Nirmal Prasad Sah*, Rakesh Kumar Gupta, Vijay Shrestha, Kunal Bikram Deo and Rupesh Prasad Sah, Pawan Sapkota and Suresh Prasad Sah


Background: Bleeding, perforation, penetration, and obstruction are all possible life-threatening problems related with PUD. Perforation is found in 2-10% of patients. The Boey's scores, PULP and ASA score are currently the most widely used prognostic grading systems in patients with PPU. Materials and Methods: This is retrospective study done at B P Koirala Institute of Health Science. All patients with a perforated duodenal ulcer who had surgery were included in the study. Exclusion criteria included ruptured other organs, such as the stomach and intestines, as well as inadequate data in the medical record. The PULP score, Boey score, and ASA score were calculated as anticipated scoring systems. Results: We used the retrospective data of 74 patients. 56.8% (42) of the patients had a PULP score of 0-6 and 43.2 percent (32) of the patients had a PULP score of 7-18. According to Boey's scoring system, 10.8 percent (8), 58.1 percent (43), 25.7 percent (19), and 5.4 percent (4) of the patients were marked with 0, 1, 2, and 3 points, respectively. Boey score had highest AUC of 0.85 with cut off value>1 with accuracy 72.97%. PULP score had AUC of 0.79 with cut off values>6 with accuracy of 60.81%. ASA score had AUC of 0.765 with cut off value>3. Conclusion: The Boey risk score is a simple and precise predictor for postoperative mortality than PULP score.

Keywords: PDU, PULP score, Boey score, ASA score.

[Full Text Article]


Forgot Password  |  Register


Best Paper Awards

European Journal of Biomedical and Pharmaceutical Sciences (EJBPS) will give best paper award in every issue in the form of money along with certificate to promote research activity of scholar.

Best Article of current issue :

Dr. Dhrubo Jyoti Sen

Download Article : Click here

News & Updation


    NOVEMBER 2022 Issue has been successfully launched on 1 NOVEMBER 2022.

  • EJBPS New Impact Factor

    Its our Pleasure to Inform you that EJBPS Impact Factor has been increased from 5.467 to 6.044, due to high quality Publication at International Level.

  • Index Copernicus Value

    EJBPS Received Index Copernicus Value 77.3, due to High Quality Publication in EJBPS at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.


  • Article Invited for Publication

    Dear Researcher, Article Invited for Publication  in EJBPS coming Issue.


UG/PG/Ph.D Research Publication

Research Scholar of UG/PG/Ph.D can Submit their Research Article/Review Article/Case Study/Short Communication for Publication in EJBPS


Copyright From

Covering Letter

                        Author Instruction