Evidence map›Paper›PMID 40438448›Full record

ArticleEthiopian journal of health sciences2024

Prevalence and Associated Factors of Unplanned Re-Laparatomy after Non-Trauma Emergency Laparatomy in Resource-Limited Settings, 2023: A Retrospective Chart Review.

Megbar Dessalegn, Tilahun Deresse, George Eskandar, Molla Yigzaw Birhanu

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Article in Ethiopian journal of health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Megbar DessalegnDepartment of Surgery, School of Medicine, Debre Markos University.
Tilahun DeresseDepartment of Surgery, School of Medicine, Debre Birhan University.
George EskandarDepartment of Surgery, Glan Clwyd Hospital, Rhyl, UK.
Molla Yigzaw BirhanuDepartment of Public Health, College of Health Sciences, Debre Markos University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emergency laparatomy may need subsequent re-laparatomy which has high rate of mortality. However, reports on rates and associated factors of un-planned re-laparatomy are few. This study aimed to determine the prevalence and associated factors of re-laparotomy after non-trauma emergency laparatomy at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, 2023. Methods: This was a retrospective chart review conducted at Debre Markos Comprehensive Specialized Hospital in Ethiopia among patients who had undergone emergency laparatomy between January 1, 2019 and December 31, 2022. A sample of 384 individuals were selected using simple random sampling technique. Data were extracted from March 01, 2023, to May 1, 2023, cleaned, entered into Epi-Data version 3.1, and analyzed with STATA version 14.1. Predictor variables with P value < 0.05 in multivariable logistic regression were reported. Results: From 384 patients who had emergency laparatomy, 33(8.6%) needed re-laparatomy in the early post-operative period. All re-laparotomies were unplanned and done during the primary Hospital admission period Patients who were hypotensive preoperatively[AOR: 3.3 (95% CI: (1.88, 9.40))] and with longer operation time (greater than 1 hour) [AOR: 4.5 (95% CI: (1.88, 10.64)] had increased risk for unplanned re-laparatomy. Conclusion: The re-laparatomy rate in this study was high with higher risk among patients with preoperative hypotension and longer procedure time. The findings emphasize a need for advocacy on preoperative patient resuscitation and monitoring.

Indexed as

LaparotomyPostoperative ComplicationsReoperationAdolescentAdultAgedEthiopiaFemaleHumansMaleMiddle AgedPrevalenceResource-Limited SettingsRetrospective StudiesRisk FactorsYoung Adultemergency surgerypostoperative complicationsRe-laparatomyUn-planned surgery

Identifiers

PMID40438448
PMCPMC12110193

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