Incidence and associated factors of postoperative pulmonary complications in patients underwent abdominal surgery in multiple public hospitals, Addis Ababa Ethiopia. Cross-sectional study
| dc.contributor.advisor | Aweke, Senait (MSC in anesthesia) | |
| dc.contributor.advisor | Gebeyehu, Geresu (MSC in anesthesia) | |
| dc.contributor.author | Eshetu, Ashenafi | |
| dc.date.accessioned | 2021-10-13T06:01:47Z | |
| dc.date.accessioned | 2023-11-05T09:39:54Z | |
| dc.date.available | 2021-10-13T06:01:47Z | |
| dc.date.available | 2023-11-05T09:39:54Z | |
| dc.date.issued | 2021-09 | |
| dc.description.abstract | Abstract Background: Postoperative pulmonary complication is a general term of affecting the respiratory system that can alter the clinical course of patients. Its incidence in the world is wide (5-60%) and it leads to morbidity, mortality, and long hospital stay. Managing patients who develop postoperative pulmonary complications requires an understanding of respiratory physiology occurring after surgery and anesthesia as well as a knowledge of factors associated with the development of postoperative pulmonary complications. Objectives: To assess the incidence and associated factors of postoperative pulmonary complications among adult surgical patients who underwent abdominal surgery in multiple public hospitals, Addis Ababa, Ethiopia Methods: Institutional based cross-sectional study design was conducted at Minilik II, Tikur Anbessa, Zewuditu and Yekatit Hospital and selected purposely. A systematic random sampling method was employed. Data collection included Socio-demographic and Perioperative factors employed by using short interview, chart review and medical record. The data was entered and analyzed using SPSS version 26 and logistic regression also employed. A p-value of <0.05 was considered as a cutoff point to test for statistical significance. Result: Among 287 patients who underwent abdominal surgery, 33 % developed postoperative pulmonary complications. Pneumonia (50%) was the most common complications followed by atelectasis (24%). Age ≥64 years (AOR=12.091, 95% CI=3.310-44.169), duration of surgery >3 hours (AOR=11.737, 95% CI=3.621-38.039), preoperative oxygen saturation <94% AOR=10.671, 95%CI=3.794-30.016), postoperative serum albumin level <3.5 g/dl (p-value<0.001) were significantly associated with postoperative pulmonary complications. Conclusion: The incidence of postoperative pulmonary complications was high (33%). Pneumonia (50%) was the most common. Age ≥65 years, duration of surgery >3 hours, SpO2% < 94%, and serum albumin level <3.5g/dl were strongly associated with postoperative pulmonary complications. Therefore health professionals should be care given for elderly patients, minimize operative time < 3 hours, treat the underlying cause of low SpO2% and correct serum albumin and should be known all possible factors and develop a strategy for the resource-limited area | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/28114 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Pneumonia, upper abdominal, lowers abdominal, risk factors, perioperative | en_US |
| dc.title | Incidence and associated factors of postoperative pulmonary complications in patients underwent abdominal surgery in multiple public hospitals, Addis Ababa Ethiopia. Cross-sectional study | en_US |
| dc.type | Thesis | en_US |