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Abstract
Background: Gastric perforation whose clinical features vary and frequent delay in diagnosis may lead to high mortality. The Boey and PULP scores were developed to predict mortality in order for high-risk patients to be treated more intensively. Purpose of this study was to determine the Boey and PULP scores in predicting mortality in gastric perforation patients.
Method: This retrospective observational study was conducted at the RSMH Medical Record Installation. Data that met all inclusion criteria and no exclusion criteria were analyzed descriptively and the diagnostic value was determined using SPSS.
Results: A total of 44 subjects with gastric perforation and treated with exploratory laparotomy during 2020–2021 were enrolled in the study, the majority of which were male (68.2%) with a mean age of 60.57±12.79 years. The Boey score showed that high and low risk subjects were comparable (50.0%) and the majority were low risk based on the PULP score (56.8%). We found a significant difference in age (P=0.006), creatinine level (P=0.002), and length of stay (P=0.001) between who is deceased and survived. The accuracy of Boey score at the cutoff point of 1.5 is less good (0.591) with: 57.1% sensitivity; specificity 62.5%; 0.727 PPV; and 0.591 NPV. The accuracy of the PULP score at the cut-off point of 4.5 is good (0.750) with: sensitivity of 78.6%; specificity 68.8%; 0.815 PPV; and 0.647 NPV.
Conclusion: The PULP score has better accuracy than the BOEY score in predicting mortality in gastric perforation patients.
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