International Surgery Journal | April 2022 | Vol 9 | Issue 4 Page 841 International Surgery Journal Tudu P et al. Int Surg J. 2022 Apr;9(4):841-844 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Role of BOEY score in association with age in predicting mortality and morbidity in peptic perforation Paran Tudu, Pritish Roy*, Partha Sarathi Naskar INTRODUCTION More than 4 million people in the world are affected by peptic ulcer disease annually. One of the most common complications of peptic ulcer disease is peptic perforation, which results in high rate of mortality and morbidity. About 5% patients of peptic ulcer disease encounter peptic perforation. PPU carries a mortality ranging from (1.3% to 20%) and 30 days mortality rate reaching 20% and 90-d mortality rate of up to 30% have been reported. 1 The diagnosis of peptic perforation is based on clinical history and examination combined with laboratory and radiological investigations. The mortality and morbidity in a case of peptic perforation depends upon a number of factors. Depending upon these factors a number of scoring systems are there for predicting mortality and morbidity in a case of peptic perforation. Some of them are APACHE 2, MANNHEIMER peritonitis index, PULP scoring, ASA scoring. But the most simple of these scoring systems is BOEY scoring system which includes: delay in presentation (>24 hours), Pre operative shock (SBP<90 mmHg) and associate medical illness. Each of these criteria has point 1. So, BOEY score can be minimum 0 and maximum 3. This study is based on BOEY scoring system. In case of BOEY scoring system, apart from these three criteria, age ABSTRACT Background: Peptic perforation generally requires immediate surgery. BOEY scoring system is a simple way to predict the mortality and morbidity in peptic perforation. Apart from the factors mentioned in BOYE score, patient’s age is also important. The study evaluates the accuracy of BOEY scoring system in predicting post-operative morbidity and mortality in patients operated for peptic perforation as well as inclusion of age as one of the criteria for the scoring system and thus modifying the system. Methods: Total 103 patients were taken for this institution based prospective observational study. The 18 th months study was planned as follow - initial 14 months for patient study, next 2 months for compilation of data, further 2 months for computation of statistics and final construction. Results: Patients with BOYE score 0, 1, 2, 3 has morbidity rates as follow 7.01,19.29, 36.85 and 36.85 respectively. Whereas mortality rate was 0, 0, 9.09 and 90.91 respectively. 76.4% of patients with post-operative complications belonged to age > 45 years. All the cases of mortality were >45 years of age. Conclusions: It is simple and can assist in risk stratification of patients with perforated peptic ulcer. It can help us to identify high-risk patients preoperatively and help in better use of limited facilities. And lastly, a modification can be done by including age (> 45 years) with the other three parameters of the BOEY scoring system. Keywords: BOEY score, Mortality, Morbidity, Peptic perforation, Age Department of General Surgery, Bankura Sammilani Medical College, Bankura, West Bengal, India Received: 23 February 2022 Revised: 14 March 2022 Accepted: 23 March 2022 *Correspondence: Dr. Pritish Roy, E-mail: pritish.bpo3@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2349-2902.isj20220944