{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:23:58Z","timestamp":1718929438300},"reference-count":56,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Laparotomy surgery, which involves making an incision in the abdominal cavity to treat serious abdominal disease and save the patient\u2019s life, causes significant deaths in both developed and developing countries, including Ethiopia. The number studies examining in-hospital mortality rates among individuals that undergone laparotomy surgery and associated risk factors is limited.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To assess the magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary hospitals, West Oromia, Ethiopia, 2022.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>An institutional based retrospective cross-sectional study was conducted from January 1, 2017, to December 31, 2021. Data were collected using systematic random sampling and based on structured and pretested abstraction sheets from 548 medical records and patient register log. Data were checked for completeness and consistency, coded, imported using Epi-data version 4.6, cleaned and analyzed using SPSS version 25 software. Variables with <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.2 in the Bi-variable logistic regression analysis were included in the multivariate logistic regression analysis. The fit of the model was checked by the Hosmer\u2012Lemeshow test. Using the odds ratio adjusted to 95% CI and a p value of 0.05, statistical significance was declared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 512 patient charts were reviewed, and the response rate was 93.43%. The overall magnitude of in-hospital mortality was 7.42% [95% CI: 5.4\u20139.8]. American society of Anesthesiology physiological status greater than III [AOR\u2009=\u20097.64 (95% CI: 3.12\u201318.66)], systolic blood pressure less than 90 mmHg [AOR\u2009=\u20096.11 (95% CI: 1.98\u201318.80)], preoperative sepsis [AOR\u2009=\u20093.54 (95% CI: 1.53\u20138.19)], ICU admission [AOR\u2009=\u20094.75 (95% CI: 1.50-14.96)], and total hospital stay greater than 14 days [(AOR\u2009=\u20096.76 (95% CI: 2.50-18.26)] were significantly associated with mortality after laparotomy surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Concussion<\/jats:title>\n                <jats:p>In this study, overall in- hospital mortality was high. Early identification patient\u2019s American Society of Anesthesiologists physiological status and provision of early appropriate intervention, and pays special attention to patients admitted with low systolic blood pressure, preoperative sepsis, intensive care unit admission and prolonged hospital stay to improve patient outcomes after laparotomy surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-024-02477-1","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T10:03:20Z","timestamp":1718877800000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary public hospitals, West Oromia, Ethiopia, 2022"],"prefix":"10.1186","volume":"24","author":[{"given":"Aliyi Benti","family":"Daba","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debrework Tesgera","family":"Beshah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esayas Alemshet","family":"Tekletsadik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"issue":"6","key":"2477_CR1","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1007\/s00423-016-1414-3","volume":"401","author":"C Strik","year":"2016","unstructured":"Strik C, Stommel MW, Schipper LJ, van Goor H, Ten Broek RP. 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Permission for this study was obtained from the respective hospital after submitting the ethical clearance, and agreement was reached that the collected data was used only for study purposes. A waiver letter of cooperation was secured from hospital administrators (hospital medical directors) since patients were not directly involved in this study (since the data for this study were obtained from the patient\u2019s chart). The head of the main operating room and the head of medical records were communicated to access the registration book of surgical patients and their medical records after explaining the purpose and all the processes to set the appropriate data collection time. The medical record identification information (name and card number) was not recorded on the abstraction sheet. Informed consent was not required (since the data was collected from patient charts), but the collected data from the patients\u2019 medical records was kept confidential and in a cabinet with a key. The collected information was not accessible to anyone other than the research team. All methods were conducted in accordance with the Declaration of Helsinki and relevant guidelines and regulations. The identified number (code) was used to preserve anonymity instead of the patient\u2019s name and card number.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical considerations and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"193"}}