الفهرس 
Validity and accuracy of scoring systems pompp (predictive score of mortality in perforated peptic ulcer ) , pulp (peptic ulcer perforation) , Boey and Asa to predict mortality in peptic ulcer perforation in Egyptian population
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Abstract
Peptic ulcer disease (PUD) remains a common outpatient diagnosis.
with the advent of proton pump inhibitors, improved hygienic conditions, and
developing healthcare regimes, the prevalence of PUD has been decreased. However,
the incidence of emergency surgery and the mortality associated with PUD has not
decreased nearly so dramatically. Perforated peptic ulcer (PPU) represents the most
frequent indication for emergency surgery for PUD. (Bertleff MJ et al., 2010)
Accurate and early identification of high-risk surgical patients with perforated peptic
ulcer (PPU) is important for triage and risk stratification. Therefore scoring systems
have been developed to be used for prediction including (Boey, PULP, ASA, POMPP
and MPI) (Anbalakan K et al., 2015) (Gupta et al., 2021)
Methods: This Prospective observational study has been carried on 148 patients
admitted for peptic ulcer perforation at emergency department of general surgery from
start of October 2020 to the end of February 2022 at kasr Alainy emergency hospital.
Four scoring systems were applied on each patient preoperatively and follow up for 30
days postoperatively detecting mortality and morbidities. Comparative analysis ofdifferent score was done.
Results: Post-operative morbidity was 28 % and mortality rate was 12%. POMPP
shows 78 % sensitivity and 100% specificity at cut off point >1, PULP shows 77%
sensitivity and 96 % specificity at cut off point >6, Boey shows 100% sensitivity and
80% specificity at cut off point >1 and ASA shows 67% sensitivity and 94% specificity
at cut off point >2.
Receiver operating characteristic curve analysis showed that area under curve was 0. 99
for POMPP, 0.968 for PULP (but it is complex with more number of components),
0.936 for Boey and 0.822 for ASA.
Conclusion: POMPP score is based on objective data and its components are age and
routinely measured values (BUN and serum albumin). It is simple and easily applicable
scoring system for predicting mortality in PPU.