Nomani et al reported 2 scores for a patient with peritonitis following perforation of a duodenal ulcer. One score is based on intraoperative findings, while the second includes development of sepsis. The authors are from Khan Research Laboratories Hospital in Islamabad, Pakistan, and West Mead Hospital in Sydney, Australia.
PEDURS is an acronym for perforated duodenal risk stratification.
Patient assessment: intra-operative
Parameters:
(1) number of gut perforations
(2) size of largest perforation in cm
(3) volume of peritoneal fluid in mL
(4) surgical repair
(5) complications
Parameter
Finding
Points
number of perforations
1
0
>= 2
2
size of largest perforation
<= 0.5 cm
0
> 0.5 cm
2
peritoneal fluid volume
<= 1,000 mL
0
> 1,000 mL
1
surgical repair
simple
2
definitive surgery
0
complications
no
0
yes
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• A score >= 6 indicates high risk of 30-day morbidity or mortality.
To read more or access our algorithms and calculators, please log in or register.
