Índice de Mannheim como valor predictivo de mortalidad por peritonitis. Tena, 2019-2020

Introduction: Acute peritonitis is a frequent emergency with a high mortality and morbidity rate, in addition to presenting a difficult and complex management, for which a correct diagnosis and treatment is essential to reduce the risk of complications; For this, the application of prognostic scales and indices is essential to reduce mortality. Objective: the general purpose of the research is to evaluate the Mannheim index as a predictive value of mortality in patients with peritonitis at the José María Velasco Ibarra Hospital during the period May 2019 - April 2020. Methodology: It is a descriptive, retrospective, non-experimental, cross-sectional and case series study, using inclusion and exclusion criteria, a universe of 54 patients with a diagnosis of acute peritonitis who underwent surgery at the José María Velasco Ibarra Hospital, 2019-2020. Results: considering a cut-off point of 26 for the Mannheim index, it was obtained that 90.7% of patients were below this reference with a mortality rate of 2.0%, and the remaining 9.3% above said point with mortality of 60%, sensitivity of 96%, specificity of 75%, positive predictive value of 97% and negative predictive value of 60%. Conclusion: when evaluating patients with acute peritonitis using the Mannheim prognostic index, it was observed that a score of 26 or higher predicts a high probability of death.

• Main Author: Toca Santafe, Danny Cristobal (author)
• Other Authors: Hidalgo Chávez, Luis Miguel (author)
• Format: bachelorThesis
• Published: 2020
• Subjects: peritonitis aguda; complicaciones; Índice Pronóstico de Mannheim; mortalidad
• Online Access: http://dspace.unach.edu.ec/handle/51000/7110