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 59
- Downloads 0
EFFECT OF CONSTRAINT INDUCED MOVEMENT THERPY IN STORKE REHBILITATION
INTRODUCTION: Stroke is most common in hypertensive patients in old age. This definition of stroke is the reversibility of tissue damage and was devised for the purpose, with the time frame of 24 hours being chosen arbit...
EFFECT OF SUPPLEMENTATION OF ROASTED NUTRI MIX ON NUTRITIONAL STATUS OF UNDERNOURISHED CHILDREN AGED 9 TO 36 MONTHS.
Undernutrition during first thousand days affects the overall development of child. There are different strategies adapted to reduced child undernutrition. We therefore studied the effect of supplementation of food mix f...
KURNOOL DISTRICT –GRAMA DEVATHA –JATHAR: JYOTHINRUTHYAYAM
Chowdeswari devi jathara is famous in Kurnool district. The aim of present investigation is to study the types of Janapadas at chowdeswari jathara and importance of thyothinruthyam in Kurnool district of Andhra Pradesh....
KNOWLEDGE OF INFLUENZA H1N1 A AMONG PRIMARY HEALTHCARE PHYSICIANS BY THEIR SERVICE FACTORS: A CROSS SECTIONAL STUDY IN RURAL NAGPUR
Background: India is ranked third among the most affected countries for cases and deaths of Influenza A (H1N1) globally. Reducing influenza A/H1N1 related morbidity and mortality varies with whether Health care workers a...
Ideal Timing for Laparoscopic Cholecystectomy Post Ercp in Patients With Choledocholithiasis and Cholelithiasis
Background: Endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) comprises the current treatment modality in patients with common bile duct (CBD) stones. The optimum interva...