his.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Assessment of PULP score in predicting 30-day perforated duodenal ulcer morbidity, and comparison of its performance with Boey and ASA, a retrospective study
Department of General Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, 3050, Qatar.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, 3050, Qatar ; College of Medicine, Qatar University, Doha, 2713, Qatar. (Individ och samhälle (VIDSOC), Individual and Society)
Department of General Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, 3050, Qatar.
Department of General Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, 3050, Qatar.
Show others and affiliations
2019 (English)In: Annals of Medicine and Surgery, ISSN 2049-0801, Vol. 42, p. 23-28Article in journal (Refereed) Published
Abstract [en]

Background: /aim: Scores commonly employed to risk stratify perforated peptic ulcer patients include ASA (American Society of Anesthesiologists), Boey and peptic ulcer perforation score (PULP). However, few studies assessed and compared the accuracy indices of these three scores in predicting post PPU repair 30-day morbidity. We assessed accuracy indices of PULP, and compared them to Boey and ASA in predicting post perforated duodenal (PDU) ulcer repair 30-day morbidity. Methods: Retrospective chart review of all PDU patients (perforated duodenal ulcers only) at the largest two hospitals in Qatar (N = 152). Data included demographic, clinical, laboratory, operative, and post repair 30-day morbidity. Area under the Curve (AUC), sensitivity and specificity were computed for each of the 3 scores. Multivariate logistic regression assessed the accuracy indices of each score. Results: All patients were males (M age 37.41 years). Post PDU repair 30-day morbidity was 10.5% (16 morbidities). Older age, higher ASA (≥3), Boey (≥1) or PULP (≥8) scores, shock on admission and preoperative comorbidities; and conversely, lower hemoglobin and albumin were all positively significantly associated with higher post PDU 30-day morbidity. PULP displayed the largest AUC (72%), and was the only score to significantly predict 30-day morbidity. The current study is the first to report the sensitivity and specificity of these three scores for post PDU repair 30-day morbidity; and first to assess accuracy indices for PULP in predicting post PDU repair 30-day morbidity. Conclusion: PULP score had the largest AUC and was the only score to significantly predict post PDU repair 30-day morbidity. © 2019 The Author(s)

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 42, p. 23-28
Keywords [en]
ASA, Boey, Perforated duodenal ulcer, Perforated peptic ulcer, Perforated peptic ulcer score, PULP
National Category
Surgery
Research subject
Individual and Society VIDSOC
Identifiers
URN: urn:nbn:se:his:diva-16939DOI: 10.1016/j.amsu.2019.05.001ISI: 000468373600006Scopus ID: 2-s2.0-85065728629OAI: oai:DiVA.org:his-16939DiVA, id: diva2:1319891
Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2019-06-11Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records BETA

El Ansari, Walid

Search in DiVA

By author/editor
El Ansari, Walid
By organisation
School of Health and EducationHealth and Education
Surgery

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 83 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf