[Prognostic scores in peritonitis: the Mannheim Peritonitis Index or APACHE II?].
Scoring systems are mandatory to quantify the severity of abdominal sepsis on the basis of objective criteria. The Mannheim Peritonitis Index (MPI) is a disease-specific score based on easy to handle clinical parameters. APACHE II is a large-scale general scoring system with acute physiological and chronic health parameters. To evaluate the prognostic value of both systems 108 patients with severe abdominal infection managed by open treatment entered a prospective study. 32 patients (29.6%) died, 23 of them due to sepsis and 9 from other causes. Both MPI and APACHE II scores correlated closely with mortality, with three and two significantly different classes, respectively. Statistical validation showed a sensitivity of 93% and a specificity of 16% for MPI, and 89% and 25% for the APACHE II. ROC curves were nearly parallel for both scores. In conclusion there was no significant difference in prognostic value between the scoring systems.
Demmel
N
N
1. Chirurgische Abteilung, Städtisches Krankenhaus München-Neuperlach.
Muth
G
G
Maag
K
K
Osterholzer
G
G
D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000145:classification* / Q000401:mortality / Q000601:surgery; D011379:Prognosis; D011446:Prospective Studies; D012086:Reoperation; D012307:Risk Factors; D012720:Severity of Illness Index; D013530:Surgical Wound Infection / Q000145:classification* / Q000401:mortality / Q000601:surgery; D015996:Survival Rate
Prognosescores bei Peritonitis: Mannheimer Peritonitis-Index oder APACHE II?