Spectrum, Management, and Outcomes of Abdominal Surgical Emergencies at a Referral Hospital in North West Cameroon

Ngwa Ebogo Tagang Titus; Ntih Mariette Liekeh; Ngock Farra Fola George; Sama Akayun; Sena Guylaine Rosine; Nzinga Joy Richie; Nchufor Roland Ndouh; Pisoh Tagnyin Christopher

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저자정보: Ngwa Ebogo Tagang Titus (The University of Bamenda) Ntih Mariette Liekeh Ngock Farra Fola George (Nkwen Baptist Hospital) Sama Akayun (Nkwen Baptist Hospital) Sena Guylaine Rosine (Nkwen Baptist Hospital) Nzinga Joy Richie (The University of Bamenda) Nchufor Roland Ndouh (The University of Bamenda) Pisoh Tagnyin Christopher (The University of Bamenda)

저널정보: 대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.13 No.1

발행연도: 2023.3

수록면: 1 - 9 (9page)

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Purpose: Abdominal surgical emergencies are a major health burden in low- and middle-incomecountries where management is often very challenging, and associated with high morbidity and mortality.The spectrum, management, and outcomes of abdominal surgical emergencies needs to be updated.Methods: This was a hospital-based retrospective cross-sectional study carried out in Bamenda,Cameroon over a 2-year period. Records of patients who met the inclusion criteria were reviewed, withpre-, intra- and postoperative data collected and analyzed.Results: There were 207 patients included in this retrospective review (male to female ratio of 1.4:1. Themean age was 47.4 (± 19.4) years. Intestinal obstruction (34.8%) and perforated peptic ulcers (15.5%)were the most common abdominal surgical emergencies. The median delay and interquartile range topresentation and in-hospital delay were 6 (4) days and 8 (12) hours, respectively. The mean length ofhospital stay post-surgery was 11days. There were 48.3% of patients who developed a complication;34.78% were major, 17.9% had an unplanned reoperation, and 15 (7.2%) were readmitted after discharge.The 30-day in hospital mortality was 19.8%. Mortality was independently associated with a highAmerican Society of Anesthesiologists (ASA) score; ASA score > 3, age > 60 years, and referral fromother health facilities.Conclusion: Intestinal obstructions from intraperitoneal neoplasm is the most common cause ofabdominal surgical emergency in North West Cameroon. Abdominal emergencies here are associatedwith a very high morbidity and mortality in males > 60 years with an ASA score > 3 and with more thanone comorbidity.

#Keywords: Cameroon #emergency #resources #surgery

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