Vignesh Shankar, S (2019) Effectiveness of Jabalpur Score in Predicting Mortality and Morbidity in Patients with Peritonitis caused by Peptic Ulcer Perforation. Masters thesis, Coimbatore Medical College, Coimbatore.
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Abstract
BACKGROUND: Many prognostic systems have been developed to stratify perforative peritonitis patients. Many are complex and cannot be used in developing countries as the prognostic system depends on sophisticated investigations. So, a simpler scoring system is developed to stratify those patients. AIM OF THE STUDY: To find the efficacy of the Jabalpur scoring system in predicting the mortality and morbidity in patients with peritonitis due to peptic ulcer perforation. OBJECTIVES: 1. Analysis of physical parameters and blood workup as early as possible to every patient diagnosed with perforative peritonitis. 2. Incorporation of Jabalpur scoring system in identifying the high risk group of patients in those diagnosed with perforative peritonitis. 3. Watchful monitoring of those patients with high score to anticipate early complications and for the application of early treatment. 4. Finding out the efficacy of this scoring system and its accuracy in predicting the mortality and morbidity. PATIENTS AND METHOD: Our study included 50 patients who presented with features of peritonitis due to peptic ulcer perforation and underwent emergency laparotomy for the same in Coimbatore Medical College Hospital. RESULTS: Mortality and morbidity steadily increases with increase in the Jabalpur score. All the parameters in Jabalpur score are individually significant in predicting the outcome. For a score of 9, sensitivity is 87.5%, specificity is 83.3%, positive predictive value is 50% and negative predictive is 97.2%. CONCLUSION: Jabalpur score is a simple and effective scoring system to predict the mortality and morbidity in peptic ulcer perforation patients.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Perforation, mortality, morbidity, Jabalpur score. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 02 Sep 2019 07:17 |
| Last Modified: | 07 Sep 2019 04:23 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11406 |
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