Predicts mortality in perforated peptic ulcer
Total Score
Score 0: Low mortality risk (~1%).
Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.
Yasal Uyarı: Bu platformdaki klinik skorlamalar ve algoritmalar yalnızca sağlık profesyonellerini bilgilendirme amaçlıdır. Herhangi bir kesin tıbbi teşhis, tedavi veya klinik karar yerine geçemez. Nihai karar ve sorumluluk hastayı yatak başında değerlendiren hekime aittir.
The Boey Score is a classic and robust surgical risk assessment tool utilized to predict the perioperative morbidity and mortality associated with the surgical repair of a perforated peptic ulcer. It considers three critical risk factors: concomitant severe medical illness, preoperative shock, and a delayed presentation (duration of perforation > 24 hours).
A Boey score of 2 or 3 implies a prohibitively high mortality rate (often >30%). In these critically ill, unstable patients, prolonged procedures like definitive ulcer operations (e.g., highly selective vagotomy, antrectomy) should be strictly avoided. Damage control principles, rapid source control (simple Graham patch), and intensive resuscitation are standard.
Boey J, Choi SK, Poon A, Alagaratnam TT. Risk stratification in perforated duodenal ulcers. A prospective validation of predictive factors. Ann Surg. 1987;205(1):22-26.
Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.