Use of Boey’s score in peptic perforation disease in the Nepalese population: a prospective observational study

Authors

  • Rabin Koirala Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal
  • Paras Pant Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal
  • Nikhil Acharya Helping Hands Community Hospital, Kathmandu, Nepal
  • Asish Rajbhandary Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jssn.v22i1.28708

Keywords:

Boey's Score, Peptic Ulcer Perforation, Peritonitis

Abstract

Introduction: 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.

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Author Biographies

Rabin Koirala, Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal

Department of Surgery

Paras Pant, Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal

Department of Surgery

Asish Rajbhandary, Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal

Department of Surgery

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Published

2019-12-31

How to Cite

Koirala, R., Pant, P., Acharya, N., & Rajbhandary, A. (2019). Use of Boey’s score in peptic perforation disease in the Nepalese population: a prospective observational study. Journal of Society of Surgeons of Nepal, 22(1), 2–6. https://doi.org/10.3126/jssn.v22i1.28708

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Section

Original Articles