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Table 1 Scoring systems used for outcome prediction in perforated peptic ulcer

From: Scoring systems for outcome prediction in patients with perforated peptic ulcer

Scoring systems (reference)

Year of report

Target population

Outcome measured

Parameters evaluated

Boey[14]

1987

Patients with PPU

30 day mortality

Presentation ≥ or <24 hours; presence of preoperative shock; level of comorbidity.

Hacettepe score[17]

1992

Patients with PPU

30 day mortality

Presence of serious medical illness, acute renal failure, white blood cell count, male gender

Jabalpur score[18]

2003

Patients with PPU

30 day mortality

Time from perforation to operation, mean systolic blood pressure preoperatively, heart rate, serum creatinine, age, comorbidity

PULP[19]

2012

Patients with PPU

30 day mortality

Presentation ≥ or <24 hours; presence of preoperative shock; ASA score, presence of aids, active malignancy, liver failure; serum creatinine > 130 mmol/l

ASA[20]

1941

General surgical populations

Preoperative risk assessment for surgical patients

Degree of comorbidity and present systemic disease

Charlson comorbidity index[21]

1987

General surgical populations

Prediction of 1 year mortality for hospitalized patients

Weighting of different comorbidities

Mannheim peritonitis index[23]

2002

General peritonitis

Peroperative prediction of outcome in patients with peritonitis

Age, gender, organ failure, duration of peritonitis, site of perforation, diffuse peritonitis, level of exudate

APACHE II[24]

1985

Critically ill patients

Prediction of outcome for ICU patients

Aids, metastatic cancer, liver failure, immunosuppression, chronic renal insufficiency, haemotologic malignancy, lymphoma, leukemia, age, heart rate, systolic blood pressure, respiratory rate, temperature, GCS, WBC, creatinine, blood gas, potassium, sodium, patient origin

SAPS II[25]

1993

Critically ill patients

Prediction of outcome for ICU patients

Aids, metastatic cancer, haemotologic malignancy, age, heart rate, systolic blood pressure, temperature, GCS, urine output, WBC, bilirubin, urea, Potassium, sodium, Patient origin

MPM II[26]

1993

Critically ill patients

Prediction of outcome for ICU patients

Metastatic cancer, liver failure, chronic renal insufficiency, leukemia, age, acute renal failure, arrythmias, heart rate, GI bleeding, GCS, intracranial mass effect, cerebrovascular accident, cpr prior to admission, mechanical ventilation

POSSUM[37]

1991

Surgical patients

Prediction of outcome (mortality) for surgical patients

Respiratory history; cardiac signs; age; heart rate; systolic blood pressure; ecg; GCS; operative severity; multiple procedures, total blood loss, peritoneal soiling, finding of peroperative malignancy; elective or acute surgery, WBC, Hb, urea, potassium, sodium

  1. Peptic ulcer perforation score (PULP score).
  2. American society of anesthesiologists (ASA) score.
  3. Acute physiology and chronic health evaluation II (APACHE II).
  4. Simplified acute physiology score II (SAPS II).
  5. Mortality probability models II (MPM II).
  6. Physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) score.
  7. Glasgow coma scale (GCS).
  8. White blood cell count (WBC).
  9. Gastrointestinal bleeding (GI bleeding).
  10. Hemoglobin (Hb).