دورية أكاديمية
أعرض في EDS

Perioperative mortality and its predictors among patients undergoing emergency laparotomy at selected southern Ethiopian governmental hospitals, 2022: a multicenter prospective cohort study.

التفاصيل البيبلوغرافية
العنوان: Perioperative mortality and its predictors among patients undergoing emergency laparotomy at selected southern Ethiopian governmental hospitals, 2022: a multicenter prospective cohort study.
المؤلفون: Hailu S; Department of Anesthesiology., Ayinie A; Department of Surgery, Dilla University, Dilla, Ethiopia., Amsalu H; Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia., Hailu S; Department of Anesthesiology., Tadesse M; Department of Anesthesiology., Mamo T; Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia., Sagni Y; Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia., Mekonen S; Department of Anesthesiology., Jemal B; Department of Anesthesiology.
المصدر: Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Apr 03; Vol. 85 (4), pp. 746-752. Date of Electronic Publication: 2023 Apr 03 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: England NLM ID: 101616869 Publication Model: eCollection Cited Medium: Print ISSN: 2049-0801 (Print) Linking ISSN: 20490801 NLM ISO Abbreviation: Ann Med Surg (Lond) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2023- : [London] : Wolters Kluwer
Original Publication: London : Surgical Associates Ltd., 2012-
مستخلص: Globally, emergency laparotomy is a frequently performed type of surgery with high morbidity and mortality rates, even in the best healthcare systems. There is limited knowledge regarding the outcome of emergency laparotomy performed in Ethiopia.
Objective: To assess perioperative mortality and its predictors among patients undergoing emergency laparotomy at selected southern Ethiopian governmental hospitals.
Methods: A multicenter prospective cohort study was conducted, and data were collected at selected hospitals after obtaining ethical approval from the Institutional Review Board. Data were analyzed using SPSS version 26.
Results: The rate of postoperative complications after emergency laparotomy surgery was 39.3%, with an in-hospital mortality rate of 8.4% and a length of hospital stay of 9±6.5 days. The predictors of postoperative mortality were the age of the patient greater than 65 [adjusted odds ratio (AOR)=8.46, 95% CI=1.3-57.1], presence of intraoperative complications (AOR=7.26, 95% CI=1.3-41.3), and postoperative ICU admission (AOR=8.5, 95% CI=1.5-49.6).
Conclusion: Our study revealed a significant level of postoperative complications and in-hospital mortality. The identified predictors should be sorted and applied to the preoperative optimization, risk assessment, and standardization of effective postoperative care following emergency laparotomy.
Competing Interests: There are no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.
(Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
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فهرسة مساهمة: Keywords: emergency laparotomy; hospital stay; mortality; perioperative complications
تواريخ الأحداث: Date Created: 20230428 Latest Revision: 20230430
رمز التحديث: 20230430
مُعرف محوري في PubMed: PMC10129246
DOI: 10.1097/MS9.0000000000000437
PMID: 37113892
قاعدة البيانات: MEDLINE
الوصف
تدمد:2049-0801
DOI:10.1097/MS9.0000000000000437