MANAGEMENT OUTCOME AND ASSOCIATED FACTORS OF ACUTE APPENDICITIS AT CHIRO GENERAL HOSPITAL, WEST HARARGE, OROMIA REGIONAL STATE , EASTERN ETHIOPIA .

Abstract

Background: Appendicitis is a condition characterized by an inflammation of the vermiform appendix; it is one of the most common causes of the acute abdomen and one of the most frequent indications for an emergent abdominal surgical procedure worldwide. The aim of this study is to investigate gap on management outcome and associated factors of acute appendicitis at Chiro General Hospital. Objectives: The aim the study is to determine the management outcome and associated factors of acute appendicitis in all surgical patients diagnosed for acute appendicitis and operated in past four years at Chiro General Hospital, in Oromia, East Ethiopia from January 1/2018 to August 1,2018G.C. Methods: A retrospective cross sectional analysis was undertaken with complete survey on all cases of acute appendicitis surgically managed at Chiro General Hospital from January 1, 2014 up to December 31, 2017 G.C. Descriptive analysis was conducted to management outcome and associated factors of acute appendicitis and Odds ratio with 95% confidence level was estimated using multiple logistic regression was carried out to analyze the association between the independent and dependent variables. The level of statistical significant was declared at P-value less or equal to 0.05. Results:The most common types of incision performed were Lanz or Rock Davis incision which accounts 335(92.3%). Intraoperative findings included inflamed appendix215(59.3%), gangrenousappendix88(24.2%), perforated appendix43(11.8%), and appendiceal abscess 17(4.7%).The most common procedure performed was appendectomy 318(87.6%) followed by both appendectomy and peritoneal lavage28(7.7%).The predominant postoperative complication was postoperativeWound infection in 25 (6.7%) at 95%CI of [4.1,9.6]. Death of patients due to appendicitis was not recorded during the study period. Conclusion:Majority of the patients had favorable outcome but the other of them had unfavorable outcome where they have improved but developed postoperative wound infection/wound dehiscence. Age 20-49 years, residence of Chiro town dwellers and procedure performed for non-complicated (inflamed/gangrenous) appendicitis were associated with favorablemanagement outcome.