Open AccessUse of Boey’s score in peptic perforation disease in the Nepalese population: a prospective observational study
Author(s) -
Rabin Koirala,
Paras Pant,
Nikhil Acharya,
Asish Rajbhandary
Publication year - 2019
Publication title -
journal of society of surgeons of nepal
Language(s) - English
Resource type - Journals
eISSN - 2392-4772
pISSN - 1815-3984
DOI - 10.3126/jssn.v22i1.28708
Subject(s) - medicine , observational study , perforation , prospective cohort study , peptic , laparotomy , surgery , mortality rate , peptic ulcer , materials science , punching , metallurgy
Peptic ulcer perforation carries high mortality and morbidity. Boey’s score is shown to be a simple scoring system to help predict morbidity and mortality. This is a prospective observational study to evaluate the applicability of Boey’s score in predicting mortality and morbidity in Nepalese patients.
Methods: This study was conducted in the Dept. of Surgery, Nepal Medical College and Teaching Hospital (NMCTH), Attarkhel, Jorpati between 1st of July 2012 to 30th June 2019 over a period of 7 years. This was a prospective observational study. All patients who underwent laparotomy for suspected peptic ulcer perforation peritonitis were included in the study.
Results: Fourty-seven patients were included in the study. Male patients outnumbered females by a ratio of almost 4:1. Eighteen (38%) patients had Boey’s score of 1, and 7 (15 %) patients had a Boey’s score of 3. Overall postoperative mortality was 7 (15%). Boey’s score predicted morbidity and mortality with a p-value of <0.01. The length of hospital stay was also more in patients with a higher score and it was statistically significant.
Conclusions: Boey’s score is both easy and effective in predicting postoperative morbidity, mortality and length of hospital stay.