Comparison of Effectiveness of Boey Score and Pulp Score in Assessment of Severity in Peptic Ulcer Perforations: Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Introduction The 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. Despite the introduction of PPIs, the percentage of perforation (2-14%) as complication of peptic ulcer disease has remained static in several regions of the world. The mortality from perforated peptic ulcer (PPU) is 20% and the complications are reported in 20–50 % of the patients . This study’s aim was to compare the effectiveness of Boey score and PULP score in assessment of severity in peptic ulcer perforations. Methods Total 31 patients presenting with peptic ulcer perforation were included. All data were prospectively analysed. Results In our study; n was 31 and mean age – 43.19 years. The overall Mortality rate in our study was– 12.9% (4 patients).There was no mortality in low risk group predicted by PULP score, whereas 4.76% mortality in Boey’s score.The AUC for PULP score was (0.991) greater than Boey’s score (0.861).Sensitivity and specificity of PULP score was significant with100% and 92.6%. Most common complication encountered was SSI followed by UTI. Conclusion PULP score is a better prognostic scoring system in comparison to Boey’s score with a sensitivity of 100% and specificity of 92.6%. Boey’s score is more practical than the PULP score as it contains less variables to be considered. Even though more complicated PULP score is more accurate and score > 7 needs aggressive management
Authors and Affiliations
Dr Chetan Anand, Dr Himanshu Shekhar, Proffessor(Dr) Vinay Pratap, Dr Manjar Ali
Keywords
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