Comparative study of proportions of post-operative sepsis _ maternity versus general surgical ward

O. Kizito
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Abstract

Abstract: Abstract: Post-operative sepsis tends to complicate the recovery course of many patients. Across the globe, the proportion of post-operative sepsis varied from 2.9% to 30% in various studies. To determine mean proportion of post-operative sepsis in Maternity and General Surgical wards (GSW) and establish whether there was a significant difference in the proportion of post-operative sepsis between the two departments. The design was part of an Unmatched Retrospective Cohort study of post-operative patients admitted to the Maternity and General Surgical ward over the past 6 months. Random samples of 169 respondents from Maternity and 245 respondents from GSW were compared. Mean proportion of post-operative sepsis was 4.4% and 3.1% for Maternity ward and GSW, respectively. Test statistic, Z2 (4.98) , Z1 (1.96), fell in the rejection region; hence, Ho was rejected (significant difference in the proportion of sepsis). In the Maternity ward, the risk of post-operative sepsis was more among the unmarried (p = 0.023, COR = 5.550 [1.272–24.219] at 95% CI). In General Surgical Ward (GSW), emergency surgery (11.9%) and complex surgeries (16.3%) carried more risk. Risk of post-operative sepsis in maternity was more among the unmarried (27.3%). For GSW, emergency surgery (11.9%) and complex surgeries (16.3%) carried more risk. Therefore, more effort is needed to combat post-operative sepsis.
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产科与普通外科病房术后脓毒症比例的比较研究
摘要摘要:术后脓毒症往往使许多患者的康复过程复杂化。在全球范围内,各种研究中术后脓毒症的比例从2.9%到30%不等。目的:确定产科和普通外科病房(GSW)术后脓毒症的平均比例,确定两个科室术后脓毒症的比例是否存在显著差异。该设计是一项无与伦比的回顾性队列研究的一部分,研究对象是过去6个月内入住产科和普通外科病房的术后患者。对来自产科的169名受访者和来自GSW的245名受访者进行了随机抽样比较。产科病房和GSW术后脓毒症的平均比例分别为4.4%和3.1%。检验统计量Z2(4.98)、Z1(1.96)落在拒绝区;因此,Ho被拒绝(脓毒症比例有显著差异)。在产科病房,未婚患者发生术后脓毒症的风险更高(p = 0.023, COR = 5.550 [1.272-24.219], 95% CI)。在普通外科病房(GSW),急诊手术(11.9%)和复杂手术(16.3%)的风险更高。产妇术后脓毒症的风险在未婚女性中更高(27.3%)。对于GSW,急诊手术(11.9%)和复杂手术(16.3%)的风险更高。因此,需要更多的努力来对抗术后败血症。
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