A STUDY TO COMPARE PULP SCORE, ASA SCORE AND BOEY SCORE FOR PREDICTING MORTALITY IN PATIENTS WITH PERFORATED PEPTIC ULCER

Dr Asif Meman; Dr Harish Chauhan; Dr Birju Patel

Volume : VIII, Issue : III, March - 2019

A STUDY TO COMPARE PULP SCORE, ASA SCORE AND BOEY SCORE FOR PREDICTING MORTALITY IN PATIENTS WITH PERFORATED PEPTIC ULCER

Dr Asif Meman, Dr Harish Chauhan, Dr Birju Patel

Abstract :

Background:Peptic ulcer disease is the most common disease among the Asian population. Perforation of the peptic ulcer being the second most common complication next to bleeding, continues to be real emergencies in surgery, which requires prompt diagnosis and immediate surgical management to save the patients life. A large number of prognostic factors for morbidity and mortality following PPU have been characterized and a number of clinical prediction scoring systems proposed, yet none has appeared to be superior and most have been investigated in isolation Aims: .To compare PULP score, ASA score and Boey score for predicting the 30 day mortality in patients with perforated peptic ulcer based on several clinical parameters Methodology: A prospective observational study was conducted at the Department of General Surgery, SMIMER Hospital–surat during the period from January 2018 to December 2018. 102 patients were operated for perforated peptic ulcer in the given time interval and total 95 patients were evaluated in the study . All patients underwent emergency exploratory laparotomy with primary closure of peptic perforation along with omentopexy. Risk stratification using PULP Score, ASA score, Boey score noted. Results: A total of 102 patients were operated for perforated peptic ulcer disease and 95 were selected for the study. 18 (18.95%) out of total 95 postoperated patients died within 30 days of surgery. PULP score shows high odds ratio , AUC value and having both fair sensitivity and specificity to predict mortality risk in perforated peptic ulcer(PPU) compare to ASA score and Boey score. Conclusion: The PULP score predicted mortality risk better than the ASA score and the Boey score