Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017

Background. Small bowel obstruction is a common and dangerous surgical emergency which is associated with high morbidity and mortality if not managed appropriately and timely. Objective. To determine the causes and management outcome of small bowel obstruction in Nekemte Referral Hospital, Nekemte,...

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Autores principales:	Tadeg Jemere, Berhanu Getahun, Mahlet Tesfaye, Geremew Muleta, Nega Yimer
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/a2b817426ea44d8a8a9a5b5e11f870d4
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spelling	oai:doaj.org-article:a2b817426ea44d8a8a9a5b5e11f870d42021-11-22T01:10:12ZCauses and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 20172356-612410.1155/2021/9927779https://doaj.org/article/a2b817426ea44d8a8a9a5b5e11f870d42021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/9927779https://doaj.org/toc/2356-6124Background. Small bowel obstruction is a common and dangerous surgical emergency which is associated with high morbidity and mortality if not managed appropriately and timely. Objective. To determine the causes and management outcome of small bowel obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia. Method. Institution-based retrospective cross-sectional study design was used. Three-year data (from January 1, 2014, to December 30, 2016) were collected from July 1 to August 30, 2017. Data were collected from medical records and checked for any inconsistency, coded, and entered into SPSS version 20 for analysis. Descriptive, binary, and multivariate logistic regression analyses were used. On binary logistic regression analysis, variables with p≤0.25 were selected as a candidate for multivariate logistic regression analysis. The level of statistical significance was set at p≤0.05. Results. With 100% response rate, records of 211 patients with small intestinal obstruction were retrieved for analysis. One hundred thirty-seven (64.9%) were males. The commonest cause of small bowel obstruction was adhesion (35.1%). More than a quarter (26.5%) participants developed postoperative complications, and wound infection was the commonest postoperative complication (49.2%). A majority (84.8%) of patients improved and were discharged, and the rest 15.2% of patients died. Sex (AOR = 3.98, 95% CI: 1.51–10.52), duration of illness before surgical intervention (AOR = 4.4, 95% CI: 1.69–11.45), level of hematocrit (AOR = 4.25, 95% CI: 1.56–11.57), types of intestinal obstruction (AOR = 3.73, 95% CI: 1.09–12.64), and length of hospital stay (AOR = 4.69, 95% CI: 1.82–12.07) were independent predictors of the management outcome of patients with small bowl obstruction. Conclusion. Small bowel obstruction is a commonly encountered surgical emergency. Adhesion, small bowel volvulus, and intussusception were the leading causes of small bowel obstruction, respectively.Tadeg JemereBerhanu GetahunMahlet TesfayeGeremew MuletaNega YimerHindawi LimitedarticleSurgeryRD1-811ENSurgery Research and Practice, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Tadeg Jemere Berhanu Getahun Mahlet Tesfaye Geremew Muleta Nega Yimer Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017
description	Background. Small bowel obstruction is a common and dangerous surgical emergency which is associated with high morbidity and mortality if not managed appropriately and timely. Objective. To determine the causes and management outcome of small bowel obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia. Method. Institution-based retrospective cross-sectional study design was used. Three-year data (from January 1, 2014, to December 30, 2016) were collected from July 1 to August 30, 2017. Data were collected from medical records and checked for any inconsistency, coded, and entered into SPSS version 20 for analysis. Descriptive, binary, and multivariate logistic regression analyses were used. On binary logistic regression analysis, variables with p≤0.25 were selected as a candidate for multivariate logistic regression analysis. The level of statistical significance was set at p≤0.05. Results. With 100% response rate, records of 211 patients with small intestinal obstruction were retrieved for analysis. One hundred thirty-seven (64.9%) were males. The commonest cause of small bowel obstruction was adhesion (35.1%). More than a quarter (26.5%) participants developed postoperative complications, and wound infection was the commonest postoperative complication (49.2%). A majority (84.8%) of patients improved and were discharged, and the rest 15.2% of patients died. Sex (AOR = 3.98, 95% CI: 1.51–10.52), duration of illness before surgical intervention (AOR = 4.4, 95% CI: 1.69–11.45), level of hematocrit (AOR = 4.25, 95% CI: 1.56–11.57), types of intestinal obstruction (AOR = 3.73, 95% CI: 1.09–12.64), and length of hospital stay (AOR = 4.69, 95% CI: 1.82–12.07) were independent predictors of the management outcome of patients with small bowl obstruction. Conclusion. Small bowel obstruction is a commonly encountered surgical emergency. Adhesion, small bowel volvulus, and intussusception were the leading causes of small bowel obstruction, respectively.
format	article
author	Tadeg Jemere Berhanu Getahun Mahlet Tesfaye Geremew Muleta Nega Yimer
author_facet	Tadeg Jemere Berhanu Getahun Mahlet Tesfaye Geremew Muleta Nega Yimer
author_sort	Tadeg Jemere
title	Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017
title_short	Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017
title_full	Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017
title_fullStr	Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017
title_full_unstemmed	Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017
title_sort	causes and management outcome of small intestinal obstruction in nekemte referral hospital, nekemte, ethiopia, 2017
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/a2b817426ea44d8a8a9a5b5e11f870d4
work_keys_str_mv	AT tadegjemere causesandmanagementoutcomeofsmallintestinalobstructioninnekemtereferralhospitalnekemteethiopia2017 AT berhanugetahun causesandmanagementoutcomeofsmallintestinalobstructioninnekemtereferralhospitalnekemteethiopia2017 AT mahlettesfaye causesandmanagementoutcomeofsmallintestinalobstructioninnekemtereferralhospitalnekemteethiopia2017 AT geremewmuleta causesandmanagementoutcomeofsmallintestinalobstructioninnekemtereferralhospitalnekemteethiopia2017 AT negayimer causesandmanagementoutcomeofsmallintestinalobstructioninnekemtereferralhospitalnekemteethiopia2017
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Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017

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