{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:52:29Z","timestamp":1790653949992,"version":"4.1.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2003Peptic ulcer disease continues to be a major public health in most developing countries despite the advances in medical management. The incidence of perforations remains high and has the highest mortality rate of any complication of ulcer disease. Risk stratification of cases will lead to better preoperative management and efficient utilization of intensive care unit resources. The purpose of the present study is to compare different existing scoring systems and identify the most accurate predictor of mortality in perforated peptic ulcer (PPU) cases.<\/jats:p>\n                  <jats:p>Materials and Methods\u2003This is an observational study conducted in Karnataka Institute of Medical Sciences, Hubli, India. All cases of PPU disease admitted from December 2017 to August 2019 who were treated surgically were included in the study. Demographic data were collected and peptic ulcer perforation (PULP) score, Mannheim peritonitis index (MPI), American Society of Anesthesiologists (ASA) score, and Jabalpur score (JS) were calculated for individual patient and compared. The patient was followed up during the postoperative period.<\/jats:p>\n                  <jats:p>Observation\u2003A total of 45 patients were included in the study with a mean age of 42.5 years. Most of the patients presented with 24\u2009hours of the onset of symptoms. Nonsteroidal anti-inflammatory drug use was noted in 8.9% patients, and steroid use was present in 2.2% patients. Of the 45 patients, 7 deaths were reported. Between the various scoring systems, the MPI and JS were better predictors of mortality with a p-value of &lt;0.001 and 0.007, respectively. In contrast, the PULP and ASA scores had p-value not statistically significant. However, the PULP score was a better predictor of postoperative complication with a p-value of 0.047.<\/jats:p>\n                  <jats:p>Conclusion\u2003Of the four scoring systems validated, the MPI and JS were better predictors of mortality in the given population. PULP score is a better predictor of postoperative complications in the present study.<\/jats:p>","DOI":"10.1055\/s-0042-1743526","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T18:30:16Z","timestamp":1659465016000},"page":"e162-e168","source":"Crossref","is-referenced-by-count":16,"title":["A Comparative Study between Peptic Ulcer Perforation Score, Mannheim Peritonitis Index, ASA Score, and Jabalpur Score in Predicting the Mortality in Perforated Peptic Ulcers"],"prefix":"10.1055","volume":"08","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6228-6065","authenticated-orcid":false,"given":"Aboli","family":"Koranne","sequence":"additional","affiliation":[{"name":"Department of Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K G.","family":"Byakodi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasant","family":"Teggimani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay V.","family":"Kamat","sequence":"additional","affiliation":[{"name":"Department of Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijith","family":"Hiregoudar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,2]]},"reference":[{"key":"ref1","first-page":"1188","volume-title":"Stomach","author":"E N 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A retrospective cohort study","volume":"14","author":"K Anbalakan","year":"2015","journal-title":"Int J Surg"},{"issue":"07","key":"ref14","doi-asserted-by":"crossref","first-page":"2390","DOI":"10.18203\/2349-2902.isj20192961","article-title":"Comparison of the efficacy of Jabalpur prognostic scoring system with Mannheims peritonitis index in evaluation of prognosis in patients with perforation peritonitis","volume":"6","author":"G V Prakash","year":"2019","journal-title":"Int Surg J"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13017-015-0008-7","article-title":"A practical scoring system to predict mortality in patients with perforated peptic ulcer","volume":"10","author":"E Menekse","year":"2015","journal-title":"World J Emerg Surg"},{"issue":"08","key":"ref16","first-page":"35","article-title":"A comparative study of PULP score versus Jabalpur score in predicting outcome in patients with peptic ulcer perforations","volume":"16","author":"A Sundararajan","year":"2017","journal-title":"IOSR J Dent Med Sci"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/TA.0000000000001925","article-title":"Meta-analysis of perioperative outcomes of acute laparoscopic versus open repair of perforated gastroduodenal ulcers","volume":"85","author":"R Cirocchi","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.1007\/s00068-019-01237-8","article-title":"Outcomes of omental patch repair in large or giant perforated peptic ulcer are comparable to gastrectomy","volume":"47","author":"K S Chan","year":"2021","journal-title":"Eur J Trauma Emerg Surg"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1743526.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T18:31:31Z","timestamp":1659465091000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1743526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":18,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,8,2]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1743526","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}