Aim: Diverticulitis free perforation still remains a major life-threatening condition. Herein we evaluate factors influencing prognosis of patients with perforated colonic diverticulitis and the current validity of Mannheim Peritonitis Index (MPI) in predicting mortality. Material of Study: From January 2000 to October 2010, 39 patients were operated on for generalized peritonitis from perforated diverticulitis. Five postoperative deaths (12.8%) related to septic shock occurred. A cross-sectional study between deceased and non-deceased patients was carried out. Results: Deceased patients were significantly older than non-deceased (76.4 vs. 59.1 years, p=0.019); duration of symptoms was longer in deceased patients (102 vs. 26.9 hours, p=0.000); MPI was higher in deceased patients (31.4 vs. 21.2, p=0.000). Age, duration of symptoms and MPI were independent risk factors predicting poor prognosis. The highest sensitivity and specificity of MPI in predicting mortality was shown for a score >27. Conclusions: MPI is still effective in predicting postoperative mortality. People who nurse older persons must pay higher attention to complaints in order to reduce the delay in hospitalization.
Factors predicting in-hospital mortality of patients with diffuse peritonitis from perforated colonic diverticulitis
PISANU, ADOLFO;
2011-01-01
Abstract
Aim: Diverticulitis free perforation still remains a major life-threatening condition. Herein we evaluate factors influencing prognosis of patients with perforated colonic diverticulitis and the current validity of Mannheim Peritonitis Index (MPI) in predicting mortality. Material of Study: From January 2000 to October 2010, 39 patients were operated on for generalized peritonitis from perforated diverticulitis. Five postoperative deaths (12.8%) related to septic shock occurred. A cross-sectional study between deceased and non-deceased patients was carried out. Results: Deceased patients were significantly older than non-deceased (76.4 vs. 59.1 years, p=0.019); duration of symptoms was longer in deceased patients (102 vs. 26.9 hours, p=0.000); MPI was higher in deceased patients (31.4 vs. 21.2, p=0.000). Age, duration of symptoms and MPI were independent risk factors predicting poor prognosis. The highest sensitivity and specificity of MPI in predicting mortality was shown for a score >27. Conclusions: MPI is still effective in predicting postoperative mortality. People who nurse older persons must pay higher attention to complaints in order to reduce the delay in hospitalization.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.