Gokul Ram, V (2021) Validation of Boey's Score in Predicting Morbidity and Mortality in Peptic Ulcer Perforation Peritonitis. Masters thesis, Stanley Medical College, Chennai.
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Abstract
BACKGROUND: Peptic ulcer perforation is reported in 2-10% of all the known cases of peptic ulcers. There are many scoring systems for peptic ulcer perforation and peritonitis. AIM AND OBJECTIVE: This study was done to evaluate the accuracy of Boey’s scoring system in predicting post-operative morbidity and mortality in a patient operated for peptic ulcer perforation. MATERIAL AND METHODS: The study was done among 50 patients as a prospective observational single centre study. RESULTS: The mean age of the participants is 45.02 years with a standard deviation of 6.4 years. The age ranged between 34 to 60 years. The median age was 45 years. All of the study participants were males. For the Boey’s scoring system, the systolic pressure is an important parameter. The mean systolic blood pressure was 116.4 mm/Hg (S.D=14.67) with only four patients with systolic BP less than 90 mm/Hg. The mean diastolic blood pressure was 74.4 mm/Hg (S.D=8.8). The mean duration of hospital stay is 12.7 days with a standard deviation of 6 days. The median number of days in 9.5 days ranging between 6 to 25 days. Out of 50 patients, 19 of them (38%) had morbidity. Out of 50 patients, only one of them (2%) died. All cases were handled through omental Patch Closure. Out of 50 patients, 19 of them (38%) had morbidity. Out of 50 patients, only one of them (2%) died. Around 42% (n=21) had post-operative complications. Around 12% (n=6) had chest infections. Around 42% (n=21) had wound infections. Around 12% (n=6) had wound dehiscence. Around 10% (n=5) had Intra abdominal collection. Chi-square analysis shows that comparison of Boey’s score with post-operative complications shows that it is significant with a value of 41.9 with a statistical significant value (p<0.005). ROC analysis for postoperative complications and Boey’s score shows that Boey’s score is highly sensitive for detecting postoperative complications with an area under curve = 0.966. ROC analysis for morbidity and Boey’s score shows that Boey’s score is highly sensitive for detecting morbidities with an area under curve = 0.916. ROC analysis for mortality and Boey’s score shows that Boey’s score is highly sensitive for detecting mortality with an area under curve = 0.969. CONCLUSION: In conclusion, Boey’s score is a simple and effective system to diagnose peptic ulcer perforation and peritonitis.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221811054 |
| Uncontrolled Keywords: | Validation, Boey's Score, Predicting, Morbidity and Mortality, Peptic Ulcer Perforation Peritonitis. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 03 May 2021 09:39 |
| Last Modified: | 08 Jan 2022 13:04 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/15693 |
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