Analysis of Patients Who Died Following Hartmann’s Procedure
Journal Title: Asian Journal of Medicine and Health - Year 2017, Vol 8, Issue 1
Abstract
Introduction: Hartmann’s procedure is typically performed for sigmoid colon obstruction or perforation. The primary aim of this study was to compare patients who died after a Hartmann’s procedure for obstruction and perforation. The secondary aim was to collate opinions of surgeon reviewers of any clinical events. Methods: Patients who died in Queensland, Australia after a Hartmann’s procedure, between January 2009 and December 2014, were identified from the Queensland Audit of Surgical Mortality. Results: 275 patients died; of those 56% underwent surgery for perforation, 20% for obstruction and 24% for other indications. Patients with perforation were of the same age as those with obstruction (p = 0.178) but those with perforation were more likely to be female (p = 0.059) and have a higher ASA class (p = 0.001). Patients with perforation underwent surgery one day earlier than those with obstruction (p = 0.066) but had the same postoperative length of stay as those with obstruction (p = 0.430). Surgeon reviewers identified between 1 and 7 clinical events per patient in 105 patients (38.2%). Conclusion: Patients with perforation who died following a Hartmann’s procedure were of a higher ASA class but had a shorter time to theatre compared to patients with obstruction. Clinical events were identified in one third of patients.
Authors and Affiliations
Ruth Wieland, Arkadiusz P. Wysocki, Therese Rey-Conde, Jennifer Allen, John B. North
Keywords
Related Articles
- EP ID EP336859
- DOI 10.9734/AJMAH/2017/38057
- Views 73
- Downloads 0
Naturally Available Essential Oils for Aromatherapy
Aromatherapy is an art of using essential oils for healing our mind and body. The meaning of aromatherapy is not so clear; the term ‘aroma’ means fragrance (sweet smell) and the term ‘therapy’ means to cure or to heal. A...
Metabolic Syndrome and Kidney Damage: Prevalence and Assessment of Risk among Apparently Healthy Resident of Ado Ekiti, South West Nigeria
Background: Individuals with metabolic syndrome are at increased risk of developing chronic kidney disease. Objective: There is limited information on the relationship between metabolic syndrome and CKD among Nigerian p...
Unexpected Failure Events in Surgical Patients: Failure of the System or of the Patient?
Background: Unexpected failure events are undesired harmful effects, which result in prolonged hospital stay, higher mortality and morbidity rates and increased hospital costs. The aim of our study was to identify and th...
Mycoplasma genitalium in Infertile and Pregnant Women in Lagos, Nigeria
Aim: The aim of this study is to determine the prevalence of Mycoplasma genitalium in infertile and pregnant women in Lagos metropolis, Nigeria. Study Design: The study is a cross sectional survey for the presence of M....
Urine Analysis and Determination of Drug Sensitivity Pattern of Isolated Escherichia coli from Urinary Tract Infected Patients
Urinary Tract Infections are one of the most common infections in medical practice. UTI is the common causes of complications, mortality, morbidity and economic loss especially in the developing countries like Bangladesh...