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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | A PROSPECTIVE STUDY OF RISK FACTORS ASSOCIATED WITH POST OPERATIVE MORBIDITY AND MORTALITY IN PATIENTS WITH GASTRIC PERFORATION AT A TERTIARY CARE HOSPITAL |
| Authors Name: | Parin. J. Vora , Subodh. P. Ugane |
| Unique Id: | IJSDR2304437 |
| Published In: | Volume 8 Issue 4, April-2023 |
| Abstract: | Introduction: Peptic ulcer disease is very common disease in developing countries and so are its complications. With dwindling rates of postoperative mortality in perforated peptic ulcer that is attributable to H2-receptor blocker usage, there is a need to shift the focus towards the prevention of postoperative morbidity. Surgery is the main treatment for gastric perforation. Prompt recognition of the condition is very important and only by early diagnosis and treatment it is possible to reduce the still relatively high mortality. The aim of this study is to assess the risk factors associated with post operative morbidity and mortality in gastric perforation. Our objective was to assess the relation between pre-operative risk factors of the patient and the post-operative status of the patient, the relation between of post-operative mortality and the time between presentation to the hospital after the symptom onset and assess the post-operative complication in an operated case of gastric perforation patient. Materials and methods: A prospective observational study was conducted over a period of 18 months. The data was collected from 25 Patients over the age of 18 years, admitted on emergency basis, diagnosed and operated as gastric perforations, till the time the patients were discharged from the hospital as per the hospital norms. The data obtained from the test was recorded for analysis. Results: The perforation was common between age group of 41-60 years. Perforation was more common in male patients. It was 84 percent in males and 16 percent in females. Mortality rate in our study series was 24 percent. The duration of pain-to-hospitalization more than 24 hours has increased morbidity and mortality. The most common post operative complication was wound related, of which wound discharge was the most common. Conclusions: Preoperative risk factors associated with higher morbidity and mortality included age more than 60 years (Geriatric age), hemodynamic instability (Shock upon admission, tachycardia, hypertension), severe abdominal signs, delayed presentation to hospital after onset of pain (more than 24 hours). The most frequent post-operative complication in the study was wound-related, with wound discharge as the most prevalent result. The second most frequent complications were pulmonary. |
| Keywords: | Gastric perforation, pre-operative, risk factors, post-operative, morbidity, mortality |
| Cite Article: | "A PROSPECTIVE STUDY OF RISK FACTORS ASSOCIATED WITH POST OPERATIVE MORBIDITY AND MORTALITY IN PATIENTS WITH GASTRIC PERFORATION AT A TERTIARY CARE HOSPITAL", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 4, page no.2829 - 2837, April-2023, Available :http://www.ijsdr.org/papers/IJSDR2304437.pdf |
| Downloads: | 000337077 |
| Publication Details: | Published Paper ID: IJSDR2304437 Registration ID:205979 Published In: Volume 8 Issue 4, April-2023 DOI (Digital Object Identifier): Page No: 2829 - 2837 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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