European Journal of Cardiovascular Medicine

Background: Peptic ulcers are the defects found in the gastric or duodenal mucosa and extend through the muscularis mucosa. Approximately 4 million people are affected by peptic ulcer disease every year.Material andMethods. This prospective observational study was conducted at the Postgraduate Department of General Surgery, Government Medical College, Srinagar (a tertiary care center) over a period of two years from October 2020 to October 2022.The aim of this study was to evaluate the accuracy of PULP (Peptic Ulcer Perforation) scoring system in predicting postoperative morbidity and mortality in patients operated for peptic ulcer perforation in our hospital.Results. 40 patients formed our study group. Maximum number of patients affected were in the younger age group, with median age of 25 years with male predominance (97.5%). Smoking was present in 67.5%. Serum creatinine was raised (>1.47mg/dl) in 22.5% patients. 90% patients were categorized as low risk according to PULP Score. Mortality was 5%, with PULP score of 11 each.  Conclusions.The prognostic predictors present in the PULP score are readily identified before surgery. The PULP score helps in accurate and early identification of high - risk patients with perforated peptic ulcer, and therefore assist in risk stratification and triage