A Comparative Study Of Pulp Scoring Vs Jabalpur Prognostic Scoring In Predicting Outcome In Patients With Peptic Ulcer Perforation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
This is a prospective analytical study done in a group of 50 patients with perforative peptic ulcer at Govt. Rajaji Hospital, Madurai. The objective of the study is to analyse the two scores, The Peptic Ulcer Perforation Score and Jabalpur score. The study compares the positive predictive value and reliability of the prediction of the two scores. All data were analysed using SPSS Version for WINDOWS software. Area under Curve was calculated using Receiver operator Characteristic curves. PULP score apart from taking into account of all variables like vital measures, age, serum creatinine levels and time from perforation to operation, that were even included in the Jabalpur score, also pays significance to the past history of the patient. This inclusion has improved both the AUC and Positive predictive values of the PULP score. To conclude though none of the scores provides an exact prediction of the mortality rate. Of the two scores, the PULP score overwhelms the Jabalpur score thereby making it a more simple, reliable and feasible scoring system.
Authors and Affiliations
Dr Subangi K G1, Dr. N. Aravind 2 M S
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