Predictive factors of management outcome in adult patients with mechanical intestinal obstruction

Bankole, Adebambo Olalekan; Osinowo, Adedapo Olumide; Adesanya, AA

doi:10.4103/npmj.npmj_143_17

Cited by 17 publications

(36 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The magnitude of post-management complication in this study is 22.0% with 95% CI (18.0–27.0). This result is consistent with the studies conducted in Nigeria (20.77%), Kenya (23.6%) and Adama (24.6%) in Adama [ 19 , 25 , 26 ]. The magnitude of death over the study period is 7.11% with 95% CI (4.0–10.0).…”

Section: Discussionsupporting

confidence: 92%

“…The magnitude of intestinal obstruction in this study is 40.45% at 95%, CI (34.95–45.95) which is consistent with a result of a study at Gonder University Hospital (43.4%) [ 16 ]. But it is less than from the study conducted in Debre Birhan referral hospital (50.7% [ 15 ] and higher than from the studies of Nigeria (10%), Adama (21.8%) and Mekele (20.4%) respectively [ 13 , 17 , 25 ]. This discrepancy may be due to the difference in socio-cultural, economic and lifestyle patterns between countries or due to differences in statistical parameters including sample size.…”

Section: Discussionmentioning

confidence: 80%

See 1 more Smart Citation

Magnitude, pattern and management outcome of intestinal obstruction among non-traumatic acute abdomen surgical admissions in Arba Minch General Hospital, Southern Ethiopia

et al. 2021

View full text Add to dashboard Cite

Background Intestinal obstruction is defined as a blockage or partial blockage of the passage of the intestinal contents. It is a potentially risky surgical emergency associated with high morbidity and mortality. Its pattern differs from country to country and even from place to place within a country. Therefore, this study aimed to find out the magnitude, pattern and management outcome of intestinal obstruction in Arba Minch General Hospital. Methods A retrospective cross-sectional study was conducted in Arba Minch General hospital from January 09, 2015, to November 09, 2018. The data collection period was from December 15, 2018, to February 09, 2019. A simple random technique was applied to select 801 study participants. Then, the required data entered into Epi Info version 7.2.1.0 and exported to the statistical package for the social sciences software package version 20 for analysis. The binary logistic regression analysis has been done to determine crude statistical associations between independent variables and dependent variables. Linearity, Multivariate normality and multicollinearity were checked between independent and dependent variables by using scatter plot and Q–Q plot respectively. Variables with a p-value of less than 0.25 in the binary logistic regression analysis were entered into multivariable logistic regression. Statistical significance factors were identified based on a p-value of < 0.05 and with a 95% confidence interval. Result This study revealed that the overall magnitude of intestinal obstruction was 40.60% with 95% CI (34.95–45.95). The magnitude of unfavorable management outcomes and deaths during the study period were 22.3% with 95% CI (18.00–27.00) and 7.1% with 95% CI (4.00–10.00) respectively. Persistent tachycardia 10.3 (3.28–32.42), Dehydration 13.7 (3.34–56.56), elevated serum creatinine 10.2 (1.89–54.94), gangrenous small bowel volvulus 2.7 (1.27–5.84), ischemic bowel 3.4 (1.17–9.81) and perforated bowl 7.68 (2.96–19.93) were significantly associated with the management outcome of intestinal obstruction. Conclusion and recommendation Intestinal obstruction was the most common among all acute abdomen cases and its management outcome highly associated with dehydration. Adequate early preoperative resuscitation and proper post-operative care with appropriate surgical techniques and wound care with sterile techniques would help to reduce further mortality. This could be achieved by increasing public awareness of health-seeking behavior. Moreover, health facilities capable of handling patients with small bowel obstruction should be available within the reach of the community.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 80%

Magnitude, pattern and management outcome of intestinal obstruction among non-traumatic acute abdomen surgical admissions in Arba Minch General Hospital, Southern Ethiopia

et al. 2021

View full text Add to dashboard Cite

show abstract

“…As report shown in this study mortality of patients after treated surgically for bowel obstruction were (70)13.5% (95% CI; (10.6%, 16.6%) which were died in the hospital and (447)86.5% was discharge with improvement. Which is consistent with studies at Southern India 14% [7], turkey 12.8%[8], Lagos university teaching hospital 14.3% [24] and delta state university teaching hospital Nigeria 15.3% [45] and Ethiopia 11%, 12.1% &13% [9,35,36]. In this study intraoperative nding was signi cantly associated with treatment outcomes of bowel obstruction.…”

Section: Discussionsupporting

confidence: 91%

“…It was the main cause of surgical emergency which cause to high risk of mortality and morbidity in African. Despite advance surgical treatment of bowel obstruction magnitude of unfavorable treatment outcome of BO in Africa was high [23,24]. In Ethiopia bowel obstruction is highly prevalent which cause to surgical emergency secondary to appendicitis and magnitude of mortality of bowel obstruction is high and still has a great problem nationally [25][26][27][28]…”

Section: Introductionmentioning

confidence: 99%

Mortality and Its Associated Factors of Bowel Obstruction after Surgical Treatment Among Adult Patients at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia 2021 (Retrospective Cross-Sectional Study)

Simachew

Haile

Tesfaye

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: - Bowel obstruction is a mechanical or functional obstruction of bowel that prevents the normal movements of products of digestions. Even if Treatment outcome of bowel obstruction varies from area to area, time to time, and also increasing age is significant factor of treatment outcomes of bowel obstruction. Outcome of bowel obstruction and associated factors on adults have been poorly explored in the previous Ethiopian study particularly in the study area. Objective: To assess prevalence and its associated factors of mortality after surgical treatment of bowel obstruction among adult patients at Debre Markos comprehensive specialized hospital, Northwest Ethiopia 2021 Methodology: - Institution based Cross sectional study design was used. A total 517 study participates was included by using consecutive sampling techniques from 23/02/2017 to 23/02/2021 at Debre Markos Comprehensive specialized Hospital. Data was collected from patient registration books and medical records available in the hospital by using checklists. Then data were entered to Epi data version 4.1 and exported to SPSS version 25 for analysis. A binary logistic regression model was fitted to identify factors associated with treatment outcome of bowel obstruction. P value less than 0.05 considered as significant in multivariable analysis Result: Among patients treated for bowel obstruction 70(13.5%) was died. Old age (>=55) ((AOR=3.70; 95% CI [1.02,3.39, p=0.046], Gangrenous large bowel (AOR 5.58; 95%CI [2.33, 3.36), p=0.0001].. prolonged hospital stay(AOR= 2.42; 95%CI [1.10, 5.55, p=0.043]). late presentation (AOR=2.84; 95% CI [1.33, 6.04]), comorbidity (AOR=3.79; 95%CI [(1.75, 8.21), p=0.001]), WBC(AOR=3.53 ;95% CI [(1.61, 7.70), P=0.002]). Low hemoglobin (AOR=3.50, 95%CI [(1, 62, 7.60), P=0.001]) was independent predicator of mortality.Conclusion: Mortality after surgical treatment of bowel obstruction were high and having gangrenous bowel, low hemoglobin level, late presentation, post-operative complications, leukocytosis and comorbidity was independent predicator of unfavorable outcomes. Give special care for patients treated with low hemoglobin, late presentation, having complications and leucocytosis. Create awareness to the public on advantage of early presentation to hospital.

show abstract

“…The level of procalcitonin, which increases in the early periods of disease and in dynamics grows up in the development of intestinal obstruction, is also a marker of the progressing of generalized septic complications and a systemic inflammatory reaction that arise during the evolution of intestinal obstruction in the experiment. [2]. В то же время это не позволяет считать данную проблему изученной и решенной.…”

Section: ключевые слова: острая кишечная непроходимость биомаркеры mentioning

confidence: 99%

The dynamics of levels of lypopolysaccharide-binding protein and procalcitonin during the experimental acute intestinal o bstruction

Amanova¹,

Koyshibaev²,

Akhmaltdinova³

et al. 2019

Medical news of the North Caucasus

View full text Add to dashboard Cite

show abstract

Predictive factors of management outcome in adult patients with mechanical intestinal obstruction

Abstract: The most common cause of MIO was post-operative adhesion. Elevated serum urea and ASA status greater than IIIE were the independent predictors of mortality.

Cited by 17 publications

References 0 publications

Magnitude, pattern and management outcome of intestinal obstruction among non-traumatic acute abdomen surgical admissions in Arba Minch General Hospital, Southern Ethiopia

Magnitude, pattern and management outcome of intestinal obstruction among non-traumatic acute abdomen surgical admissions in Arba Minch General Hospital, Southern Ethiopia

Mortality and Its Associated Factors of Bowel Obstruction after Surgical Treatment Among Adult Patients at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia 2021 (Retrospective Cross-Sectional Study)

The dynamics of levels of lypopolysaccharide-binding protein and procalcitonin during the experimental acute intestinal o bstruction

Contact Info

Product

Resources

About