Index

Jamshed Akhtar — Sat, 05 Apr 2025 00:00:00 +0000

Prioritizing Between Circulation and Airway in Trauma Patients: Reaching A Consensus

Jamshed Akhtar — Sat, 05 Apr 2025 00:00:00 +0000

Advanced Trauma Life Support® (ATLS) course, a benchmark training program for the treatment of an acutely injured patients, emphasize the use of a “common language”. This includes ABCDE approach in primary survey where life threatening injuries are treated by priority. The initial three alphabets; ABC are the key components of resuscitation. Airway is given precedence over all other conditions. This is because of likelihood of a multiply injured patient dying of airway obstruction rather than circulatory compromise. This traditional approach has continued till date although new evidence against this is also reported in literature.1………………

Usefulness of Boey Score In Predicting the Outcome In Patients With Perforated Peptic Ulcer Disease

Sat, 05 Apr 2025 00:00:00 +0000

Objective

To evaluate the reliability of Boey scoring system in patients presenting with perforated peptic ulcer disease.

Study design

Prospective cohort study.

Place & Duration of study

Department of Surgery Bolan Medical College and Mohtarma Shaheed Benazir Bhutto General Hospital Quetta, from March 2023 to June 2024.

Methods

All patients with perforated peptic ulcer disease were prepared according to surgical protocol and laparotomy was done. A primary closure of perforation with Graham’s omentopexy were done followed by a copious peritoneal lavage. Patients were followed for 30-days after laparotomy for any complication. Boey score assessment was made which has three parameters. The score ranges from 0-3. The data were analyzed and receiver-operating characteristic (ROC) curve and area under curve (AUC) analysis were used to estimate the predictive ability of the Boey score in assessing the postoperative morbidity and mortality. Chi squire test was applied for significance.

Results

The study was conducted on 95 patients. There were 80 males and 15 females with M: F ratio of 5.3:1. The mean age was 39.4+14.3 years. Majority of the patients (n=72 - 75.6%) reached the tertiary care hospital after 24 hours and 90 (94.74%) were in the state of shock. Comorbid conditions were present in 32 (33.7%) patients. Forty-nine (51.6%) patients had a Boey score of 2, while 27 (28.4%) had a score of 3. The overall mortality was 12 (12.6%). It was more in patients who had score of 3 followed by Boey score 2. This was statistically significant with p< 0.001.

Conclusion

The Boey scoring system is simple and easy to use. It was found efficient in predicting the clinical outcome in patients with peptic ulcers perforation

Key words

Peptic ulcer, Perforation, Boey score, Morbidity, Mortality, Prognosis.

Journal of Surgery Pakistan

Index

Prioritizing Between Circulation and Airway in Trauma Patients: Reaching A Consensus

Usefulness of Boey Score In Predicting the Outcome In Patients With Perforated Peptic Ulcer Disease