Bisen, JuhiSingh, BrijeshYedalwar, VinodKhare, AishwaryaLahariya, ChandraprakashSahu, Sharad2020-10-162020-10-162020-02Bisen Juhi, Singh Brijesh, Yedalwar Vinod, Khare Aishwarya, Lahariya Chandraprakash, Sahu Sharad. ​Predictors of Post-operative Pulmonary Complications Following Emergency Laparotomy. International Journal of Scientific Study. 2020 Feb; 7(11): 108-1122321-595X2321-6354http://imsear.searo.who.int/handle/123456789/209302Background: Post-operative respiratory complications are a major threat following emergency abdominal surgeries. It significantlyincreases post-operative morbidity and mortality. The aim of this study was to determine the incidence and factors affectingpost-operative pulmonary complications (PPCs).Materials and Methods: This is a prospective observational study conducted in 270 patients who got admitted through SOPD,casualty or transferred from other department, and undergoing emergency laparotomy over a period of 1 year (June 1, 2018–May 31, 2019). Patients were included in the study irrespective of age, sex, and occupation. Pre- and post-operative datawere collected through interview and postoperatively patients were monitored clinically and various investigations were doneto record post-operative respiratory complications. Then, their association was analyzed.Results: Two hundred seventy patients were included in the present study and 55 (20.4%) developed PPCs. Pneumonia (20)was the most common PPC followed by atelectasis (15). Elderly patients had more risk. PPCs were more in current smokers(30.98%), patients with pre-existing respiratory diseases (47.1%), duration of surgery more than 3 h. PPCs significantly increasethe duration of hospital stay and mortality.Conclusion: Pulmonary complications are significant among patients undergoing emergency laparotomy that leads to increasedmorbidity and mortality. Predictors of PPCs are smoking, pre-existing respiratory diseases, prolonged duration of surgery, andprolonged intubation.Antimicrobial sensitivityBurnMethicillin-resistant Staphylococcus aureusJournal ArticleIndiaPost Graduate Student, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, IndiaAssociate Professor, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, IndiaSenior Resident, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India