CALCULATING THE INCREASED MORBIDITY AND MORTALITY RELATED WITH EMERGENCY GENERAL SURGERY WHILE ADJUSTING FOR PATIENT-SPECIFIC CHARACTERISTICS
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Keywords
Emergency General Surgery, morbidity, mortality, frailty, comorbidities, Pakistan.
Abstract
Introduction: Emergency General Surgery (EGS) carries a high risk of morbidity and mortality, particularly in resource-limited settings. Patient-specific characteristics such as age, comorbidities, and frailty significantly influence postoperative outcomes.
Objective: To calculate the increased morbidity and mortality associated with EGS while adjusting for patient-specific characteristics.
Materials and Method: A prospective observational study was conducted at Hayatabad Medical Complex Peshawar, Pakistan, from February, 2024 to August 2024. A total of 326 patients eligible as defined by our criteria underwent EGS. The data relating to demographics, clinical features, complications, and outcomes were evaluated using multivariate logistic regression.
Results: There was a postoperative complication rate of 43.8%, resulting in a mortality rate of 11.0%. Predictors for poor outcomes significantly associated with the data were age ≥60, a frailty score ≥5, and comorbidities such as diabetes. Of all factors, frailty was most strongly associated with postoperative outcomes.
Conclusion: Evaluating a patient's particular risks, mainly frailty, plays a key role in surgery and can improve EGS results.
References
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Malak Maaz Hassan
Surgical TMO, MTI - Hayatabad Medical Complex, Peshawar, Pakistan
Muhammad Rahim Bhurgri
Assistant Professor, Department of Anatomy, Muhammad Medical College, Mirpurkhas, Pakistan
Saeed Taj Din
Associate Professor, Department of Orthopedic Surgery, Azra Naheed Medical College, Lahore, Pakistan
Ghulam Murtaza Hiraj
Associate Professor of Urology, Kishwar Fazal Teaching Hospital, Sheikhupura, Pakistan
Rizwan Ali Qaiser
Assistant Professor, Kishwar Fazal Teaching Hospital, Sheikhupura, Pakistan
Naemmullah Khan
Assistant Professor, Kishwar Fazal Teaching Hospital, Sheikhupura, Pakistan