Open Access Full Text Article
Dovepress open access to scientific and medical research
OriGinAL rESEArCh
Diagnostic indicators for peptic ulcer perforation at a tertiary care hospital in Thailand
This article was published in the following Dove Press journal: Clinical and Experimental Gastroenterology 8 December 2011 Number of times this article has been viewed
Chutikarn Suriya 1 nongyao Kasatpibal 2 Wipada Kunaviktikul 2 Toranee Kayee 3
1 Clinical Epidemiology, Faculty of Medicine, Chiang Mai University, 2 Faculty of nursing, Chiang Mai University, 3Department of Surgery, nakornping hospital, Chiang Mai, Thailand
Introduction: Limited data currently exists regarding the diagnostic indicators of peptic ulcer perforation for early detection among patients in Thailand. Delayed diagnosis and treatment for an ulcer can be life-threatening, resulting in shock or death. Objective: To determine the diagnostic indicators of peptic ulcer perforation. Material and methods: A cohort study was conducted in a tertiary care hospital in Thailand from 2005 to 2009. Peptic ulcer patients aged 15 years and over admitted to the surgical department were included. The diagnostic indicators used criteria of the patients’ final diagnoses and operations, coded according to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, which included patient profiles, gender, age, coexisting illnesses, personal habits, signs and symptoms, laboratory investigations, radiological finding, and treatment role. Exponential risk regression analyses to obtain relative risk (RR) estimates for diagnostic indicators were analyzed using Stata® statistical software package, version 11 (StataCorp LP, College Station, TX). Results: The study included 1290 patients. Of these, 57% reported perforated peptic ulcer. Multivariate analysis showed five diagnostic indicators: signs and symptoms including intense