Evidence map›Paper›PMID 37198591›Full record

ArticleBMC surgery2023

Surgical management outcome and its associated factors among intestinal obstruction patients admitted to adult surgical ward of Wollega University Referral Hospital, Ethiopia.

Adisu Tafari Shama, Olana Terefa, Iyasu Gadisa, Gemechu Feyera, Getnet Tamiru, Dufera Rikitu Terefa, Emiru Merdassa

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In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Adisu Tafari ShamaDepartment of public health, Institute of health sciences, Wollega University, Nekemte, Ethiopia. adisuteferi1906@gmail.com.
Olana TerefaSchool of Medicine, Institute of health sciences, Wollega University, Nekemte, Ethiopia.
Iyasu GadisaSchool of Medicine, Institute of health sciences, Wollega University, Nekemte, Ethiopia.
Gemechu FeyeraSchool of Medicine, Institute of health sciences, Wollega University, Nekemte, Ethiopia.
Getnet TamiruSchool of Medicine, Institute of health sciences, Wollega University, Nekemte, Ethiopia.
Dufera Rikitu TerefaDepartment of public health, Institute of health sciences, Wollega University, Nekemte, Ethiopia.
Emiru MerdassaDepartment of public health, Institute of health sciences, Wollega University, Nekemte, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, bowel obstruction is the most common cause of surgical emergencies. It remains a challenge to healthcare workers in spite of improvements in management techniques. There is a lack of the study to determine the surgical management outcome and its associated factors in the area of study. Hence, this study aimed to determine management outcome and its associated factors among surgically treated intestinal obstruction patients at Wollega University Referral Hospital, 2021.

methodsFacility-based cross-sectional study was conducted among all cases surgically managed for intestinal obstruction between September 1, 2018 and September 1, 2021. Data were collected using a structured checklist. The collected data were checked for completeness and entered into data entry software and then exported to SPSS version 24 for data cleaning and analysis. Both bi-variable and multivariable logistic regressions were run. P-value < 0.05 was used to declare a statistically significant association in multivariable logistic regression. The odds ratio along with 95%CI was estimated to measure the strength of the association.

result116 (59.2%) patients had favorable surgical management outcome for intestinal obstruction. Male sex (AOR = 3.694;95%CI:1.501,9.089), absence of fever (AOR = 2.636; 95%CI:1.124,6.18), ≤ 48 h duration of illness before operation (AOR = 3.045; 95%CI:1.399,6.629), viable intraoperative bowel condition (AOR = 2.372; 95%CI:1.088, 5.175), having bowel resection and anastomosis (AOR = 0.234; 95%CI:0.101,0.544) were the significantly associated factors of the favorable surgical management outcome for intestinal obstruction. CONCLUSION AND RECOMMENDATION: The favorable management outcome of patients with intestinal obstruction who were treated surgically in this study was low. Factors like sex, fever, short duration of illness, viable intraoperative bowel condition, and bowel resection and anastomosis were found to influence the surgical management outcome of patients with intestinal obstruction. The patient with intestinal obstruction should seek health care on time. Health professionals have to be skilled and provide appropriate care for the patients to reduce the risk of complications.

Indexed as

Intestinal ObstructionAdultCross-Sectional StudiesEthiopiaHospitals, UniversityHumansMaleReferral and ConsultationUniversitiesAssociated factorsEthiopiaIntestinal obstructionManagement outcomeManagement outcome for intestinal obstructionNekemteSurgical managementSurgical management outcome

Identifiers

PMID37198591
PMCPMC10191069

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.