Abstract

LOMBARDO VAILLANT, Tomás Ariel et al. Predictive value of Mannheim's peritonitis rate in patients with acute cholecystitis. Rev Cub Med Mil [online]. 2010, vol.39, n.1, pp. 0-0. ISSN 1561-3046.

OBJECTIVE: To determine the predictive value of Mannheim's peritonitis rate in patients diagnosed with acute cholecystitis. METHODS: A cross-sectional correlation study was conducted in 40 patients diagnosed with acute cholecystitis seen in "Dr. Luis Díaz Soto" Central Military Hospital from July 1, 2007 to December 30, 2008. Study variable included: value of Mannheim's peritonitis rate, age, sex, status at discharge, risk factors, leukocytosis, surgical procedure and histopathological study. Diagnostic quality of above mentioned rate was measured in terms of sensitivity and specificity. ANOVA analysis and t test were used to determine the influence and the significant differences among variables; those more significance underwent to a logistic regression analysis with a value of p< 0.01 and odds ratio with a 95 % CI to determine the factors that in a independent way influenced on mortality. RESULTS: Average value of Mannheim's peritonitis rate was of 18 (9-31), mortality rate in 8 patients (20 %). Cut-point in operation wave characteristic of recipient was of 23, with an area under the curve of .957. Above mentioned rate -0.09 [0.014, 0.57] (p= 0.0000) was the variable correlated with mortality. CONCLUSIONS: The Mannheim's peritonitis rate is a exact, timely and objective mark helping in the selection of these features to a appropriate therapeutical approach.

Keywords : Acute cholecystitis; Mennheim's peritonitis rate; operation wave characteristic of recipient; predictive value; mortality.

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