FRAILTY OF BOEY SCORE IN PPU MORTALITY AND MORBIDITY PREDICTION- A PROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 77
Abstract
BACKGROUND Peptic ulcer is quite common in our country due to intake of non-steroidal anti-inflammatory drugs, alcohol, spicy diet, smoking and a stressful lifestyle. Almost everybody harbours Helicobacter pylori within them and prone to peptic ulcer. Peptic ulcer can have disastrous complications with one of them being perforation, which is a surgical emergency. Its effects can range from severe abdominal pain to hypotension, sepsis and shock. Hence, timely intervention is absolutely mandatory. Various scoring systems have been developed to prognosticate the morbidity and mortality of perforated peptic ulcer with Boey score being the most commonly followed in various healthcare setup. We tried to determine the role of Boey score in our patients with perforated peptic ulcer and analyse its limitations. MATERIALS AND METHODS Study was done on 50 patients in a span on 1 year with complaints of acute abdominal pain, with air under the diaphragm. They were surgically deemed fit as per anaesthesiologist and Graham live omental patch closure of perforation was done. Boey score was calculated and results evaluated. RESULTS There was progressive increase in Odds ratio and associated mortality of 0%, 13.8%, 27.3%, and 100% with Boey scoring of 0, 1, 2 and 3 respectively, similar to original Boey score. There was progressive increase in Odds ratio calculated for individual morbidity developed in our patients. Sample size of 50 patients, showed less significance on calculated p-value (>0.05) in association with mortality and morbidity. CONCLUSION Boey score has limited role in prediction of mortality and morbidity in perforated peptic ulcer.
Authors and Affiliations
Devadhason Darwin Britto, Alankrith Ramesh Kashyap, Sadasivam Prakash
Keywords
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- EP ID EP267580
- DOI 10.14260/Jemds/2017/1190
- Views 69
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