Factors affecting morbidity in patients undergoing emergency abdominal surgery
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 8, Issue 1
Abstract
Background: 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 ESICMC, Gulbarga, patients who had an emergency abdominal surgery procedure from October 2016 to May 2018. Our primary outcome was post-operative complications within 30 days. Results: Of 77 cases 33% 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.
Authors and Affiliations
Pramoda Sangolagi, Santhosh Laxman
Keywords
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