| Autor: |
Aloysius Ugwu-Olisa Ogbuanya, Uche Emmanuel Eni, Daniel A Umezurike, Akputa A Obasi, Somadina Ikpeze |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Archives of Academic Emergency Medicine, Vol 12, Iss 1 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2645-4904 |
| DOI: |
10.22037/aaem.v12i1.2169 |
| Popis: |
Introduction: Previous studies have reported numerous clinico-pathologic risk factors associated with increased risk of leaked repair following omental patch for perforated peptic ulcer disease (PPUD). This study aimed to analyze the risk factors associated with leaked repair of omental patch and document the management and outcome of established cases of leaked repair in a resource-poor setting. Methods: This is a multicenter cross-sectional study of leaked repair after omental patch of PPUD between January 2016 to December 2022. Following primary repair of PPUD with omental pedicle reinforcement, associated factors of leaked repair were evaluated using univariate and multivariate analyses. Results: Overall, 360 cases were evaluated (62.8% male). Leaked repair rate was 11.7% (42 cases). Those without immunosuppression were 3 times less likely to have leaked repair (aOR= 0.34; 95% CI: 0.16 - 0.72; p = 0.003) while those with sepsis were 4 times more likely to have leaked repair (aOR=4.16; 95% CI: 1.06 - 12.36; p = 0.018). Patients with delayed presentation (>48 hours) were 2.5 times more likely to have leaked repair than those who presented in 0 - 24 hours (aOR=2.51; 95% CI: 3.62 - 10.57; p = 0.044). Those with Perforation diameter 2.1-3.0 cm were 8 times (aOR=7.98; 95% CI: 2.63-24.21; p 3.0cm were 33 times (aOR=33.04; 95% CI: 10.98-100.25; p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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