Key result
Poor nutrition and high-risk surgical factors are linked to increased early complications after GI surgery.
Why the study?
Postoperative complications are significant surgical concerns due to potential fatality or long-term disabilities, prompting investigation into early complications and associated factors following gastrointestinal surgery in Yemeni patients.
Cross-Sectional (n=110)
No
p-value: p=≤0.05
In Yemeni patients undergoing gastrointestinal surgery, poor nutritional status, high ASA grade, and major abdominal surgeries are significant risk factors for early postoperative complications.
Preoperative nutritional status and ASA grade were associated with complications after GI surgery; leaves open whether optimization reduces events in prospective trials.
Background Postoperative complications (POCs) are significant concerns to surgeons because of their possible fatality or long-term disabilities. This study aimed to investigate the early POCs of gastrointestinal surgery and its associated factors in Yemeni patients treated in a teaching hospital in Sana'a University referral hospital. Method A retrospective cross-sectional study from June 2016 to June 2020 was conducted at Al-Kuwait Teaching Hospital, Sana'a University, Yemen. The patients' characteristics, causative factors, primary treatment, and POCs were recorded from their medical profiles. Univariate analysis was utilized to identify the risk factors associated with gastrointestinal POCs within 30 postoperative days. Results The 30-postoperative day mortality was 3.6%, and major POCs occurred in 22 (20%) patients. There is no statistically significant relationship between POCs and age, sex, smoking, khat chewing, comorbidities (diabetes mellitus, anemia, jaundice, heart disease), emergency cases, drain insertion, and operative time (p ˃ 0.05). There was a significant relationship between POCs and preoperative poor nutritional status, high American Society of Anesthesiologists (ASA) grade, need for blood transfusion, major abdominal surgeries, iatrogenic injury, small bowel resection, reoperation, and history of the previous laparotomy (p ≤ 0.05). Conclusion There is a significant relationship between preoperative poor nutritional status, high ASA, need for blood transfusion, major abdominal surgeries, reoperation, small bowel resection, iatrogenic injury, previous laparotomy, and POCs across different gastrointestinal procedures. These factors should be assessed when auditing surgical outcomes.
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Dajenah et al. (2022) conducted a cross-sectional in Gastrointestinal surgery (n=110). Perioperative risk factors (e.g., poor nutritional status, high ASA grade, major surgery) vs. Absence of these risk factors was evaluated on Early postoperative complications within 30 days (p=≤0.05). Early postoperative complications occurred in 20% of patients and were significantly associated with poor nutritional status, high ASA grade, blood transfusion, major surgery, and reoperation.
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