Early Postoperative Complications of Gastrointestinal Surgery and Its Associated Factors in Yemeni Patients Treated in a Teaching Hospital: A Retrospective Monocentric Study
Affiliations
Affiliations
- Department of General Surgery, Ibb University of Medical Sciences, Ibb, YEM.
- 2Department of Urology, Al-Thora General Hospital, Ibb University of Medical Sciences, Ibb, YEM.
- 3Department of Gynecology, Ibb University of Medical Sciences, Ibb, YEM.
- 4Department of Internal Medicine, Ibb University of Medical Sciences, Ibb, YEM.
- 5Department of Biostatics and Epidemiology, Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IRN.
Abstract
Background Postoperative complications (POCs) are significant concerns to surgeons because of their possible fatality or long-term disabilities. This study aimed to investigate the early POCs of gastrointestinal surgery and its associated factors in Yemeni patients treated in a teaching hospital in Sana'a University referral hospital. Method A retrospective cross-sectional study from June 2016 to June 2020 was conducted at Al-Kuwait Teaching Hospital, Sana'a University, Yemen. The patients' characteristics, causative factors, primary treatment, and POCs were recorded from their medical profiles. Univariate analysis was utilized to identify the risk factors associated with gastrointestinal POCs within 30 postoperative days. Results The 30-postoperative day mortality was 3.6%, and major POCs occurred in 22 (20%) patients. There is no statistically significant relationship between POCs and age, sex, smoking, khat chewing, comorbidities (diabetes mellitus, anemia, jaundice, heart disease), emergency cases, drain insertion, and operative time (p ˃ 0.05). There was a significant relationship between POCs and preoperative poor nutritional status, high American Society of Anesthesiologists (ASA) grade, need for blood transfusion, major abdominal surgeries, iatrogenic injury, small bowel resection, reoperation, and history of the previous laparotomy (p ≤ 0.05). Conclusion There is a significant relationship between preoperative poor nutritional status, high ASA, need for blood transfusion, major abdominal surgeries, reoperation, small bowel resection, iatrogenic injury, previous laparotomy, and POCs across different gastrointestinal procedures. These factors should be assessed when auditing surgical outcomes.
Keywords: abdominal surgery; complications; early postoperative; risk factors; small bowel resection.
Conflict of interest statement
The authors have declared that no competing interests exist.
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