Evaluation of clinical factors and three scoring systems for predicting mortality in perforated peptic ulcer patients, a retrospective study
| Autor: | M Iqbal Rivai, Avit Suchitra, Aulia Janer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Creatinine Multivariate analysis Receiver operating characteristic business.industry medicine.medical_treatment Mortality rate Area under the curve Retrospective cohort study General Medicine Triage qSOFA score Mortality predictor chemistry.chemical_compound chemistry Laparotomy Internal medicine medicine Surgery Boey's score business Perforated peptic ulcer (PPU) Cohort Study ASA Classification |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Background/objective Early identification of mortality risk in perforated peptic ulcer (PPU) patients is important for triage and risk stratification. This study aimed to compare clinical and laboratory factors and three scoring systems to predict mortality in PPU patients. Methods Retrospective data on PPU patients at M. Djamil Hospital who underwent emergency laparotomy repair surgery were collected from December 2018 to May 2021. The data included demographics, clinical characteristics, and three scoring systems. Data analysis used bivariate, multivariate, and ROC analysis. Results A total 72 patients were included and mortality rate was 52.8%. Bivariate analysis showed a significant association between age (p = 0.029), onset of illness (p = 0.001), alteration of consciousness (p = Highlights • Perforated peptic ulcer is the severe complication with a high mortality rate • Evaluation of the best mortality predictor in PPU patients is important • Preoperative creatinine, alteration of consciousness were the strongest clinical factors as mortality predictor • The accuracy of qSOFA score was superior to Boey's score and ASA classification • Preoperative creatinine was the best single predictor of mortality. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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