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.
2011
Acute diverticulitis; MPI; Perforated colonic diverticulitis
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11584/36774
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