Prevalence and Associated Factors of Unplanned Re-Laparatomy after Non-Trauma Emergency Laparatomy in Resource-Limited Settings, 2023: A Retrospective Chart Review

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Tilahun Deresse, Megbar Dessalegn, Molla Yigzaw Birhanu, George Eskandar
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引用次数: 0

Abstract

BACKGROUND:Emergency laparatomy may need subsequent re-laparatomy which has high rate of mortality. However, reports on rates and associated factors of un-planned re-laparatomy are few. This study aimed to determine the prevalence and associated factors of re-laparotomy after non-trauma emergency laparatomy at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, 2023. METHODS: This was a retrospective chart review conducted at Debre Markos Comprehensive Specialized Hospital in Ethiopia among patients who had undergone emergency laparatomy between January 1, 2019 and December 31, 2022. A sample of 384 individuals were selected using simple random sampling technique. Data were extracted from March 01, 2023, to May 1, 2023, cleaned, entered into Epi-Data version 3.1, and analyzed with STATA version 14.1. Predictor variables with P value < 0.05 in multivariable logistic regression were reported. RESULTS: From 384 patients who had emergency laparatomy, 33(8.6%) needed re-laparatomy in the early post-operative period. All re-laparotomies were unplanned and done during the primary Hospital admission period. Patients who were hypotensive preoperatively[AOR: 3.3 (95% CI: (1.88, 9.40))] and with longer operation time (greater than 1 hour) [AOR: 4.5 (95% CI: (1.88, 10.64)] had increased risk for unplanned re-laparatomy. CONCLUSION: The re-laparatomy rate in this study was high with higher risk among patients with preoperative hypotension and longer procedure time. The findings emphasize a need for advocacy on preoperative patient resuscitation and monitoring.
2023 年资源有限地区非创伤性急诊剖腹产术后计划外再次剖腹产的发生率及相关因素:回顾性病历分析
背景:急诊剖腹手术后可能需要再次剖腹,而再次剖腹的死亡率很高。然而,有关计划外再次剖腹手术的发生率和相关因素的报道却很少。本研究旨在确定 2023 年埃塞俄比亚西北部 Debre Markos 综合专科医院非创伤性急诊剖腹术后再次剖腹的发生率和相关因素。方法:这是埃塞俄比亚 Debre Markos 综合专科医院对 2019 年 1 月 1 日至 2022 年 12 月 31 日期间接受急诊开腹手术的患者进行的一项回顾性病历审查。采用简单随机抽样技术抽取了 384 名样本。数据提取时间为2023年3月1日至2023年5月1日,数据经清理后输入Epi-Data 3.1版,并用STATA 14.1版进行分析。报告了多变量逻辑回归中 P 值小于 0.05 的预测变量。结果:在 384 名紧急开腹手术患者中,有 33 人(8.6%)需要在术后早期再次开腹。所有再次开腹手术都是计划外的,而且都是在入院初期进行的。术前血压过低[AOR:3.3 (95% CI:(1.88, 9.40)]和手术时间较长(超过 1 小时)的患者[AOR:4.5 (95% CI:(1.88, 10.64)]发生计划外再次解剖的风险更高。结论:本研究中的再次解剖率很高,术前低血压和手术时间较长的患者风险更高。研究结果强调有必要倡导术前对患者进行复苏和监测。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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