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Predictors of postoperative sore throat among surgical patients at Ethiopian teaching hospitals

机译：埃塞俄比亚教学医院手术患者术后咽痛的预测指标

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Post-operative sore throat significantly impact patients’ satisfaction during post-operative period. Many factors can contribute to postoperative sore throat and the incidence varies with the method of airway management. To determine the predictors and incidence of postoperative sore throat. In this facility based cross sectional study, 245 elective gynecologic and general surgical patients who had had surgery at Jimma University Teaching Hospital between February 01 and April 30, 2015 were interviewed during postoperative period? between 6 and 24 h using a structured questionair. After outliers and missing value checked the data manually entered into SPSS Version 20 IBM. In addition to descriptive analysis odds ratio with 95% confidence interval was used in bivariate and multivariate logistic regression analysis to determine the effect of predictors on the postoperative sore thoat and hoarsness of voices. A total of 245 surgical patients was interviewed with a complete response rate of 228(93.1%). Their age ranges from 18 to 87years, with a majority between 31 and 40 years. From a total respondent 120 (52.6%) were females, 171(75%) American Society of Anesthesiologist class-I, 137(60.1%) cannot read and write, and 108 (47.4%) were farmer. Majority 47(20.6%) of surgery was orthopedics surgery; followed by 25(11%) breast surgery, 23(10.1%) hysterectomy and others. One hundred twenty nine (56.6%) participants had suffered postoperative sore throat and 68 of them had had hoarseness of voices. The sore throat was found to be more common with certain patient, anesthetic and surgical related factors; difficulty level of intubation, duration of ETT in trachea, being not premedicated with opioid, unexperienced anesthetists, other than ketamine anesthetic? induction agent,? bleeding on tip of laryngoscope/ETT, perioperative hypotension and higher estimated blood loss during surgery. Significant incidence of postoperative sore throat and hoarseness of voice were seen during study period in the study area. Awareness creation on the predisposing factors and appropriate care especially during endotracheal intubation would help in reducing or avoiding the incidence of postoperative sore throat.
机译：术后咽喉痛会严重影响患者在术后的满意度。许多因素可能导致术后喉咙痛，并且其发生率随气道管理方法的不同而不同。确定术后喉咙痛的预测因素和发生率。在这项基于设施的横断面研究中，对2015年2月1日至2015年4月30日在吉马大学教学医院接受手术的245例选择性妇科和普通外科患者进行了访谈。在6到24小时之间使用结构化的问讯台。在离群值和缺失值之后，检查了手动输入到SPSS 20版IBM中的数据。除描述性分析外，在双变量和多变量logistic回归分析中使用了具有95％置信区间的比值比，以确定预测指标对术后喉咙痛和声音嘶哑的影响。总共对245名外科手术患者进行了访谈，完全缓解率为228（93.1％）。他们的年龄在18至87岁之间，多数在31至40岁之间。在全部受访者中，女性为120位（52.6％），美国麻醉医师协会I级为171位（75％），不会读写的为137位（60.1％），农民为108位（47.4％）。骨科手术占多数（47.6％）。其次是25（11％）乳房手术，23（10.1％）子宫切除术等。一百二十九（56.6％）名参与者术后喉咙痛，其中68名声音嘶哑。喉咙痛在某些患者，麻醉和手术相关因素中更为常见。插管的困难程度，气管内ETT的持续时间，是否未使用阿片类药物进行过预治疗，没有经验的麻醉师（除了氯胺酮麻醉剂以外）？诱导剂？喉镜/ ETT尖端出血，围手术期低血压和术中估计失血量更高。在研究期间，研究区域出现了明显的术后喉咙痛和声音嘶哑的发生率。在易感因素上增强意识，尤其是在气管插管时进行适当的护理，将有助于减少或避免术后咽喉痛的发生。

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