Worknesh Baye, Ashagre Molla Assaye and Alemshet Yirga Berhie*
Background: Surgery is an important public health intervention and occurs at a tremendous volume worldwide from the most resource-rich to the most resource-limited settings. This volume of surgery needs a great effort to improve the safety and availability of surgical services that will be summed up with good patient outcomes. Even though adverse patient outcomes following gastrointestinal surgery are among the leading causes of morbidity and mortality, in Ethiopia limited studies have been conducted so far on the outcome of gastrointestinal surgery. The aim of this study is to assess the outcome and associated factors of patients who underwent gastrointestinal surgery at Tibebe Ghion specialized hospital, Bahir Dar, Ethiopia.
Methods: An institution-based retrospective cross-sectional study was conducted on records of patients treated at Tibebe Ghion specialized hospital from January 8, 2020, to January 7, 2022. Secondary data were collected by using a pretested checklist from the patient charts. Data were entered into the Epi data version 4.6 and exported to SPSS version 25 for further analyses. A binary logistic regression model was used to identify the associated factors. Variables with P-value <0.25 in the bivariable analysis was a candidate for multivariable analysis and P-value <0.05 in the multivariable analysis was used to declare as statistically significant.
Results: From a total of 403 patients, 87 (21.6%) developed poor outcomes from gastrointestinal surgery. Rural residency (AOR=3.21), morbidity status greater than or equal to ASAII (AOR=0.32), comorbid illness (AOR=3.67), post-operative length hospital of stay greater than or equal to seven days (AOR=4.27), WHO surgical safety checklist utilization (AOR=3.14) and length of operating time (AOR=3.31) were significantly associated with poor outcome of GI surgery. More than one-fifth of patients treated at Tibebe Ghion specialized hospital experienced poor surgical outcomes.
Published Date: 2024-03-12; Received Date: 2023-06-22
