Saudi Journal of Gastroenterology
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ORIGINAL ARTICLE
Year : 2018  |  Volume : 24  |  Issue : 5  |  Page : 282-288

Predictors of morbidity and mortality post emergency abdominal surgery: A national study


1 Department of Surgery, King Saud University, Jeddah, Saudi Arabia
2 Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
3 Department of Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
4 Department of Surgery, King Saud Medical City, Riyadh, Saudi Arabia
5 Department of Surgery, College of Medicine, King Saud bin Abdulaziz University, Riyadh, Saudi Arabia
6 Department of Surgery, Najran University, Najran, Saudi Arabia
7 Department of Surgery, College of Medicine, King Faisal University, Dammam, Saudi Arabia
8 Department of Surgery, College of Medicine, Qassim University, Alqassim, Saudi Arabia
9 Department of Surgery, College of Medicine, Jazan University, Jazan, Saudi Arabia

Correspondence Address:
Dr. Mazen Hassanain
Dr. Hassanain Mazen, Department of surgery, King Saud University, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjg.SJG_11_18

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Background/Aim: Emergency surgeries have increased in Saudi Arabia. This study examines these surgeries and associated complications. Patients and Methods: 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. Results: 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. Conclusion: American Society of Anesthesiologist score, diagnosis, stoma formation and anastomotic leak are associated with 30-day mortality after emergency surgery in Saudi Arabia.


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