Table 3.
Factors associated with poor surgical management outcomes of intestinal obstruction surgery in patients admitted to CGH, 2018.
| Variables | Surgical outcome | COR: 95% CI | COR: 95% CI | |
|---|---|---|---|---|
| Poor (%) | Good (%) | |||
| Age | ||||
| ≥55 | 12 (37.5) | 20 (62.5) | 2.6 (1.2-5.7) | 2.9 (1.03-8.4)∗ |
| <55 | 42 (18.9) | 180 (81.1) | 1 | 1 |
| Residence | ||||
| Out of Chiro | 48 (24.2) | 150 (75.8) | 2.7 (1.1-6.6) | 2.7 (0.9-7.6) |
| Chiro | 6 (10.7) | 50 (89.3) | 1 | 1 |
| Duration of illness | ||||
| ≥24 hours | 49 (28.3) | 124 (71.7) | 6 (2.3-15.7) | 3.1 (1.03-9.4)∗ |
| <24 hours | 5 (6.2) | 76 (93.8) | 1 | 1 |
| Preoperative diagnosis of IO | ||||
| Simple LBO | 6 (17.6) | 28 (82.4) | 1.7 (0.6-4.6) | 1.5 (0.5-4.5) |
| Gangrenous SBO | 21 (60.0) | 14 (40.0) | 11.7 (5.1-26.7) | 3.6 (1.3-9.8)∗ |
| Gangrenous LBO | 8 (44.4) | 10 (55.6) | 6.2 (2.2-17.7) | 4.2 (1.3-13.7)∗ |
| Simple SBO | 19 (11.4) | 148 (88.6) | 1 | 1 |
| Intraoperative procedure done | ||||
| DD | 9 (8.4) | 98 (91.6) | 0.2 (0.1-0.5) | 0.7 (0.3-1.9) |
| Other procedures | 45 (30.6) | 102 (69.4) | 1 | 1 |
| RA | 34 (45.3) | 41 (54.7) | 6.6 (3.4-12.6) | 2.0 (0.8-5.3) |
| Other procedures | 20 (11.2) | 159 (88.8) | 1 | 1 |
| Intraoperative finding | ||||
| Gangrenous SBV | 19 (59.4) | 13 (40.6) | 7.8 (3.5-17.2) | 2.1 (0.7-6.2) |
| Other findings | 35 (15.8) | 187 (84.2) | 1 | 1 |
∗Significant at a p value < 0.05; 1 is the reference. SBO = small bowel obstruction; LBO = large bowel obstruction; DD = derotation and decompression; RA = resection and anastomosis; SBV = small bowel volvulus; SV = sigmoid volvulus.