A Prospective Study on Factors Affecting Morbidity in Patients Undergoing Emergency Abdominal Surgery
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 3690-3695
AbstractBackground : Emergency abdominal surgery adversely affects surgical outcomes. Predictors of increased morbidity and mortality of emergency abdominal surgery are known. We determined the predictors of post-operative complications of emergency abdominal surgery. Age, sex, blood urea, serum creatinine, total protein, serum albumin, surgery duration and smoking were independent predictors of morbidity.
Methods : We conducted prospective study at Anugrah Narayan Magadh Medical college and Hospital Gaya, patients who had an emergency abdominal surgery procedure, Study duration of Two Years. Who underwent emergency abdominal surgery within 12 hours of admission. Our primary outcome was post-operative complications within 30 days.
Results: Of 50 cases 58% had one or more complications with 6% mortality within 30 days. Common complications are surgical site infections and respiratory.
Conclusion : Emergency abdominal surgery patients with post-operative complications are likely to be older, male, smokers, have increased blood glucose and creatinine levels, lower serum albumin levels and longer surgical times. Fluid resuscitation and experienced surgical teams are putative targets to improve outcomes.
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