondary Peritonitis is a familiar condition surgeonfaces in daily clinical practice with high morbidity, mortality, and poor prognosis. Its outcome depends on the interface of many factors, including patient, surgeons 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. This is a prospective cross-sectional hospital-based study conducted in UDOM affiliated teaching hospitals using 73 consecutive patients (51 males, 22 female) having secondary Peritonitis 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. In the APACHE II system, we recorded no mortality among patients with scores less than ten and a group with score 10 - 20. Mortality was 100% in patients with a score of more than 20. Similarly, there was no mortality in the group of patients with MPI score less than 15, while it was 10% and 90% in the patients with scores16 - 25 and more than 25, respectively. Both scoring systems were accurate in predicting mortality; however, the MPI score is simple to apply and use while APACHE II is more accurate and has better and is more useful.Further research in future studies can be done with larger samples, matched ages, and sex.
dc.language	en
dc.publisher	The University of Dodoma
dc.subject	Surgical outcome
dc.subject	Mannheim peritonitis index
dc.subject	Mannheim peritonitis
dc.subject	Apache II scoring systems
dc.subject	Morbidity
dc.subject	Mortality
dc.subject	Acute peritonitis
dc.subject	Peritonitis
dc.subject	Surgical emergency
dc.subject	Visceral peritoneum
dc.subject	Peritoneal fluid
dc.subject	Fluids
dc.subject	Peritoneal physiology
dc.subject	Laparotomy
dc.subject	MPI
dc.title	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 hospitals – Tanzania.
dc.type	Dissertation