A Comparison of The Validity of POMPP, Boey, And PULP Scores as Predictors of Mortality in Patients with Perforated Peptic Ulcers at Prof Dr. I G.N.G. Ngoerah Hospital Denpasar
I Dewa Ketut Gede Herry Oka1*, I Wayan Periadijaya2, I Wayan Niryana3
Abstract
Background: Peptic ulcer is a focal defect in the gastric and/or duodenal mucosa that extends to the submucosa or deeper. Every year peptic ulcer disease affects 4 million people worldwide, 10-20 percent of patients with peptic ulcers develop complications and 2%-14% of them have perforation. Many scoring systems have been reported to predict outcomes in patients with peptic ulcer perforation. The accuracy of each scoring system gives different results in each study. Objective: This study is to determine the most accurate scoring system (POMPP, Boey, and PULP) in predicting the mortality of perforated ulcer patients at Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar. Methods: The research design was a retrospective diagnostic study. This study involved 40 peptic ulcer patients who performed surgery, divided into 2 groups: died (n16) and survived (n=26). POMPP, Boey, and PULP were scored and then subjected to descriptive analysis, an accuracy test with two-by-two cross-tabulation, and a validity comparison test by assessing the ROC curve. Results: The scoring values of POMPP, Boey, and PULP are consecutive; sensitivity; 68.7%, 75%, and 63.5%, specificity; 95.8%, 83.3%, and 95.8%, positive predictive value; 91.6%, 83.3%, and 90.9%, negative predictive value; 82.1%, 83.3%, and 79.3, accuracy; 85%, 80%, and 82.5%. The POMPP score had a higher relative risk (RR) value (5.6) compared to Boey (4.8) and PULP (4.6). Conclusion: In predicting the mortality of perforated peptic ulcer patients who were operated on, it was found that the Boey score had a higher sensitivity than the POMPP and PULP scores, but the accuracy of the POMPP score and the RR value of the POMPP score were higher than the Boey and PULP scores.
Keywords
perforated peptic ulcer; scoring system; POMPP; Boey; PULP; mortality.
Cite This Article
Oka, I. D. K. G. H., Periadijaya, I. W., Niryana, I. W. (2024). A Comparison of The Validity of POMPP, Boey, And PULP Scores as Predictors of Mortality in Patients with Perforated Peptic Ulcers at Prof Dr. I G.N.G. Ngoerah Hospital Denpasar. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1673-1681, URL: https://www.ijscia.com/wp-content/uploads/2024/12/Volume5-Issue6-Nov-Dec-No.788-1673-1681.pdf
Volume 5 | Issue 6: Nov – Dec 2024
