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首页> 外文期刊>Surgery Research and Practice >Surgical Management Outcome of Intestinal Obstruction and Its Associated Factors at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2018
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Surgical Management Outcome of Intestinal Obstruction and Its Associated Factors at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2018

机译:肠梗阻的外科管理结果及其在戈尼尔综合专业医院大学,西北埃塞俄比亚,2018年

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Background. Intestinal obstruction (IO) is one of the most common acute abdominal disorders that often requires emergency surgical management in the hospital setting. However, the surgical management sometimes ends with unfavorable outcomes characterized by fatal and nonfatal postoperative complications. Aim. The aim of this study was to analyze the surgical management outcome of IO and its associated factors among surgically treated patients for intestinal obstruction at the University of Gondar Comprehensive Specialized Hospital (UGCSH), Ethiopia, 2018. Methods. An institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 3?years at the UGCSH. The patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. The data were analyzed by using SPSS version 21. Frequencies with percentages were used to describe the surgical management outcome of IO. The binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P0.05 were declared statically significant. Results. 227 patient participants were included and finally analyzed in this study. From these, 83.3% patients have favorable surgical management outcomes of IO, whereas the rest 16.7% patients have unfavorable outcomes. Of 38 patients with unfavorable outcome, the most common postoperative complication occurred was surgical site infection (36.8%), followed by pneumonia (23.6%) and septic shock (21.0%) among other complications. A total of 10 postoperative deaths were also documented as unfavorable surgical management outcomes of IO. Of the determinant factors analyzed in this study, only three factors, duration of illness before surgery, length of hospital stay after surgery, and comorbidity, were independently significantly associated with the surgical management outcome of IO. Conclusions. In this study, the majority of patients had favorable surgical management outcomes of IO, and the proportion of patients with unfavorable outcomes was however considerable. Thus, designing a strategy addressing the significantly associated determining factors could be helpful to further increase the likelihood of favorable surgical management outcomes of IO.
机译:背景。肠梗阻(IO)是最常见的急性腹部疾病之一,通常需要医院环境中的急诊手术管理。然而,手术管理有时以致命和非缺乏术后并发症为特征的不利结果。目标。本研究的目的是分析IO的外科管理结果及其在埃塞俄比亚,埃塞俄比亚大学肠梗阻肠梗理患者的外科治疗患者的相关因素。方法。在UGCSH的最后3年期间,在过去3年内为IO进行外科治疗的患者进行了基于机构的横截面研究。使用系统随机抽样技术选择患者参与者。使用结构化的研究工具用于从患者的病程中收集所有必要的数据。通过使用SPSS版本21分析数据。使用百分比的频率用于描述IO的外科手术管理结果。二元逻辑回归模型用于探讨与IO外科手术管理结果相关的决定因素。 P <0.05的因素被统计学意义宣布。结果。包括227名患者参与者,并在本研究中终于分析了。从这些,83.3%的患者具有有利的IO手术管理结果,而其他16.7%的患者则具有不利的结果。在38例不利结果患者中,发生最常见的术后并发症是外科手术部位感染(36.8%),其次是肺炎(23.6%)和脓毒症休克(21.0%)。共有10例术后死亡也被记录为IO的不利手术管理结果。在本研究分析的决定因素中,手术前只有三种因素,疾病持续时间,手术后的住院时间和合并症,与IO的手术管理结果无关。结论。在这项研究中,大多数患者都有利于IO的外科手术管理结果,然而,不利的结果的比例无论如何。因此,设计解决显着相关的决定因素的策略可能有助于进一步提高IO有利的外科管理结果的可能性。

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