A CROSS-SECTIONAL STUDY TO ASSESS THE PROBABILITY OF ADVERSE POSTOPERATIVE INCIDENCE AND RELATED FACTORS IN PATIENTS WITH APPENDICITIS.

http://doi.org/10.46536/jpumhs/2024/14.02.524

Abstract

BACKGROUND: As appendicitis is a surgical emergency, an appendix that is inflamed may need
to be removed. The unfavorable outcomes could include perforation, appendicular abscess, and
even death if left untreated. OBJECTIVE: In order to explore poor outcomes and associated
factors among patients who had appendicitis surgery, this study was carried out. METHODS: A
retrospective cross-sectional study was conducted on 121 patients who underwent appendicitis
surgery between September 1, 2022, and July 30, 2023. A checklist was used to gather data. For
data entry and analysis, Epi-data and SPSS version 25 were utilized, respectively. Utilizing a
binary logistic regression model, independent factors were found. The statistical significance of
factors was set at p <0.05. RESULTS: Nine patients did not recover fully among the 121 who had
surgery for acute appendicitis. Wound infection was the most common postoperative condition,
despite one sepsis-related death being reported. CONCLUSION: There was a high risk of an
adverse outcome from acute appendicitis in this study. More than 10% of cases of appendicitis
resulted in adverse events. A mass in the lower right quadrant, being hospitalized for more than
three days, living outside of the hospital setting area, and having a long record of sickness were
the risk factors for appendicitis. However, females were less likely to experience negative
outcomes from the condition.