ArticleTurkish journal of surgery2019
Validation of prognostic scoring systems for predicting 30-day mortality in perforated peptic ulcer disease.
Article in Turkish journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Outcomes and Predictors of Mortality in Perforated Versus Non-Perforated Peptic Ulcer Disease: A U.S. Nationwide Propensity-Matched Analysis, 2016-2021.Journal of clinical medicine · 2026Article
- 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
- Predictors of mortality in patients with isolated gastrointestinal perforation.Experimental and therapeutic medicine · 2023Article
- Perforated peptic ulcer (PPU) treatment: an Italian nationwide propensity score-matched cohort study investigating laparoscopic vs open approach.Surgical endoscopy · 2023Article
- Sarcopenia provides extra value outside the PULP score for predicting mortality in older patients with perforated peptic ulcers.BMC geriatrics · 2023Article
- Risk factors for leak after omentopexy for duodenal ulcer perforations.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- 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
- 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
- Article
- Outcome Prediction Following Peritonitis Secondary to Perforated Peptic Ulcer: A Comparison of the Jabalpur Prognostic Scoring System with Mannheim Peritonitis Index in Irrua Specialist Teaching Hospital, Nigeria.Journal of the West African College of SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPerforations in Peptic Ulcer Disease are known to cause considerable morbidity and mortality. The objective of this study was to compare efficacy of known clinical parameters and three existing scoring systems in predicting 30-day mortality and determining mortality risk stratification based on risk factors. MATERIAL AND
methodsThis was a prospective observational study of 190 patients operated for perforated peptic ulcer over a period of 14 months at a 1500 bed tertiary care university hospital in Western India.
resultsThe mortality rate observed was 18.95%. Elderly population, raised serum creatinine, time delay to surgery > 24 hours, preoperative shock and pre-existing medical illness were identified as risk factors for poor postoperative prognosis. The Area under curve for mortality prediction was 0.590 for ASA, 0.745 for Boey and 0.804 for PULP score. Mortality was best anticipated by a combination of raised serum creatinine levels, preoperative shock and delayed surgery by multivariate logistic regression analysis.
conclusionPoor outcome was significantly higher in the elderly, patients with raised serum creatinine, preoperative shock, pre-existing medical illness and when the time delay to surgery was > 24 hours. In spite of the Boey score being more practical in application, PULP score proved to be a more precise indicator of mortality. A larger study inclusive of other Mortality Risk Prediction Models would help formulate a more accurate and population specific scoring system.
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