Role of Jabalpur Score in Predicting Mortality Among Patients with Peritonitis Secondary to Peptic Ulcer Perforation

ABSTRACT

Background: Commonest surgical emergency cases in developing countries isPerforativeperitonitis. These sequence of events leads to increasedmorbidity and mortality. The events can be modified to decrease mortality through early interventions like specific therapeutic procedures, these determine the outcome.. Decreasing mortality also depends on recognition of theseriousness of disease, an accurate assessment andclassification of patient’s risks,to overcome these problems, Jabalpur peritonitis index was made. Aim: To evaluate the role of Jabalpur scoringsystem among patients of peritonitis secondary to rupture of peptic ulcer in predicting mortality. Method: Prospective observational study was conducted on patients of peritonitis secondary to rupture of peptic ulcer.The study was conducted on all the patients attending the surgery out patient department and emergency department in K R Hospital under MMC &RI , Mysore, Karnataka, India, from period of January 2018 – August2019. Conclusion: There is association between all the factors used in the Jabalpur scoring and mortality and as the score increased there is increase in mortality . The score has high sensitivity and specificity in predicting mortality.