ArticleWorld journal of emergency surgery : WJES2015
A practical scoring system to predict mortality in patients with perforated peptic ulcer.
Article in World journal of emergency surgery : WJES, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04994184 (Scoring System in Predicting Perforated Duodenal Ulcer Morbidity and Mortality in Bpkihs), which is not on this map. Cited by 18 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Scoring System in Predicting Perforated Duodenal Ulcer Morbidity and Mortality in Bpkihs
Who cites it
18 citing papers in PubMed.
- Component-Level Prognostic Evaluation of Clinical, Inflammatory, and Renal-Protein Markers for 30-Day Mortality in Older Patients with Perforated Peptic Ulcer.Journal of clinical medicine · 2026Article
- Novel use of endoscopic pigtail drainage in recurrent gastric perforation following intentional drug overdose: a case report.Journal of surgical case reports · 2026Article
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- Predictive Value of the Red Cell Distribution Width-To-Albumin Ratio for Clinical Outcomes in Patients With Peptic Ulcer Perforation.World journal of surgery · 2025Article
- Are admission laboratory values in isolation meaningful for predicting surgical outcome in patients with perforated peptic ulcers?Surgery open science · 2023Article
- Early post-operative morbidity and mortality predictors in peptic ulcer perforation.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
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- Article
- A Comparative Study between Peptic Ulcer Perforation Score, Mannheim Peritonitis Index, ASA Score, and Jabalpur Score in Predicting the Mortality in Perforated Peptic Ulcers.Surgery journal (New York, N.Y.) · 2022Article
- Risk factors influencing postoperative outcome in patients with perforated peptic ulcer: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Duodenal Perforation: Outcomes after Surgical Management at a Tertiary Care Centre-A Retrospective Cross-Sectional Study.Surgery research and practice · 2020Article
- Validation of prognostic scoring systems for predicting 30-day mortality in perforated peptic ulcer disease.Turkish journal of surgery · 2019Article
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- Assessment of PULP score in predicting 30-day perforated duodenal ulcer morbidity, and comparison of its performance with Boey and ASA, a retrospective study.Annals of medicine and surgery (2012) · 2019Article
- Low serum albumin may predict the need for gastric resection in patients with perforated peptic ulcer.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Article
- Perforated peptic ulcer - an update.World journal of gastrointestinal surgery · 2017Review
- Triple tube drainage for "difficult" gastroduodenal perforations: A prospective study.World journal of gastrointestinal surgery · 2017Article
- [Therapy concepts for diffuse peritonitis: When laparoscopic lavage and when open abdomen?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe mortality rate of perforated peptic ulcer is still high particularly for aged patients and all the existing scoring systems to predict mortality are complicated or based on history taking which is not always reliable for elderly patients. This study's aim was to develop an easy and applicable scoring system to predict mortality based on hospital admission data.
methodsTotal 227 patients operated for perforated peptic ulcer in two centers were included. All data that may be potential predictors with respect to hospital mortality were retrospectively analyzed.
resultsThe mortality and morbidity rates were 10.1% and 24.2%, respectively. Multivariated analysis pointed out three parameters corresponding 1 point for each which were age >65 years, albumin ≤1,5 g/dl and BUN >45 mg/dl. Its prediction rate was high with 0,931 (95% CI, 0,890 to 0,961) value of AUC. The hospital mortality rates for none, one, two and three positive results were zero, 7.1%, 34.4% and 88.9%, respectively.
conclusionBecause the new system consists only age and routinely measured two simple laboratory tests (albumin and BUN), its application is easy and prediction power is satisfactory. Verification of this new scoring system is required by large scale multicenter studies.
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