Altamimi Afnan, Hassanain Mazen, Nouh Thamer, Ateeq Khawlah, Aljiffry Murad, Nawawi Abrar, Al Saied Ghaith, Riaz Mohammed, Alanbar Huda, Altamimi Abdullah, Alsareii Saeed, Al-Mousa Mashael, Al-Shammari Abeer, Alnuqaydan Saleh, Ghzwany Amal
Department of Surgery, King Saud University, Jeddah, Saudi Arabia.
Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Saudi J Gastroenterol. 2018 Sep-Oct;24(5):282-288. doi: 10.4103/sjg.SJG_11_18.
BACKGROUND/AIM: Emergency surgeries have increased in Saudi Arabia. This study examines these surgeries and associated complications.
This was a prospective multicenter cohort study of patients undergoing emergency intraperitoneal surgery from the eight health sectors of Saudi Arabia. Patients' data were collected over 14 days.
In total, 283 patients were included (163 men [54.06%]). The majority of cases were open surgery (204 vs. 79). The 24 h and 30-day mortality rates for the cohort were 0.7 and 2.47%, respectively. Twenty-nine patients (10.24%) required re-intervention, while 19 (8.12%) needed critical care admission. The median length of hospital stay was 3 days. Multivariate analysis showed American Society of Anesthesiologist (ASA) classification score (P = 0.0003), diagnosis (P < 0.0001), stoma formation (P = 0.0123), and anastomotic leak (P = 0.0015) to correlate significantly with 30-day mortality.
American Society of Anesthesiologist score, diagnosis, stoma formation and anastomotic leak are associated with 30-day mortality after emergency surgery in Saudi Arabia.
背景/目的：沙特阿拉伯的急诊手术数量有所增加。本研究对这些手术及其相关并发症进行了调查。
这是一项对沙特阿拉伯八个卫生部门接受急诊腹腔内手术患者的前瞻性多中心队列研究。在14天内收集患者数据。
共纳入283例患者（163例男性[54.06%]）。大多数病例为开放手术（204例对79例）。该队列的24小时和30天死亡率分别为0.7%和2.47%。29例患者（10.24%）需要再次干预，19例（8.12%）需要入住重症监护病房。中位住院时间为3天。多变量分析显示，美国麻醉医师协会（ASA）分类评分（P = 0.0003）、诊断（P < 0.0001）、造口形成（P = 0.0123）和吻合口漏（P = 0.0015）与30天死亡率显著相关。
在美国沙特阿拉伯，美国麻醉医师协会评分、诊断、造口形成和吻合口漏与急诊手术后30天死亡率相关。
