title: Perforated peptic ulcer in the Hunter region: a review of 174 cases.
abstract: A review of 174 consecutive patients admitted with a diagnosis of perforated peptic ulcer to eight Hunter Region hospitals during 1979-86 is presented. Among the female admissions, the proportion of patients greater than 70 years of age was twice that in males. One-third of all perforations were in females who accounted for two-thirds of all perforated gastric ulcers. Multivariate analysis revealed that perforations located in the stomach and older age were both significant independent variables adversely affecting outcome following surgery. In contrast, shock at presentation and delay in operating were not statistically significant independent risk factors.
authors.affiliation: Discipline of Surgical Science, Faculty of Medicine, University of Newcastle, New South Wales, Australia.
authors.forename: M V
authors.initials: MV
authors.lastname: Agrez
authors.forename: S
authors.initials: S
authors.lastname: Senthiselvan
authors.forename: D A
authors.initials: DA
authors.lastname: Henry
authors.forename: A
authors.initials: A
authors.lastname: Mitchell
authors.forename: J M
authors.initials: JM
authors.lastname: Duggan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D002648:Child; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009517:New South Wales / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data / Q000639:trends; D010439:Peptic Ulcer Perforation / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D012737:Sex Factors; D013276:Stomach Ulcer / Q000150:complications*; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome