Treatment Outcomes of Non-Traumatic Acute Abdomen and Its Associated Factors in Adult Patients at Tibebe Ghion Specialized Hospital, Bahir Dar, Ethiopia: Cross-Sectional Study

Figures & data

Table 1 Socio Demographic Characteristics and Clinical Features of Patients with Non-Traumatic Acute Abdomen in TGSH from August 2020 to July 2021

Variables	Category	Frequency	Percentage %
Age	16–29	123	40.6
	30–50	99	32.7
	>50	81	26.7
Sex	Male	207	68.3
	Female	96	31.7
Season of presentation	Bega	63	20.8
	Belg	125	41.3
	Kiremt	102	33.7
	Tsedey	13	4.3
Residency	Rural	210	69.3
	Urban	93	30.7
Religion	Orthodox	291	96
	Muslims	16	4
Clinical signs and symptoms
Abdominal pain	Yes	301	99.3
	No	2	0.7
Vomiting	Yes	247	81.8
	No	55	18.2
Abdominal distension	Yes	91	30
	No	212	70
Guarding	Yes	69	22.8
	No	234	77.2
Distended abdomen	Yes	91	30
	No	212	70
Duration of illness (in days)	< 2	58	18.8
	≥2	245	80.9
Length of hospital stay (in days)	<=2	98	32.3
	3–5	152	50.2
	≥6	53	17.5
Vital signs
Pulse rate	<90	234	80.2
	≥90	60	19.8
Temperature	<37.5	251	82.8
	≥37.5	52	17.1

Table 2 Common Patterns and Causes of Non-Traumatic Acute Abdomen in TGSH from August 2020 to July 2021

Patterns of Diseases	Types or Causes		Frequency	Percentage %
Appendicitis	Total Appendicitis		148	48.8
	Simple appendicitis		94	63.5
	Complicated appendicitis		32	21.6
	Appendiceal abscess		22	14.9
Intestinal obstruction	Total Intestinal obstruction		61	20.1
	Small bowel		22	35.5
		Primary volvulus	21	52.5
		Adhesion\band	10	25.0
		Hernia	7	17.5
		Intussusceptions	2	5
	Large bowel		40	64.5
		Sigmoid volvulus	14	63.6
		Ileo-sigmoid knotting	5	22,7
		Intussusceptions	3	13.6
Peritonitis	Total Peritonitis		56	18.5
	Gangrenous LBO		18	32.1
	Gangrenous SBO		7	12.5
	Perforated PUD		13	23.2
	Others (mesenteric ischemia etc.)		3	5.4
(Cholecystitis, pancreatitis)			38	12.5

Table 3 Post Operative Complication Frequencies of NTAA Participants

Post Operative Complications	Frequency	Percentage
Wound infection	18	5.9
Pneumonia	9	3
Sepsis	2	0.7
Collection	2	0.7
Anastomotic leak	1	0.3

Table 4 Multivariate Analysis Showing Independent Predictors of Management Outcomes of Non-Traumatic Acute Abdomen in TGSH from August 2020 to July 2021

Variables		Out comes		COR with 95% CI	AOR with 95% CI	P value
		Non Favorable	Favorable
Age	18–29	8 (2.65%)	115 (37.9%)	1.0	1.0
	30–50	10 (3.3%)	89 (29.4%)	1.6 (1.69, 9.98)	2.03 (0.58, 7.19)	0.26
	>50	18 (5.9%)	63 (20.8%)	4.1 (1.10, 5.88)	3.18 (0.86, 11.75)	0.08
Abdominal distension	Yes	21 (6.9%)	70 (23.1%)	3.94 (1.92, 8.07)	10.74 (0.34, 33.9)	0.18
	No	15 (4.95)	197 (65%)	1	1
Distended abdomen	Yes	23 (7.6%)	68 (22.4%)	5.18 (2.49, 10.78)	8.30 (0.54, 12.7)	0.13
	No	13 (4.3%)	199 (65.7%)	1	1
Guarding	Yes	24 (7.9%)	45 (14.9%)	9.87 (4.59, 21.2)	2.98 (1.05, 8.47)	0.04**
	No	12 (3.9%)	222 (73.3%)	1	1
Complications	Yes	25 (8.3%)	18 (5.9%)	38.27 (0.07, 46.3)	1.65 (1.07, 3.53)	0.00**
	No	9 (2.9%)	248 (81.9%)	1	1
	<37.5	24 (7.9%)	228 (75.3%)	1	1
	≥37.5	12 (3.9%)	39 (12.9%)	3.82 (1.35, 6.32)	3.21 (1.78, 19.45)	0.00**

Note: **Significant at p < 0.05.

Abbreviations: COR, Crude Odd Ratio; AOR, Adjusted Odd Ratio.