RETROSPECTIVE ANALYSIS OF MAGNITUDE AND DETERMINANTS OF TREATMENT OUTCOMES AMONG SURGICALY TREATED PATIENTS WITH INTESTINAL OBSTRUCTION ADMITTED TO ADULT SURGICAL WARD IN THE PAST THREE YEARS AT WKUSTH, GURAGE ZONE, ETHIOPIA.

Abstract

Background Intestinal obstruction is a syndrome characterized by a blockage of the intestinal content, gas and liquid, through small or large bowel. disease entities that require immediate surgical intervention in most of the cases. It is a potentially risky surgical emergency associated with high morbidity and mortality. Its pattern differs from country to country and even from place to place within a country. Therefore, this study aimed to find out the magnitude, pattern and management outcome of intestinal obstruction in WKUSTH.ObjectiveTo determine the magnitude and predictors of treatment outcomes of patients with intestinal obstruction admitted to adult surgical ward at WKUSTH in the past three years (august 1, 2019- July 31,2022).Methods hospital based retrospective study design was used. Data covering the past threeyears (August 1. 2019-July 32,2022) collected from hospital medical records of sampled patients. The data were collected with a pre-tested and structured questionnaire which was developed by the English language after review different literature. Then the data were entered and analyzed by using SPSS.Results: 144 cases were included in this study. From these, 111 (77.1%) cases have favorable surgical management outcomes of intestinal obstruction. Of 33 cases (22.9%) with unfavorable outcome, the most common postoperative complication occurred was surgical site Infection followed by post-operative pneumonia. A total of 5 (3.4%) of postoperative deaths were documented as unfavorable surgical management outcomes. In our study age above 55yr, duration of chief compliant above 24hr, presence of tachycardia, fever, hypotension, guarding rigidity at presentation and diagnosis of gangrenous bowel with procedure of resection and anastomosis had significantly associated with unfavorable treatment outcome