Mortality Rate from Non-Traumatic Intestinal Perforation in Chile from 2017 to 2022
DOI:
https://doi.org/10.56754/2810-6571.2024.3352Keywords:
General Surgery, Intestinal perforation, Chile, Epidemiology, MortalityAbstract
INTRODUCTION
Intestinal perforation, characterized by the rupture of all layers of the intestinal tract wall, is associated with high mortality. Due to the lack of updated epidemiological data, this study aims to determine the mortality rate (MR) for this non-traumatic event in Chile from 2017 to 2022.
MATERIALS AND METHODS
This is an observational, descriptive, and cross-sectional study, where a descriptive analysis of the MR due to non-traumatic intestinal perforation in Chile from 2017 to 2022 was conducted, considering variables such as sex, age, region, and place of death. Data were collected from the Department of Health Statistics and Information and the National Institute of Statistics and processed using Microsoft Office Excel. Ethical committee approval was not required. No conflicts of interest are declared.
RESULTS
The results revealed an MR of 0.70 deaths per 100,000 inhabitants during the study period, with higher rates observed in women, individuals over 80 years of age, and in the VI and XIV regions. Most deaths were recorded in hospitals.
DISCUSSION AND CONCLUSIONS
The difference in MR over the period could be explained by changes in clinical management, surgical advances, or epidemiological factors. Higher mortality was observed in women, potentially due to underdiagnosis of acute diverticulitis, and in individuals over 80 years, associated with aging. The regions with the highest MR highlight limitations in access to health services and deficiencies in medical care. Study limitations include the absence of detailed information on comorbidities, treatments, and the initial health status of the patients, while the reliability and representativeness of the collected data are considered strengths of the study.
In conclusion, there is a need to implement more effective strategies to improve outcomes and reduce the disease burden in Chile.
Downloads
References
Onken F, Senne M, Königsrainer A, Wichmann D. Classification und treatment algorithm of small bowel perforations based on a ten-year retrospective analysis. J Clin Med [Internet]. 2022 [cited 2024 Feb 3];11(19):5748.
Lee NK, Kim S, Hong SB, Lee SJ, Kim TU, Ryu H, et al. CT diagnosis of non-traumatic gastrointestinal perforation: an emphasis on the causes. Jpn J Radiol [Internet]. 2020;38(2):101–11.
Weledji EP. An Overview of Gastroduodenal Perforation. Front Surg [Internet]. 2020;7.
Hafner J, Tuma F, Hoilat GJ, et al. Intestinal Perforation. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
Bocic Alvarez GR, Zambra Rojas MA, Abedrapo Moreira MA, Sanguinetti Montalva A, Llanos Bravo JL, Azolas Marcos R, et al. PERFORACIÓN Y OBSTRUCCIÓN COLÓNICA: CONDUCTA DE LOS COLOPROCTÓLOGOS LATINOAMERICANOS. Rev Cirugia [Internet]. 2021;73(1).
Ansari D, Torén W, Lindberg S, Pyrhönen H-S, Andersson R. Diagnosis and management of duodenal perforations: a narrative review. Scand J Gastroenterol [Internet]. 2019;54(8):939–44. Available from: http://dx.doi.org/10.1080/00365521.2019.1647456
Takada K, Nagamine Y, Ishii A, Shuo Y, Seike T, Horikawa H, et al. Association between intraoperative early warning score and mortality and in-hospital stay in lower gastrointestinal spontaneous perforation. Anesthesiol Res Pract [Internet]. 2023;2023:1–8. Available from: http://dx.doi.org/10.1155/2023/8910198
Yuan W, Zhou X, Cai Z, Qiu J, Li X, Tong G. Risk factors of gastrointestinal perforation with a poor prognosis. Int J Gen Med [Internet]. 2023 [cited 2024 Feb 3];16:4637–47. Available from: https://pubmed.ncbi.nlm.nih.gov/37868819/
Meneses Columbie, L. E., Aldunate González, P. F., Meneses Peralta, J., Acuña Martínez, C. A., Millanao Carvajal, G. A., & Schatte Vidal, D. A. (2022). Enfermedad Diverticular: análisis de defunciones según sexo, grupo etario y regiones en Chile. Revista de Cirugía, 74(5), 461–466. https://doi.org/10.35687/s2452-454920220051530
Emektar E. Determination of factors associated with perforation in patients with geriatric acute appendicitis. Ulus Travma Acil Cerrahi Derg [Internet]. 2020; Disponible en: http://dx.doi.org/10.14744/tjtes.2020.25741
Kim HS, Kim HI, Yoon YJ, Yeom JH, Kim MG. Analysis of prognostic factors for postoperative complications and mortality in elderly patients undergoing emergency surgery for intestinal perforation or irreversible intestinal ischemia. Ann Surg Treat Res [Internet]. 2023;105(4):198. Disponible en: http://dx.doi.org/10.4174/astr.2023.105.4.198
Instituto Nacional de Estadísticas. Síntesis de resultados censo 2017 [Internet]. 2018 [cited 2024 Mar 2]. Available from: http://www.censo2017.cl/
Additional Files
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Victor Ramírez Caamaño , Daniela Hernández Castro, Simón Olivera Hausdorf, Fernanda Lazcano Lazcano, Fernanda Mera Villanueva, María Renée Gomez Zuñiga
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Revista de Cirugía, Urgencia y Trauma de Estudiantes de Medicina © 2024 by ACUTEM UFRO is licensed under Creative Commons Attribution-NonCommercial 4.0 International
Se otorga la libertad de compartir — copiar y redistribuir el material publicado en RECUTEM en cualquier medio o formato bajo los términos de esta licencia.
Términos de la Licencia:
- Atribución: Debe otorgarse el crédito adecuado al autor original, proporcionar un enlace a esta licencia e indicar si se han realizado cambios al material. Esta atribución debe hacerse de manera razonable, sin sugerir de ninguna manera que el licenciante respalda su uso o el uso que usted hace del material.
- Uso No Comercial: El material de RECUTEM no puede utilizarse con fines comerciales.
