Boey Score (Perforated Peptic Ulcer)
Predicts mortality after emergency surgery for perforated peptic ulcer. Three simple risk factors.
Score interpretation
Boey Score 0: No risk factors. Mortality ~0–5%.
→ Proceed to surgery. Laparoscopic repair preferred. Good prognosis.
Boey Score 1: One risk factor. Mortality ~10–15%.
→ Surgery required. Consider open vs laparoscopic based on surgeon expertise. Informed consent includes significant mortality risk.
Boey Score 2: Two risk factors. Mortality ~45%.
→ High-risk surgical consent. ICU post-op mandatory. Consider conservative management only if extremely frail.
Boey Score 3: All three risk factors. Mortality ~100%.
→ Discuss with patient and family regarding prognosis. Consider palliative / conservative management. If surgery, ICU essential. Specialist HPB / upper GI surgical review.
Interpretation bands for the Boey. Apply clinical judgement and local guidance.
References
- Boey J et al. Proximal gastric vagotomy: the preferred operation for perforations in acute duodenal ulcer. Ann Surg. 1982.
Related
Curated clinical cross-links plus same-class fallbacks.
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Protamine Sulphate (Heparin Reversal) · Heparin Reversal / Cardiac Surgery
- Cefuroxime · Second-Generation Cephalosporin — Respiratory / Surgical Prophylaxis
- Indocyanine Green (Intravitreal Chromovitrectomy) · Diagnostic Dye — Vitreoretinal Surgery / ICG Angiography
- Trypan Blue 0.06% (Ophthalmic) · Ophthalmic Dye — Capsule Staining (Cataract Surgery)
- Acetylcholine 1% Intraocular Solution · Cholinergic — Intraocular Miotic (Cataract Surgery)
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.