Predictors of Management Outcomes in Pathological Small Bowel Surgical Emergencies: A Prospective Study in a Busy Emergency Unit

• DOI: 10.21608/mjcu.2021.203344
• Publication Date: 2021-11-15T21:30:06Z
• Authors: AHMED M. HASSAN, ...; M.R.C.S. (Eng); S...; AYMAN M.A. OSMAN,...
• Keywords: Univariate analysis; Surgical emergency; Univariate; Odds

Background: The management of pathological small bowel disorders in the emergency department is challenging, and linked to higher morbidity mortality rates. Aim Study:The aim this study was identify main factors that could help predict outcomes surgical emergencies (PSBSEs).Patients Methods: All patients presenting with PSBSEs Emergency Unit over a 6-months period were prospectively studied.Data about patient-related, assessment-related, pathology-related, management-related variables; 90-day morbidity; as well all recorded.Univariate multivariate analyses carried out predictors PSBSEs.Results: Our included 107 patients.The most frequently encountered obstruction and/or strangulation (64 cases, 59.8%).Management operative 88 cases (82.2%).Overall, 30 (28%) developed morbidity, 7 (6.5%) died.In univariate analysis, 14 different associated significantly increased risk whereas only 5 found be significant morbidity.The highest odds reoperation [Odds Ratio (OR)=11.2,95% CI=6.7-18.3,p=0.001] hemodynamic status [OR=9.7,95% CI=2.8-21.5, p=0.001]. Conclusion:Constant abdominal pain at presentation, instability, midline incision, time >!2 hours, re-operation PSBSEs.