FREQUENCY OF HIGH BOEY SCORE AND ITS ONE MONTH MORTALITY AFTER SURGERY FOR PERFORATED PEPTIC ULCER DISEASE

ABSTRACT
Background: Peptic ulcer perforation is one of the commonest gastrointestinal perforations in pakistan. The vast majority
of peptic ulcer perforation require emergency operation and to facilitate its management to improve the outcomes,
it is important to stratify patients into different categories based on the likelihood of morbidity and mortality, so that
high risk patients can recieve more appropriate treatment and greater intensive care. The objective of this study was
to determine the frequency of high Boey’s score and its one month mortality after surgery for perforated peptic ulcer
disease in our population.
Material and Methods: This prospective cross sectional study was conducted in surgical department of Post Graduate
Medical Institute Lady Reading Hospital, Peshawar from January 2010 to December 2012.All patients were immediately
worked up with detailed history and clinical examinations and routine pre-operative baseline investigations were sent
and were carefully evaluated to detect high Boey score. All patients were operated on the next immediate list after
taking informed consent. All patients were kept in ward for 5th post operative days and were discharged on 6th post
operative day if indicated. All patients who have high Boey score were regularly followed till one month after surgery to
detect one month mortality. Data was collected on a set proforma and analyzed using SPSS version 16.
Results: A total of 130 patients of perforated peptic ulcer disease were included in the study. Male to female ratio was
2.17:1. Average age of the patients was 44.46 years ±10.65SD with range 18-68 years. The mortality in perforated
peptic ulcer was observed in 33(25.38%).
Conclusion: The Boey’s score was found in majority of mortality cases operated for perforated peptic ulcer and can
assist in risk stratification and triage.
Key Words: Peptic ulcer, Boey Scoring