Evaluating Outcome in Perforated Peptic Ulcer by Boey and POMPP Score

Introduction: Perforated peptic ulcer (PPU) is able to increase the risk of mortality and morbidity. This study used Boey and practical scoring system of mortality in patients with perforated peptic ulcer (POMPP) scoring systems to assess risk mortality of the patients. Every parameter has a value to add up 1 point in Boey and POMPP score. Methods: This observational study used medical records of PPU patients who came to Dr. Soetomo General Hospital in emergency state and being operated and treated at surgical inpatient care facility in 2016. The data were analyzed retrospectively. The sampling technique in this study was done by total sampling. Results: Most of PPU patients had the average age of 59.56 years old and 71.79% of the patients were male. Both analyzing results of Boey and POMPP scoring systems were not statistically significant to predict mortality risk of the patients. Even so, the results of Boey scoring system tended to have a positive correlation with mortality risk (0%, 37.50%, 52.94%, and 100%) with 17 patients (43.59%) had mortality. Conclusion: While Boey and POMPP score are most commonly used to predict outcome for PPU patients in Dr. Soetomo General Hospital, considerable variations in risk of mortality were shown. Therefore, both Boey and POMPP score had its own advantages and disadvantages. Further prospective research is needed to test the validity of Boey and POMPP scoring systems, thus the scoring systems can be used in daily hospital practice in patients with PPU.

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Scoring system in outcome prediction of postoperative mortality and morbidity in perforated peptic ulcer

Global Surgery ◽

10.15761/gos.1000191 ◽

2018 ◽

Vol 4 (4) ◽

Author(s):

Sah DN ◽

Upadhyay PK

Keyword(s):

Peptic Ulcer ◽

Scoring System ◽

Outcome Prediction ◽

Postoperative Mortality ◽

Perforated Peptic Ulcer ◽

Mortality And Morbidity

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PERFORATED PEPTIC ULCER: THE MORTALITY AND MORBIDITY OF TREATMENT

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1950.tb80390.x ◽

1950 ◽

Vol 1 (13) ◽

pp. 421-425 ◽

Cited By ~ 2

Author(s):

Thomas F. Rose

Keyword(s):

Peptic Ulcer ◽

Perforated Peptic Ulcer ◽

Mortality And Morbidity

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The accuracy of prognostic scoring systems for post-operative morbidity and mortality in patients with perforated peptic ulcer

International Surgery Journal ◽

10.18203/2349-2902.isj20160244 ◽

2016 ◽

pp. 286-290 ◽

Cited By ~ 1

Author(s):

Noppawan Nichakankitti ◽

Jadsada Athigakunagorn

Keyword(s):

Peptic Ulcer ◽

Scoring Systems ◽

Perforated Peptic Ulcer ◽

Morbidity And Mortality ◽

Operative Morbidity ◽

Prognostic Scoring Systems

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A practical scoring system to predict mortality in patients with perforated peptic ulcer

World Journal of Emergency Surgery ◽

10.1186/s13017-015-0008-7 ◽

2015 ◽

Vol 10 (1) ◽

Cited By ~ 15

Author(s):

Ebru Menekse ◽

Belma Kocer ◽

Ramazan Topcu ◽

Aydemir Olmez ◽

Mesut Tez ◽

...

Keyword(s):

Peptic Ulcer ◽

Scoring System ◽

Perforated Peptic Ulcer

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Scoring Systems for Postthrombotic Syndrome

Seminars in Thrombosis and Hemostasis ◽

10.1055/s-0037-1599142 ◽

2017 ◽

Vol 43 (05) ◽

pp. 500-504 ◽

Cited By ~ 10

Author(s):

Waleed Ghanima ◽

Per Sandset ◽

Susan Kahn ◽

Hilde Wik

Keyword(s):

Scoring System ◽

Scoring Systems ◽

Diagnostic Tools ◽

Diagnostic Process ◽

Postthrombotic Syndrome ◽

Vein Thrombosis ◽

Advantages And Disadvantages ◽

Definition Of ◽

Deep Vein ◽

Symptoms And Signs

AbstractPostthrombotic syndrome (PTS) is the most common long-term complication after deep vein thrombosis (DVT) and is associated with reduced quality of life. There is no single objective test to diagnose the presence of PTS and it is usually diagnosed on the basis of typical symptoms and signs in a limb previously affected by DVT. Scoring systems for PTS are primarily developed as research tools, but could possibly also be useful in the clinical setting. A main advantage of a good scoring system is standardization of the diagnostic process. An optimal scoring system should be both sensitive and specific for PTS, but this has been difficult to achieve because the symptoms and signs of PTS can be similar to other conditions leading to complaints in the lower limb. In an effort to standardize the definition of PTS, in 2009, the International Society on Thrombosis and Haemostasis Subcommittee on Control of Anticoagulation reviewed available scales and recommended use of the Villalta scale as the most appropriate measure to diagnose and grade the severity of PTS. The aim of this article is to review the existing scoring systems for PTS and to present our view on the advantages and disadvantages of these diagnostic tools.

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Validation of prognostic scoring systems for predicting 30-day mortality in perforated peptic ulcer disease

Turkish Journal of Surgery ◽

10.5578/turkjsurg.4211 ◽

2019 ◽

Vol 35 (4) ◽

pp. 252-258

Author(s):

Shaili Patel ◽

Devanshu Kalra ◽

Samir Kacheriwala ◽

Mihir Shah ◽

Dipesh Duttaroy

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Scoring Systems ◽

Perforated Peptic Ulcer ◽

Ulcer Disease ◽

Prognostic Scoring Systems

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P-BN10 Seasonal Variation of Presentation of Perforated Peptic Ulcer Disease: An Overview of Patient Demographics, Management and Outcomes in Northern Ireland

British Journal of Surgery ◽

10.1093/bjs/znab430.011 ◽

2021 ◽

Vol 108 (Supplement_9) ◽

Author(s):

Bakhat Yawar ◽

Ahmed Marzouk ◽

Heba Ali ◽

Alsarah Diab ◽

Hassan Abdulrahman ◽

...

Keyword(s):

Peptic Ulcer ◽

Seasonal Variation ◽

Peptic Ulcer Disease ◽

Perforated Peptic Ulcer ◽

Peptic Ulcers ◽

Northern Irish ◽

Mortality And Morbidity ◽

Ulcer Disease ◽

Patient Demographics ◽

Acute Peritonitis

Abstract Background Perforated peptic ulcer disease is one of the most common causes of acute peritonitis. It carries significant mortality and morbidity. Several previous studies have reported a seasonal variation in presentation of patients with perforated ulcers. Here we present this study from a Northern Irish perspective on perforated peptic ulcers. Methods A retrospective cohort study was conducted on perforated peptic ulcer patients who presented to Altnagelvin Area Hospital emergency department between 2015 to 2020. Data on patient demographics, clinical presentation, investigations, management and outcomes were collected. Primary outcome was to investigate if seasonality was associated with incidence of perforated peptic ulcers. Follow-up data was also collected. Seasons were defined as per UK Met Office. Results Results: A total of 50 patients presented with perforated PUD. Male:female ratio was approximately 3:2. Peaks were noted in spring and winter. April was the most common month for presentation followed by December. Smoking was the most common risk factor followed by alcohol abuse. 14 patients (28%) were either very frail or had contained perforations and were conservatively managed. 3 deaths were noted (6%). 13 patients (26%) required ICU admission at some stage in their management. Conclusions Slight seasonal variation was noted in presentation of perforated peptic ulcers in our study with more common incidence in winter and spring months. The month of April was noted to have the peak incidence of the disease in our study.

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Pediatric Observational Priority Score and Early Warning Scoring System to Predict Admission Status in Pediatric Patients in Haji Adam Malik General Hospital

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6311 ◽

2021 ◽

Vol 9 (T3) ◽

pp. 244-248

Author(s):

Linda Wati ◽

Ririe Fachrina Malisie ◽

Juliandi Harahap

Keyword(s):

Emergency Department ◽

General Hospital ◽

Scoring System ◽

Pediatric Patients ◽

Scoring Systems ◽

Diagnostic Value ◽

Emergency Rooms ◽

Priority Score ◽

Admission Status ◽

Diagnostic Values

Background: Doctors must be able to quickly and accurately assess clinical condition of patients, especially in the emergency rooms. An easy scoring system but producing meaningful clinical conclusions is the reason for creating various scoring systems. Includes a scoring system for predicting the admission status of patients. Aim: To determine the diagnostic value of POPS and EWSS to predicting admission status of pediatric patients in the emergency department. Methods: Diagnostic tests for POPS and EWSS were done to predict the admission status of pediatric patients in the emergency department of Haji Adam Malik general hospital from May to October 2020. Subjects aged 1 month to 18 years were excluded if they left the emergency department prior to assessment, had trauma cases, died, inpatients due to social indications, and patients who came only to continue therapy were also excluded. POPS and EWSS assessments were carried out by the researcher and the admission status of the patients were determined by the doctor in charge in the emergency department. Results: There were 119 children meeting the inclusion and exclusion criteria. POPS score ≥3 had sensitivity 82.65%, specificity 85.71%, and AUC 0.88 (p <0.001). EWSS score ≥2 had sensitivity 83.67%, specificity 71.43%, and AUC 0.83 (p <0.001). Conclusion: POPS and EWSS had good diagnostic values in predicting the admission status of pediatric patients in the emergency department. POPS has a slightly higher diagnostic value than EWSS.

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