The Hacettepe Score can be used to predict the risk of death in a patient with perforated peptic ulcer disease. This can identify patients who may benefit from more aggressive therapy. The authors are from Hacettepe University in Ankara, Turkey.
Parameters:
(1) comorbid disease
(2) acute renal failure
(3) leukocytosis
(4) gender of the patient
|
Parameter |
Finding |
Points |
|
comorbid disease |
serious co-existing medical illness present |
-10.17 |
|
|
no serious co-existing medical illness |
0 |
|
acute renal failure |
present |
-12.65 |
|
|
absent |
0 |
|
white blood cell count |
>= 20,000 per µL |
-6.55 |
|
|
< 20,000 per µL |
0 |
|
gender |
female |
2.70 |
|
|
male |
0 |
total score =
= SUM(points for 4 parameters) + 9.46
Interpretation:
• minimum score: -19.91
• maximum score: 12.16
|
Score |
Outcome |
|
< 7.9 |
more likely to die |
|
>= 7.9 |
more likely to survive |
NOTE: Looking at the different score combinations, the presence of any one of the first 3 parameters (comorbid condition, acute renal failure, leukocytosis) is sufficient to put the patient in the poor prognosis category. The gender appears to be irrelevant.
Performance:
• The test was slightly more sensitive than the Mannheim Peritonitis Index but less specific, giving it an overall accuracy of 93%.
Specialty: Infectious Diseases, Surgery, general, Gastroenterology
ICD-10: ,
