Abstract
Multiple studies have identified that postoperative complications are closely associated with delayed hospital admission, the patient’s preoperative condition (e.g., ASA score ≥3), hemodynamic instability, and generalized peritonitis. According to Tanaka et al. (2017), delayed surgical intervention beyond 12 hours significantly increases morbidity and mortality rates. The Boey score remains a reliable predictor of adverse outcomes, particularly when combined with the PULP and ASA classifications, which evaluate the physiological reserve and comorbid burden.
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