title: Validation of Boey's score in predicting morbidity and mortality in peptic perforation peritonitis in Northwestern India.
abstract: BACKGROUND
  The major complications of peptic ulcer are hemorrhage, perforation and gastric outlet obstruction with perforation occurring in about 2-10% of patients. Patients with perforated peptic ulcer still have a high rate of morbidity and mortality and to improve the outcomes it is important to stratify the patients into different categories.
  
  
  OBJECTIVE
  To evaluate the accuracy of Boey scoring system in predicting postoperative morbidity and mortality in patients operated for peptic perforation.
  
  
  METHODS
  It was a prospective observational single centre study conducted at SMS Medical College and Hospital, Jaipur, from October 2011 to October 2012 on 180 patients undergoing open surgery for peptic ulcer perforation. Postoperative outcomes in terms of recovery and complications were studied. For prediction of morbidity and mortality by Boey risk stratification, the odds ratio (OR) and 95% confidence interval (95% CI) of each risk score were compared with the outcomes of "0" risk score.
  
  
  RESULTS
  The mortality rate increased progressively with increasing numbers of the Boey score: 1.9%, 7.1%, 31.7% and 40% for 0, 1, 2, and 3 scores, respectively (p < 0.001). The morbidity rates for 0, 1, 2, and 3 Boey scores were 13%, 45.7%, 70.7% and 73.3% respectively (p < 0.001).
  
  
  CONCLUSIONS
  Boey score is a useful tool for assessing the prognosis of operated cases of peptic perforation and helps in the assessment of mortality and morbidity of these patients.
authors: Abhishek
authors: A
authors: Agarwal
authors: Sanchit
authors: S
authors: Jain
authors: L N
authors: LN
authors: Meena
authors: Sumita A
authors: SA
authors: Jain
authors: Lakshman
authors: L
authors: Agarwal
mesh_terms: D000328:Adult; D015897:Comorbidity; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009026:Mortality; D016017:Odds Ratio; D010439:Peptic Ulcer Perforation / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D011014:Pneumonia / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D011379:Prognosis; D011446:Prospective Studies; D012372:ROC Curve; D012307:Risk Factors; D012769:Shock / Q000453:epidemiology*; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D013997:Time Factors