Comparison of Boey and PULP (Peptic Ulcer Perforation) Score in Assessing Post OP 30-day Mortality in Gastric Perforation Patients at Moewardi Hospital, Surakarta

Abstract

Background: Gastric perforation is a serious complication of gastric ulcers. It is essential to group patients into different categories based on possible morbidity and mortality so that high-risk patients can receive more intensive care. Aims: To compare the risk assessment of postoperative 30-day mortality in patients with gastric perforation using Boey and PULP scoring. Study Design: Observational analytic study. Place and Duration of Study: Department of Surgery at Dr. Moewardi Hospital, Surakarta, Indonesia, from 1 May - 30 June 2020. Methodology: 10 gastric perforation patients were involved as our research subjects. All Boey and PULP scoring variables were taken through medical records. The ROC analysis test was used to obtain the AUC number, cut-off sensitivity, and specificity. All data were analyzed using SPSS for Windows version 25. Results: Based on the ROC analysis, the AUC score for Boey scoring was 0.781 (95% CI 0.505-1.000). The AUC result for PULP scoring was 0.797 (95% CI 0.466-1.000). Boey's cut-off scoring was at number 2 with a sensitivity of 75% and a specificity of 75%. The cut-off scoring for PULP was at 7 with a sensitivity of 75% and a specificity of 87.5%. Conclusion: Boey and PULP scores were statistically proven to predict mortality 30 days after gastric perforation surgery, and there was no significant difference between Boey and PULP scores.