{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:48:06Z","timestamp":1793832486830,"version":"4.6.1"},"reference-count":21,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.jss.2025.04.038","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T03:18:29Z","timestamp":1750130309000},"page":"75-82","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"special_numbering":"C","title":["Surgical Mortality and Morbidity Predictors in Patients With Perforated Peptic Ulcer: A Cohort Study"],"prefix":"10.1016","volume":"312","author":[{"given":"Negin","family":"Pouroushaninia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Bozorgmehr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazanin","family":"Alibeik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojtaba","family":"Ahmadinezhad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javad Zebarjadi","family":"Bagherpour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Rashidian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Hadi","family":"Bahri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2025.04.038_bib1","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/S0140-6736(16)32404-7","article-title":"Peptic ulcer disease","volume":"390","author":"Lanas","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.jss.2025.04.038_bib2","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1177\/000313481107700827","article-title":"Helicobacter pylori is not the predominant etiology for peptic ulcers requiring operation","volume":"77","author":"Zelickson","year":"2011","journal-title":"Am Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib3","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13017-022-00428-w","article-title":"Clinical presentation and surgical management of perforated peptic ulcer in a tertiary hospital in Mogadishu, Somalia: a 5-year retrospective study","volume":"17","author":"Ali","year":"2022","journal-title":"World J Emerg Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.4103\/jrms.JRMS_1035_16","article-title":"Prevalence of peptic ulcer in Iran: systematic review and meta-analysis methods","volume":"23","author":"Sayehmiri","year":"2018","journal-title":"J Res Med Sci"},{"key":"10.1016\/j.jss.2025.04.038_bib5","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s12876-022-02130-2","article-title":"The global, regional and national burden of peptic ulcer disease from 1990 to 2019: a population-based study","volume":"22","author":"Xie","year":"2022","journal-title":"BMC Gastroenterol"},{"key":"10.1016\/j.jss.2025.04.038_bib6","first-page":"1005","article-title":"Peptic ulcer disease","volume":"76","author":"Ramakrishnan","year":"2007","journal-title":"Am Fam Physician"},{"key":"10.1016\/j.jss.2025.04.038_bib7","doi-asserted-by":"crossref","first-page":"942","DOI":"10.9738\/INTSURG-D-14-00187.1","article-title":"Prognostic factors in peptic ulcer perforations: a retrospective 14-year study","volume":"100","author":"Unver","year":"2015","journal-title":"Int Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib8","doi-asserted-by":"crossref","first-page":"328","DOI":"10.4103\/nmj.NMJ_191_20","article-title":"Surgical management of peptic perforation in a tertiary care center: a retrospective study","volume":"61","author":"Sengupta","year":"2020","journal-title":"Niger Med J"},{"key":"10.1016\/j.jss.2025.04.038_bib9","first-page":"20","article-title":"Risk factors influencing morbidity and mortality in perforated peptic ulcer disease","volume":"31","author":"Ta\u015f","year":"2015","journal-title":"Ulus Cerrahi Derg"},{"key":"10.1016\/j.jss.2025.04.038_bib10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4240\/wjgs.v9.i1.1","article-title":"Perforated peptic ulcer - an update","volume":"9","author":"Chung","year":"2017","journal-title":"World J Gastrointest Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib11","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12893-020-00796-7","article-title":"Pattern and outcome of perforated peptic ulcer disease patient in four teaching hospitals in Addis Ababa, Ethiopia: a prospective cohort multicenter study","volume":"20","author":"Bupicha","year":"2020","journal-title":"BMC Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib12","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s00068-017-0777-7","article-title":"Preoperative factors influencing mortality and morbidity in peptic ulcer perforation","volume":"44","author":"Sivaram","year":"2018","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib13","first-page":"975","article-title":"Pattern of presentation, management and early outcome in patients with perforated peptic ulcer disease in a semi-urban tertiary hospital","volume":"31","author":"Gbenga","year":"2021","journal-title":"Ethiop J Health Sci"},{"key":"10.1016\/j.jss.2025.04.038_bib14","first-page":"549","article-title":"Risk factors that affect morbidity and mortality in patients with perforated peptic ulcer diseases in a teaching hospital","volume":"30","author":"Seyoum","year":"2020","journal-title":"Ethiop J Health Sci"},{"key":"10.1016\/j.jss.2025.04.038_bib15","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s00068-020-01597-6","article-title":"Risk factors influencing postoperative outcome in patients with perforated peptic ulcer: a prospective cohort study","volume":"48","author":"Ahmed","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib16","article-title":"Evaluation of clinical factors and three scoring systems for predicting mortality in perforated peptic ulcer patients, a retrospective study","volume":"69","author":"Rivai","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"10.1016\/j.jss.2025.04.038_bib17","first-page":"1558","article-title":"Early post-operative morbidity and mortality predictors in peptic ulcer perforation","volume":"28","author":"Yalcin","year":"2022","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"10.1016\/j.jss.2025.04.038_bib18","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/s00268-008-9796-1","article-title":"Perforated peptic ulcer: clinical presentation, surgical outcomes, and the accuracy of the Boey scoring system in predicting postoperative morbidity and mortality","volume":"33","author":"Lohsiriwat","year":"2009","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib19","doi-asserted-by":"crossref","first-page":"49","DOI":"10.59779\/jiomnepal.1062","article-title":"Factors predicting mortality in perforation peritonitis at a tertiary care center in Nepal","volume":"41","author":"Kansakar","year":"2019","journal-title":"J Inst Med Nepal"},{"key":"10.1016\/j.jss.2025.04.038_bib20","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1007\/s11605-014-2485-5","article-title":"What is the best predictor of mortality in perforated peptic ulcer disease? A population-based, multivariable regression analysis including three clinical scoring systems","volume":"18","author":"Thorsen","year":"2014","journal-title":"J Gastrointest Surg"},{"key":"10.1016\/j.jss.2025.04.038_bib21","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.1007\/s00268-016-3516-z","article-title":"Perforated peptic ulcer repair: factors predicting conversion in laparoscopy and postoperative septic complications","volume":"40","author":"Muller","year":"2016","journal-title":"World J Surg"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480425002628?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480425002628?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T16:01:42Z","timestamp":1754409702000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480425002628"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":21,"alternative-id":["S0022480425002628"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2025.04.038","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgical Mortality and Morbidity Predictors in Patients With Perforated Peptic Ulcer: A Cohort Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2025.04.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}