PULP Score (Peptic Ulcer Perforation Mortality)
PULP score (Peptic Ulcer Perforation) — a 0-18 preoperative mortality risk score for perforated peptic ulcer; a higher total marks higher 30-day mortality risk.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Age > 65
- Yes
- Shock on admission (SBP < 100)
- Yes
- Serum creatinine > 130 umol/L
- Yes
- ASA class
- ASA 3 (+3)
Result: PULP 9 of 18 — high risk (> 25% 30-day mortality per source).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- <= 7
- Low risk — under 25% 30-day mortality per source.
- >= 8
- High risk — over 25% 30-day mortality per source. Outperforms the Boey score and ASA alone. A mortality-risk band, not an operative or disposition order.
What you enter
- Age > 65 (+3)
- Active malignancy or AIDS (+1)
- Liver cirrhosis (+2)
- Concomitant steroid use (+1)
- Perforation to admission > 24h (+1)
- Shock on admission (SBP < 100) (+1)
- Serum creatinine > 130 umol/L (+2)
- ASA class (1 0 / 2 +1 / 3 +3 / 4 +5 / 5 +7)
How this is calculated
Møller MH, Engebjerg MC, Adamsen S, Bendix J, Thomsen RW. The Peptic Ulcer Perforation (PULP) score: a predictor of mortality following peptic ulcer perforation. A cohort study. Acta Anaesthesiol Scand. 2012;56(5):655-662. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.