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- Title
To Prognosticate the outcome of perforated peptic ulcer patients with Jabalpur and Pulp scoring system. "A comparative study".
- Authors
Arfee, Adnan Aadil; Gupta, Shyam K.; Butt, Aaqib Pervaiz; Khaliq, Mubashir; Arfee, Akib
- Abstract
AIMS AND OBJECTIVES: To Compare the positive predictive value of Jabalpur scoring system and Pulp scoring system, and to study the risk factors influencing the post operative outcome. Materials and methods: It is a prospective study and all patients with peptic ulcer perforation were included in this study. After assessment of various parameters, scoring was done using Pulp and Jabalpur scoring systems. Several investigations namely complete blood count, liver function tests, serum urea and creatinine, chest x ray, ECG, coagulation profile, viral markers, abdomen x ray erect and ultrasound were done. STUDY DESIGN: A prospective observational study. PLACE AND DURATION: Department of General surgery GMC Jammu from 1 November2021 to 31 october 2022. Results: Pulp score is an accurate and significant predictor in predicting mortality and morbidity in patients with peptic ulcer perforation. on applying this scoring system, high risk patients can be optimized and resuscitated in intensive care unit before planning definitive surgery. Pulp score helps surgeons in periphery setup for early referral to tertiary care centers thereby reducing mortality and morbidity. Conclusion: Pulp score is an effective and user friendly scoring system to predict mortality and morbidity in peptic ulcer perforation in developing countries. Pulp score pays more importance to co-morbid history of the patient which plays a very important role in the outcome of patient, thus the Pulp score is comparatively superior to Jabalpur score in predicting mortality and morbidity.
- Subjects
JABALPUR (India); PEPTIC ulcer; DUODENAL ulcers; CHEST X rays; BLOOD cell count; BIOMARKERS; LIVER function tests; MYRINGOPLASTY
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 4, p606
- ISSN
0975-3583
- Publication type
Article