Cargando…

Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery

PURPOSE: To investigate the relationship between intraoperative anesthesia-related factors and postoperative complications in patients undergoing emergency abdominal surgery, and to identify risk factors for these postoperative complications. METHODS: We retrospectively analyzed 942 emergency surger...

Descripción completa

Detalles Bibliográficos
Autores principales: Sun, Menghan, Xu, Mengmeng, Sun, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10025099/
https://www.ncbi.nlm.nih.gov/pubmed/36950651
http://dx.doi.org/10.1016/j.heliyon.2023.e13971
_version_ 1784909253000036352
author Sun, Menghan
Xu, Mengmeng
Sun, Jie
author_facet Sun, Menghan
Xu, Mengmeng
Sun, Jie
author_sort Sun, Menghan
collection PubMed
description PURPOSE: To investigate the relationship between intraoperative anesthesia-related factors and postoperative complications in patients undergoing emergency abdominal surgery, and to identify risk factors for these postoperative complications. METHODS: We retrospectively analyzed 942 emergency surgery patients who underwent general anesthesia and emergency abdominal operations at Jiangsu Province Hospital during the period September 2015 to December 2016. Logistic regression analysis was performed to analyze the association between preoperative or intraoperative parameters and postoperative complications. RESULTS: Among the 942 patients whose data were analyzed, 226 (24.0%) had major postoperative complications within 30 days after surgery. The most common postoperative complications were respiratory complications (31.8% of those experiencing complications). After adjusting for the role of multiple confounding factors, multivariable analysis showed that the independent risk factors for postoperative complications were patient age (OR 1.648; 95% CI 1.352–2.008), the ASA classification (OR 3.220; 95% CI 2.492–4.162), intraoperative hypotension lasting more than 20 min (OR 2.031; 95% CI 1.256–3.285), intraoperative tachyarrhythmias (OR 2.205; 95% CI 1.114–4.365), and the surgical level (i.e. type and difficulty level) [OR 1.895; 95% CI 1.306–2.750]. CONCLUSION: Prolonged intraoperative hypotension (>20 min) and the occurrence of tachyarrhythmias are independent risk factors for postoperative complications in patients who undergo emergency abdominal surgery. During hemodynamic management of these patients, systolic blood pressure should be controlled to within 20% of the baseline value to reduce the risk of postoperative complications. In addition, a higher patient age, higher ASA grade, and a higher surgical classification level also significantly increase the risk of postoperative complications.
format Online
Article
Text
id pubmed-10025099
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-100250992023-03-21 Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery Sun, Menghan Xu, Mengmeng Sun, Jie Heliyon Research Article PURPOSE: To investigate the relationship between intraoperative anesthesia-related factors and postoperative complications in patients undergoing emergency abdominal surgery, and to identify risk factors for these postoperative complications. METHODS: We retrospectively analyzed 942 emergency surgery patients who underwent general anesthesia and emergency abdominal operations at Jiangsu Province Hospital during the period September 2015 to December 2016. Logistic regression analysis was performed to analyze the association between preoperative or intraoperative parameters and postoperative complications. RESULTS: Among the 942 patients whose data were analyzed, 226 (24.0%) had major postoperative complications within 30 days after surgery. The most common postoperative complications were respiratory complications (31.8% of those experiencing complications). After adjusting for the role of multiple confounding factors, multivariable analysis showed that the independent risk factors for postoperative complications were patient age (OR 1.648; 95% CI 1.352–2.008), the ASA classification (OR 3.220; 95% CI 2.492–4.162), intraoperative hypotension lasting more than 20 min (OR 2.031; 95% CI 1.256–3.285), intraoperative tachyarrhythmias (OR 2.205; 95% CI 1.114–4.365), and the surgical level (i.e. type and difficulty level) [OR 1.895; 95% CI 1.306–2.750]. CONCLUSION: Prolonged intraoperative hypotension (>20 min) and the occurrence of tachyarrhythmias are independent risk factors for postoperative complications in patients who undergo emergency abdominal surgery. During hemodynamic management of these patients, systolic blood pressure should be controlled to within 20% of the baseline value to reduce the risk of postoperative complications. In addition, a higher patient age, higher ASA grade, and a higher surgical classification level also significantly increase the risk of postoperative complications. Elsevier 2023-02-23 /pmc/articles/PMC10025099/ /pubmed/36950651 http://dx.doi.org/10.1016/j.heliyon.2023.e13971 Text en © 2023 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Sun, Menghan
Xu, Mengmeng
Sun, Jie
Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
title Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
title_full Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
title_fullStr Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
title_full_unstemmed Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
title_short Risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
title_sort risk factor analysis of postoperative complications in patients undergoing emergency abdominal surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10025099/
https://www.ncbi.nlm.nih.gov/pubmed/36950651
http://dx.doi.org/10.1016/j.heliyon.2023.e13971
work_keys_str_mv AT sunmenghan riskfactoranalysisofpostoperativecomplicationsinpatientsundergoingemergencyabdominalsurgery
AT xumengmeng riskfactoranalysisofpostoperativecomplicationsinpatientsundergoingemergencyabdominalsurgery
AT sunjie riskfactoranalysisofpostoperativecomplicationsinpatientsundergoingemergencyabdominalsurgery