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Predicting Mortality and Morbidity of Patients Operated on for Perforated Peptic UlcersInvited Response
Wan Yee Lau, MD
Hong Kong, China
Arch Surg. 2001;136:94.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Once again we have to emphasize that this nonrandomized retrospective study only aims at validating a risk scoring system that can be used to stratify patients operated on for perforated peptic ulcerswe do not aim to compare treatment outcomes of different operative techniques. Because of its nonrandomized nature, there was a general tendency to subject "ill" patients to open repair.
Leakage after simple repair accounted for 3 of 15 deaths; all 3 patients underwent reoperation and the leakage was confirmed. For the remaining 12 patients who died of multiorgan dysfunction as a result of sepsis, postmortem examination did not reveal any evidence of leakage.
The mortality and morbidity rates of patients with different Boey scores have been stated in the text. Concerning the APACHE II score, the median scores of survivors and nonsurvivors were 4 (range, 0-21) and 15 (range, 6-24), respectively. The median scores of . . . [Full Text of this Article]
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