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SM Journal of Family Medicine

Presentation and Outcome of Acute Abdomen in Goba Referral Hospital, Goba, Southeast Ethiopia: Retrospective Study

[ ISSN : 2576-0262 ]

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Received: 14-Apr-2017

Accepted: 05-Apr-2017

Published: 30-May-2017

Research Article | Volume 1 - Issue 1 | Article DOI :

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Bizuayehu Tassew¹, Mekonnen Tegegne Haile², Tomas Benti Tefera², Semere Sileshi Balda³, Kebebe Bekele Gonfa⁴ and Khan Mubashir⁴*

¹Department of Medicine, College of Medicine and Health Sciences, Jimma University, Ethiopia
²Department of Nursing, Goba Referral Hospital, School of Health Sciences, Madda Walabu University, Ethiopia
³Department of Public Health, Goba Referral Hospital, School of Health Sciences, Madda Walabu University, Ethiopia
?School of Medicine, Goba Referral Hospital, Madda Walabu University, Ethiopia

Corresponding Author:

Khan Mubashir, Madda Walabu University, Goba Referral Hospital, School of Medicine, Bale-Goba, Southeast Ethiopia, Tel: +251 929334849; Email: kmubashir216@gmail.com

Keywords

Acute abdomen; Abdominal pain; Appendiciti

Abstract

Background: Surgical acute abdomen is one of the commonly encountered emergencies in the practice of General surgery. However, there was not much study done regarding the presentation and outcome of acute abdomen in Ethiopia, particularly in this study area.

Objective: This study was aimed to assess the presentation and outcome of surgically treated acute abdomen patients who were managed operatively at Goba Referral Hospital, southeast Ethiopia.

Methods: This was Retrospective study conducted on 299 adult patients admitted with acute abdomen in Goba Referral Hospital from September 1, 2012 to August, 30, 2014. Variables analyzed include demographic data, clinical features, and causes of acute abdomen, immediate complications and outcome of the surgical management of acute abdomen. Data were extracted by trained data collectors using data compilation sheet. The collected data were processed using SPSS version 21 software. Descriptive statistics was done. Chi-square test was calculated to identify associated factors of acute abdomen.

Results: There were 299 patients of which 211 (67.2%) were males and 98 (32.8%) were females. About 58.2% of patients visited the hospital after 2 days of onset of symptoms. Abdominal pain (100%) and vomiting (99.3%) were the most common complaints. Acute appendicitis was the most common cause accounting for 49.2% of the patients, followed by acute intestinal obstruction (39.1%). Wound infection (15.7%) and septicemia (8.0%) were the most common postoperative complications. The overall case fatality rate was 16%. Conclusion: Acute appendicitis was the most common cause for acute abdomen. The overall case fatality rate of acute abdomen found was unacceptably high. Wound infection and sepsis were the most common postoperative complications. Early diagnosis, adequate preoperative and postoperative care may help to reduce the observed high mortality.

Citation

Tassew B, Haile MT, Tefera TB, Balda SS, Gonfa KB and Mubashir K. Presentation and Outcome of Acute Abdomen in Goba Referral Hospital, Goba, Southeast Ethiopia: Retrospective Study. SM J Fam Med. 2017; 1(1): 1003.