THE EVALUATION OF PULP SCORE (PEPTIC ULCER PERFORATION SCORE) AS A PREDICTOR OF MORTALITY FOLLOWING PEPTIC ULCER PERFORATION.
Journal Title: IJAR-Indian Journal of Applied Research - Year 2018, Vol 8, Issue 8
Abstract
Introduction: Mortality and morbidity following perforated peptic ulcer (PPU) remains high, and mortality proportions of 25–30% have been reported in population-based studies. The aim of this study was to evaluate the efficacy of PULP SCORE in predicting 30 day mortality. Patients and methods: A series of 52 patients were enrolled in the study. Patients who underwent surgical treatment for perforated peptic ulcer were allotted points according to the PULP scoring system and stratified into high and low risk groups. All the data was prospectively analyzed. Observations and results: 46 patients were in low risk and 6 patients were in high risk category. 5 patients were deceased in high risk group but none in low risk group. The PULP SCORE had a sensitivity of 83.33% and specificity of 97.83% in predicting mortality. In the ROC curve the AUC was 91.8%. 4 variables out of 8 variables in the score were found to be most important in predicting mortality. They were : 1. Treatment delay >24 hrs, 2. Shock on admission, 3. High ASA score, 4. Age >65 years. Conclusion: The prognostic predictors included in the PULP score can be readily identified prior to surgery, easy to use and feasible in emergency. The PULP score can assist in accurate and early identification of high-risk patients, and thus assist in risk stratification and triage of patients.
Authors and Affiliations
Dr. Avinash Kumar Roy, Dr. M Venkata Reddy, Dr. Padmanabh Inamdar
Keywords
Related Articles
- EP ID EP391266
- DOI -
- Views 67
- Downloads 0
LAPAROSCOPIC CHOLECYSTECTOMY – THE SURGICAL PROCEDURE OF CHOICE IN CHOLELITHIASIS
240 cases of cholelithiasis were studied in osmania general hospital, Hyderabad. Clinical features, age incidence, sex ratio, presentations, investigations & surgical modalities of treatment were studied. The youngest pa...
A CLINICAL STUDY OF PERIPHERAL EXTRA PULMONARY TUBERCULAR LYMPHADENOPATHY
Background & Objectives:Since an ancient time tuberculosis is a widely distributed in all over world more particularly in a country like India. Extra-pulmonary involvement is also common in which Peripheral lymphnode inv...
Skill Development in Andhra Pradesh
The state of Andhra Pradesh was formed on November 1, 1956. Geographically, it occupies the middle portion of the eastern half of the Indian peninsula with an area of 275,068sqkm, which constitutes 8.4 percent of India’s...
Variant of Turner Syndrome 45, X/46, XY Mosaicism: A Case Report
Turner syndrome (TS) is the consequence of complete or partial absence of one X chromosome in a p-he notypic female usually characterized by short stature, gonadal dysgenesis and a variety of other clinical features. Abo...
EPICARDIAL ADIPOSE TISSUE THICKNESS A NOVEL CARDIOMETABOLIC RISK IN HYPERTENSIVE OBESE ADULTS
INTRODUCTION :- Obesity is a independent risk factor for DM, HTN, OSA, stroke, MI, Arrhythmias etc. Epicardial Adipose Tissue (EAT) is a lipid-storing depot (an endocrine organ) secreting cytokines & chemokines So it cou...