Buli Bekele, Diriba Tesfaye, W/Yohannes Misrak, Tesfaye Biruk
Department of Anesthesia, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Department of Anesthesia, College of Medicine and Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Ann Med Surg (Lond). 2022 Sep 13;82:104592. doi: 10.1016/j.amsu.2022.104592. eCollection 2022 Oct.
Position-related soft tissue injuries are the cause of additional suffering for surgical patients, and increase treatment costs. Though its prevalence is underreported, its consequences range from acute mild injuries to lifelong disabilities.
To assess magnitude and associated factors of position-related soft tissue injuries among elective adult surgical patients at Tikur Anbessa Specialized Hospital, Addis Ababa.
An institutional-based cross-sectional study design was conducted among 292 elective adult surgical patients at Tikur Anbesa specialized hospital from January 1, 2021, to May 30, 2021. A systematic random sampling technique was used and data was collected by pre-tested questionnaire through data retrieval from chart and patients observation in the post anesthesia care unit. Both bi-variable and multi-variable logistic regression analysis were done to evaluate the association between dependent and independent variables. The level of statistical significance was decided at p-value less than 0.05.
The magnitude of position-related soft tissue injuries in our study was 9.6%. The lower Body Mass Index AOR = 6.12; 95%CI: (1.02-16.3), surgical duration more than 4 h AOR = 5.04; 95%CI:(1.19-21.2) and lateral position AOR = 8.01; 95% CI: (1.2-30.5) were found to be independently associated with position related soft tissue injury.
Our study found that the magnitude of position-related soft tissue injury was high. Surgical teams must develop the local protocol or adopt protocol to prevent the position-related soft tissue injury and factors associated should be identified a head of surgery.
与体位相关的软组织损伤会给手术患者带来额外痛苦,并增加治疗成本。尽管其发生率报告不足,但其后果从急性轻度损伤到终身残疾不等。
评估亚的斯亚贝巴提库尔·安贝萨专科医院择期成年手术患者中与体位相关的软组织损伤的严重程度及相关因素。
2021年1月1日至2021年5月30日,在提库尔·安贝萨专科医院对292例择期成年手术患者进行了一项基于机构的横断面研究设计。采用系统随机抽样技术,通过预测试问卷从病历中检索数据,并在麻醉后护理单元对患者进行观察来收集数据。进行双变量和多变量逻辑回归分析以评估因变量和自变量之间的关联。统计学显著性水平设定为p值小于0.05。
我们研究中与体位相关的软组织损伤发生率为9.6%。较低的体重指数(调整后比值比[AOR]=6.12;95%置信区间[CI]:[1.02 - 16.3])、手术时间超过4小时(AOR = 5.04;95%CI:[1.19 - 21.2])和侧卧位(AOR = 8.01;95%CI:[1.2 - 30.5])被发现与体位相关的软组织损伤独立相关。
我们的研究发现与体位相关的软组织损伤发生率较高。手术团队必须制定当地方案或采用相关方案以预防与体位相关的软组织损伤,并且应在手术前确定相关因素。