Title: A Study of Clinical Presentation and Accuracy of the Scoring System (Based on Boey) in Predicting postoperative Morbidity and Mortality of Perforated Peptic Ulcers

Authors: Dr Sudha Dhiyanesh.R, Dr Ashok Swaminathan.G, Prof. Dr C.S.Subramanian, Dr Achyutha Krishnan.T

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.96

Abstract

Background: To evaluate the postoperative outcomes of perforated peptic ulcers(PPU)using Boey scoring system.

Materials and Methods: All patients who were operatedfor perforated peptic ulcers during the study period in our hospital. Boey scoring done preoperatively and surgical outcomes were interpreted. All patients were taken up for emergency laparatomy after informed consent and closure of the perforation done.

Result: The study consists of about 104 patients with the mean age being 43yrs and 88% found to be males. Overall mortality was found to be around 10% and morbidity around 35%. Both morbidity and mortality increased with increase in Boey score: 0%, 5%, 24% and 40% mortality for the scores 0,1,2 and 3 respectively. 25%, 35%, 62% and 100% morbidity for scores 0,1,2 and 3 respectively.

Conclusion: Although many scoring systems are available to stratify risks in PPU, Boey scoring system found to be an easy and useful predictor for estimating postoperative mortality and morbidity with three simple parameters.

Keywords: Perforation, peptic ulcer, Boey score, perforated ulcer, peritonitis.

Editorial Policy

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not ..

Read More.....

Frequency of Publication

JMSCR is published as monthly journal with 12 issues per year. Special editions are also planned subjected to the scope and need....

Read more...

Submission of Articles

Authors are invited to submit their research articles, review papers, Case Report properly formatted as per the author guidelines.........

Read more...