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New Indian Journal of Surgery

Volume  9, Issue 2, March - April 2018, Pages 210-212
 

Original Article

AGE a Factor in Determining the Prognosis in Survival in Hollow Viscus Perforation in South India

Abhilash Gautham Ramesha, Ashrith Iyanahallyb

aAssistant Professor, Department of Surgery, Shimoga Institute of Medical Sciences, Shimoga, Karnataka 577201, India. bAssistant Professor, Department of Surgery, Mount Zion Medical College, Trivandrum, Kerala 605036, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.18

Abstract

Age is one of the important prognostic factor in determining survival in hollow viscus perforation. We conducted the study to analyze the role of age in determining survival.

Materials and Methods: A prospective survey of patients with acute generalized peritonitis due to hollow viscus perforation was carried out in general surgical wards of our institute during the period starting from January 2014 to September 2015. Study population consisted of 150 consecutive patients with perforativeperitonitis, which confirmed on emergency laparotomy.

Statistical Analysis: Data entry and management was done in Excel sheet. After cleaning and coding the data was transferred to Single master sheet and statistical analysis was done using the SPSS 19 version software.

Results and Conclusion: Age of the patients in the study ranged from 16years to 75years. The mean age of the patients at the time of admission is 42.4 (SD 16.4). Highest mortality is in the age group of > 70 years, (62.5%). There were 8 patients in this age group out of which 5patients died. Lowest mortality (18.75%) is seen in age group of 30-39 years. 4 of 9 patients (MR=44.4%) died in age group of 16-20 years. Mortality rate of 34.48% (10 of 29 patients) seen in age group of 60-69 years. Similarly 26.32% (5 of 19 patients) of mortality rate between 50-59 years, 26.09% (6 of 23 patients) between 40-49 years and 20% (6 of 30 patients) in 21-29 years. Thus in our study mortality rate is more in either extremes of age and with increase in age.

 


Keywords : Age; Peritonitis; Hollow Viscus Perforation.
Corresponding Author : Ashrith Iyanahally, Assistant Professor, Department of Surgery, Mount Zion Medical College, Trivandrum, Kerala 605036, India.