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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).