A Study of Clinical Presentation and Accuracy of the Scoring System (Based on Boey) in Predicting postoperative Morbidity and Mortality of Perforated Peptic Ulcers
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 11
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.
Authors and Affiliations
Dr Achyutha Krishnan. T
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