ACCURACY OF BOEY SCORE AND PEPTIC ULCER PERFORATION (PULP) SCORE AS A MORTALITY PREDICTIVE FACTOR IN PERFORATED PEPTIC ULCER PATIENTS IN H. ADAM MALIK MEDAN GENERAL HOSPITAL

Hanny Fadhila; Asrul; Adi Muradi

Volume : VIII, Issue : II, February - 2019

ACCURACY OF BOEY SCORE AND PEPTIC ULCER PERFORATION (PULP) SCORE AS A MORTALITY PREDICTIVE FACTOR IN PERFORATED PEPTIC ULCER PATIENTS IN H. ADAM MALIK MEDAN GENERAL HOSPITAL

Hanny Fadhila, Asrul, Adi Muradi

Abstract :

Background: Every year, peptic ulcer affects 4 million people worldwide. Ten to twenty percent (10-20%) of patients with peptic ulcer have complications and 2-14% of them have perforated peptic ulcer. Perforated peptic ulcer�s mortality varies from 10-40%. Several scoring systems have been reported to predict outcomes in patients with peptic ulcer perforation, namely the American Society Anesthesiology (ASA) score, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Peptic Ulcer Perforation (PULP) score and Boey score. The purpose of this study was to determine the accuracy of the Boey score and PULP score as a predictive factor for mortality in perforated peptic ulcer patients at H. Adam Malik Medan General Hospital. Methods: This study is an analytical study with a retrospective design. The sample obtained was 31 patients. Data was collected from medical records at H. Adam Malik Medan General Hospital during the period of January 2013 to December 2016. Then the analysis was carried out using diagnostic tests with 2x2 tables and displaying Receiver Operating Characteristic (ROC) statistical curves. Results: From 31 patients with perforated peptic ulcer, it was found that the average age of patients was 60.1 years old with a mortality rate of 10 cases (32.3%). The accuracy of the Boey score to predict mortality was 91.7% and the PULP score was 88.6%. Conclusion: Boey score and PULP score have good accuracy to predict mortality in perforated peptic ulcer patients