A Study on Liaison between Boey Score and Perforated Peptic Ulcer in View of Postoperative Morbidity and Mortality

Abstract

Introduction Several factors associated with poor outcome in perforated peptic ulcer have been identified: delay in diagnosis, coexistent medical illness, shock on admission, leukocytosis, and old age. Such factors increase morbidity and mortality in perforated peptic ulcer disease. Careful resuscitation and perioperative optimization play a significant role in reducing morbidity and mortality associated with perforated peptic ulcer disease. Methods A prospective study of 60 cases who were operated for perforated peptic ulcer was done at Sheth L.G. Municipal General Hospital affiliated with AMCMET Medical College & Research Centre, Ahmedabad. Categorization of these patients was done according to Boey score and their outcome was accessed. Objective The aim of this study was to appraise and analyze Boey score in operated cases of perforated ulcer disease. Results The morbidity and mortality rate in this study were 31.67% and 11.67%, respectively. The morbidity rate increased gradually with increase in Boey score: 8.69, 36.84, 50, and 62.5% for 0, 1, 2, and 3 score, respectively (p < 0.01). The mortality rate was increased progressively with increasing Boey score: 0, 5.26, 30, and 37.5% for 0, 1, 2, and 3 score, respectively, and this relationship was statistically significant (p-value < 0.01). The mean duration of hospital stay was 9.43 ± 4.10 days and p-value was less than 0.001. The area under curve in receiver-operating characteristic curve analysis was 0.854 and 0.751 for mortality and morbidity, respectively. Conclusion Boey score is simple, clinically relevant and can precisely predict postoperative morbidity and mortality and the length of hospital stay.