Background. Despite the advancement in the healthcare system, the impact of surgical interventions on public health systems will continue to grow. But predicting the outcome is challenging. Concerns related to unexpected outcomes and delays in the diagnosis of postoperative complications are the major issue. Intestinal obstruction is a common life-threatening surgical condition followed by fatal and nonfatal postoperative complications. This study was aimed at assessing results after surgery for intestinal obstruction in a hospital of Ethiopia. Methodology. An institutional-based cross-sectional study was conducted among 254 postoperative patients admitted with intestinal obstruction from January 1, 2014, to December 31, 2017. Data were coded and entered into EpiData 4.2.0.0 software and exported to the Statistical Package for the Social Sciences version 22 for analysis. A binary logistic regression model was used for analysis. All variables with a value < 0.25 during bivariable analysis were considered for multivariable logistic regression analysis. Results. The magnitude of poor surgical outcome of intestinal obstruction was 21.3% for patients enrolled into this investigation. The age group of ≥55 years (, 95% CI: 1.03, 8.4), duration of illness of ≥24 hrs (, 95% CI: 1.03, 9.4), preoperative diagnosis of a gangrenous large bowel (, 95% CI: 1.3, 9.8), and a gangrenous small bowel (, 95% CI: 1.3, 13.7) were significantly associated with poor surgical outcome. Conclusions. The magnitude of poor surgical outcome was high. Age, late presentation of illness, and gangrenous bowel obstructions were significantly associated with poor outcomes. So, concern should be given in early detection and follow-up of patients who came late and older patients.

中文翻译：

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埃塞俄比亚肠梗阻手术的临床结果和预测因素：一项横断面研究

背景。尽管医疗保健系统取得了进步，但外科干预对公共卫生系统的影响将继续增长。但预测结果具有挑战性。与意外结果和术后并发症诊断延迟相关的担忧是主要问题。肠梗阻是一种常见的危及生命的外科疾病，随后会出现致命和非致命的术后并发症。本研究旨在评估埃塞俄比亚一家医院肠梗阻手术后的结果。方法. 在 2014 年 1 月 1 日至 2017 年 12 月 31 日期间，对 254 例因肠梗阻入院的术后患者进行了一项基于机构的横断面研究。数据被编码并输入 EpiData 4.2.0.0 软件并导出到社会统计软件包用于分析的科学版本 22。使用二元逻辑回归模型进行分析。在双变量分析期间所有值 < 0.25 的变量都被考虑用于多变量逻辑回归分析。结果。参与本次调查的患者肠梗阻的不良手术结果为 21.3%。≥55岁年龄组（, 95% CI: 1.03, 8.4), 病程≥24 小时 (, 95% CI: 1.03, 9.4)，术前诊断为坏疽性大肠 (, 95% CI: 1.3, 9.8) 和坏疽性小肠 (, 95% CI: 1.3, 13.7) 与较差的手术结果显着相关。结论。手术结果不佳的程度很高。年龄、疾病晚期表现和坏疽性肠梗阻与不良预后显着相关。因此，应关注晚期患者和老年患者的早期发现和随访。