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Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021

Article scientifique 2023 Anglais

Résumé

Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value< 0.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.

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Beyene, E., Tarekegn, T., Lebelo, R., Berhe, H., Legesse, H., Asfaw, F., Dagnachew, S., Minase, M., Mekonnen, R., Teshome, E., Gaim, T., Mesfin, S. (2023). Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. https://doi.org/10.11648/j.js.20231102.13

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Auteur(s)

Erdachew Gallo Beyene Tewodros Kassahun Tarekegn Rediet Habtu Lebelo Helen Assefa Berhe Hiwot Samuel Legesse Fitsum Terefe Asfaw Solomon Endale Dagnachew Michael Million Minase Rediet Abebe Mekonnen Efrata Sentayehu Teshome Teame Kiflom Gaim Salem Sium Mesfin

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