Effect of intraabdominal pressure values and Mannheim Peritonitis Index to prognosis of patients with acute abdomen

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dc.authoridIbis, Cem/0000-0002-5602-375X
dc.authoridEken, Huseyin/0000-0001-6095-6002;
dc.authorwosidIbis, Cem/AAE-3388-2020
dc.authorwosidEken, Huseyin/AGG-1921-2022
dc.authorwosidözçelik, kazım çağlar/AAI-1386-2020
dc.contributor.authorPulat, Huseyin
dc.contributor.authorKarakose, Oktay
dc.contributor.authorZihni, Ismail
dc.contributor.authorOzcelik, Kazim Caglar
dc.contributor.authorEken, Huseyin
dc.contributor.authorCalta, Alpaslan Fedai
dc.contributor.authorBenzin, Mehmet Fatih
dc.date.accessioned2024-06-12T11:15:54Z
dc.date.available2024-06-12T11:15:54Z
dc.date.issued2016
dc.departmentTrakya Üniversitesien_US
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.en_US
dc.identifier.endpage12038en_US
dc.identifier.issn1940-5901
dc.identifier.issue6en_US
dc.identifier.startpage12032en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24103
dc.identifier.volume9en_US
dc.identifier.wosWOS:000379157300157en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherE-Century Publishing Corpen_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.subjectSurgical Acute Abdomenen_US
dc.subjectBladder Pressureen_US
dc.subjectAbdominal Compartment Syndromeen_US
dc.subjectMannheim Peritonitis Indexen_US
dc.subjectPrognosisen_US
dc.subjectAcute Mesenteric Ischemiaen_US
dc.subjectPredictionen_US
dc.subjectManagementen_US
dc.subjectMortalityen_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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