Effect of intraabdominal pressure values and mannheim peritonitis index to prognosis of patients with acute abdomen

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dc.authorscopusid8657709000
dc.authorscopusid17434860000
dc.authorscopusid56242426400
dc.authorscopusid56657468500
dc.authorscopusid56441680300
dc.authorscopusid57189326038
dc.authorscopusid55557675300
dc.contributor.authorPülat H.
dc.contributor.authorKaraköse O.
dc.contributor.authorZihni İ.
dc.contributor.authorÖzçelik K.Ç.
dc.contributor.authorEken H.
dc.contributor.authorÇalta A.F.
dc.contributor.authorBenzin M.F.
dc.date.accessioned2024-06-12T10:29:18Z
dc.date.available2024-06-12T10:29:18Z
dc.date.issued2016
dc.description.abstractBackground: Mannheim Peritonitis Index, that has been evaluated to calculate the prognosis of the peritonitis patients, is a simple and predictive scoring test. The disadvantage is that some of the parameters must be calculated peroperatively. In our studies, in order to by-pass this disadvantage, by modificating the test by the bladder pressure parameters thus creating a new scoring system that’s called Modificated Mannheim Peritonitis Index. Material and method: Seventy-five patients, between the age of 15-89, diagnosed as surgical acute abdominal syndrome and planned to have an emergency operation has been included in the study. Results: It has been found out that the Mannheim Peritonitis Index score of the patients, increases with the length of hospitalitisation. If the test cut-off value is set to 26, the scores above this level shows increased the postoperative complications and mortality rates. Mannheim Peritonitis Index score above 30 are calculated to have a sensitivity of 57%, specificity of 82%, positive predictive value of 25% and negative predictive value of 95% and a 80% accuracy rate for predicting the mortality. We also found that the bladder pressure on admission is irrevelant on mortality and complication rates. The prognosis of the patients has a statistically significant relationship with the parameters: Age above 50, organ failure, malignancy, sepsis and exudate with feces. Conclusions: As an addition the goal as changing some of the parameters of Mannheim Peritonitis Index with bladder pressure values and creating a new scoring system with similar predictive abilities has been failed. © 2016, E-Century Publishing Corporation. All rights reserved.en_US
dc.identifier.endpage12038en_US
dc.identifier.issn1940-5901
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-84977553905en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage12032en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17664
dc.identifier.volume9en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherE-Century Publishing Corporationen_US
dc.relation.ispartofInternational Journal of Clinical and Experimental Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal Compartment Syndrome; Bladder Pressure; Mannheim Peritonitis Index; Prognosis; Surgical Acute Abdomenen_US
dc.subjectAbdominal Abscess; Abdominal Compartment Syndrome; Abdominal Pressure; Abdominal Surgery; Acute Abdomen; Adolescent; Adult; Age; Aged; Article; Assessment Of Humans; Blood Clotting Disorder; Delirium; Diagnostic Accuracy; Female; Heart Failure; Hospitalization; Human; Ileus; Kidney Failure; Lung Disease; Major Clinical Study; Male; Mannheim Peritonitis Index; Mortality; Neoplasm; Peritoneum Exudate; Postoperative Complication; Predictive Value; Prognosis; Prospective Study; Sensitivity And Specificity; Sepsis; Stomach Distension; Surgical Infection; Upper Gastrointestinal Bleeding; Wound Dehiscenceen_US
dc.titleEffect of intraabdominal pressure values and mannheim peritonitis index to prognosis of patients with acute abdomenen_US
dc.typeArticleen_US

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