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[Perforated peptic ulcer--a 12-year material].

Håvard Mjørud Forsmo1, Tom Glomsaker, Per Olav Vandvik

  • 1Kirurgisk avdeling, Sykehuset Innlandet Gjøvik, 2819 Gjøvik. havard.forsmo@helse-bergen.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|July 14, 2005
PubMed
Summary

Perforated peptic ulcer is a serious condition with high mortality. Patient age and American Society of Anesthesiologists (ASA) classification are key predictors of death and complications.

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Area of Science:

  • Gastroenterology
  • Surgical Outcomes
  • Epidemiology

Context:

  • Perforated peptic ulcer (PPU) presents a significant clinical challenge.
  • Understanding prognostic factors is crucial for managing patient outcomes.

Purpose:

  • To investigate patient characteristics, diagnostic and surgical procedures, and treatment outcomes for PPU.
  • To identify prognostic factors influencing mortality and postoperative complications in PPU patients.

Summary:

  • A retrospective analysis of 102 PPU patients (1992-2003) revealed high mortality and complication rates.
  • Univariate and multivariate analyses identified advanced age and high American Society of Anesthesiologists (ASA) classification as significant predictors of death and postoperative complications.

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Impact:

  • This study highlights the critical role of patient age and ASA classification in determining outcomes for perforated peptic ulcer.
  • Findings can inform clinical decision-making and risk stratification for PPU patients.