健康科学杂志

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Surgical Management Outcome of Bowel Obstruction and its Associated Factors at Asella Teaching and Referral Hospital, Eastern Ethiopia: a Cross-Sectional Study

Habtamu Gelashe, Amde Eshete, Dejene Negasa, Birbirsa Sefera Senbeta, Dame Habtamu Rikitu, Robera Demissie Berhanu*

Background: Globally, bowel obstruction is a potentially risky surgical emergency in all age groups, linked with high morbidity and mortality. Management outcomes of bowel obstruction vary depending on geographic location. But there is a paucity of information in the study area. Therefore, this study was aimed to assess surgical management outcome of bowel obstruction and its associated factors at Asella Teaching and Referral Hospital.

Method: Hospital-based retrospective cross-sectional study was conducted among 222 patients surgically treated patients for bowel obstruction at Asella Referral and Teaching hospital between 1 February 2019 and 31 January 2021. Data were collected from August 1-30, 2021. A structured data extraction checklist was used to gather relevant data. Data were entered into EpiData version 3.1 and exported to the IBM SPSS statistics version 26 for analysis. Descriptive statistics were done to calculate frequencies. Bivariate and multivariable logistic regression was employed to assess the association between dependent and independent variables. 0.05 was used to declare statistical significance and adjusted odds ratio with a respective 95% CI was used to determine the strength of association.

Results: The magnitude of unfavourable surgical management outcome was 24.3%. Age group of 15 and 40 years [AOR (95% CI)], [3.495 (1.053 – 11.596)], WBC count [AOR (95% CI)], [3.888 (1.225 – 12.338)], preoperative diagnosis of simple large bowel obstruction [AOR (95% CI)], [8.358 (1.194-58.501)], and intraoperative finding of gangrenous small bowel obstruction [AOR (95% CI)], [0.187 (0.045–0.777)] were significantly associated with surgical management outcome of bowel obstruction.

Conclusion: Significant numbers of patients experience unfavourable surgical management outcomes in the study area. Morbidity and mortality after surgical management of bowel obstruction vary with different determinant factors. Therefore, optimal infection prevention and patient safety practices should be implemented in the hospital setting.