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Perforation peritonitis is a common serious condition encountered in day to day surgical practice in any hospital. One of the reasons for high mortality in these conditions is lack of risk stratifications resulting in delay in providing adequate management, although a number of scoring systems are available to stratify these patients according to severity, but most of these cannot be used in developing countries like India due to their dependency on sophisticated investigation which are usually lacking in most parts of these countries. So a simple prognostic scoring system which could be easily reproduced without sophisticated investigations and also provide a reliable objective assessment of severity and operative risk is required.
