Share
المضاعفات الرئوية بعد عمليات البطن الجراحية في الردهات الجراحية لمستشفى بغداد التعليمي == Post - abdominal surgery respiratory complications at surgical wards of Baghdad teaching hospital
Author name:
رغيد حازم فاضل
Supervisor name:
مصطفى نعمة عبد علي
General topic:
Medicine
Specific topic:
Diseases - Thoracic
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1616 - p.pdf
Abstract:
Background : Postoperative pulmonary complications (PPCs) followingabdominal surgery are frequent and associated with increased morbidity andmortality, and hospital length of stay.Study objective : The aim of the study was to identify pulmonarycomplications following abdominal surgical procedures and to identifyperioperative risk factors associated with the development of thesecomplications.Patients and Methods : this is a hospitalized - based cross - sectional study. Arandomly selected sample of 52 patients who developed pulmonarysymptom(s) following abdominal surgical procedures at surgical wards ofBaghdad teaching hospital from November 2015 to June 2016. Perioperativedata were collected through interview and char review, and their associationwith the occurrence of PPCs were analyzed. Cross tabulation and Chi - squaretest were used to analyze the discrete variables and their relationship to the PPCs while one way ANOVA was used to analyze the continuous variables and their relationship to the PPCs.Results : The following PPCs were identified : 33 pneumonia, 5 acute respiratory failure, 4 basal atelectasis, 3 pleural effusion, 3 pulmonary embolism, 3 exacerbation of COPD or asthma and 1 pulmonary edema.Perioperative risk factors associated with development of PPCs were identified : current smoking history (p value = 0.042), preexisting comorbid disease (p value = 0.001), emergency surgery (p value = 0.045), upper abdominal (p value = 0.012) or both upper/lower abdominal incisions (p value = 0.026), duration of surgery ≥ 3 hours (p value = 0.049) and NG tube placement postoperatively (p value = 0.043). Conclusions : The most common PPC following abdominal surgery is pneumonia. There is no significant difference between laparoscopy and laparotomy in term of PPCs following abdominal surgery. Six perioperative risk factors associated with the occurrence of PPCs following abdominal surgery were identified which are current smoking history, preexisting comorbid diseases, emergency surgery, upper abdominal or both upper/lower abdominal incisions, duration of surgery more than or equal to three hours and NG tube placement postoperatively.
