Hospital discharge rate for intestinal obstruction due to adhesions, 2019-2022, Chile: a descriptive study

Hospital discharge rate due to intestinal obstruction due to adhesions, 2019 -2022, Chile: a descriptive study

Authors

  • Fernada Bustamante Bahamonde Universidad de Concepción

DOI:

https://doi.org/10.56754/0718-9958.2025.227

Keywords:

Obstrucción Intestinal, Patología, Comorbilidad, Chile

Abstract

Introduction:

Intestinal obstruction (IO) results from a mechanical blockage in the intestinal flow, with adhesions being the primary cause. Due to its impact on patients, this study aims to determine the hospital discharge rate (HDR) due to adhesions causing intestinal obstruction from 2019 to 2022 in Chile.

 

Methods:

An observational, descriptive, and cross-sectional study. Data was extracted from the Health Statistics and Information Department and the National Statistics Institute database, which was then processed using Microsoft Excel. A descriptive analysis of the HDR due to intestinal obstruction by adhesions in patients from 2019 to 2022 in Chile was performed, considering variables such as sex, age group, and hospital stay. Ethical committee review was not required.

 

Results:

A total of 3,985 cases were studied, determining an HDR of 5.67 cases per 100,000 inhabitants, with an increasing trend over the period. There was a predominance of women and patients over 80 years old. The average hospital stay was 8.64 days, with no significant differences by sex, but longer stays in older adults.

 

Discussion:

An increase in the incidence of IO due to adhesions was observed, possibly related to greater surgical management of pathologies. Rates were similar between men and women, contrasting with studies that report differing prevalence by sex. The average hospital stay was longer for individuals over 80 years old, possibly due to higher complications from comorbidities. The relevance and healthcare burden of this condition in the Chilean population are highlighted, showing how it affects different age groups and sexes.

References

Tong JWV, Lingam P, Shelat VG. Adhesive small bowel obstruction – an update. Acute Med Surg [Internet]. 2020 [citado el 19 de julio de 2024];7(1). Disponible en: http://dx.doi.org/10.1002/ams2.587

Jackson P, Cruz MV. Intestinal Obstruction: Evaluation and Management. afp [Internet]. 2018 [citado el 19 de julio de 2024];98(6):362–7. Disponible en: https://www.aafp.org/pubs/afp/issues/2018/0915/p362.html

Griffiths S, Glancy DG. Intestinal obstruction. Surgery [Internet]. 2020 [citado el 19 de julio de 2024];38(1):43–50. Disponible en: http://dx.doi.org/10.1016/j.mpsur.2019.10.014

Ghimire P, Maharjan S. Adhesive small bowel obstruction: A review. JNMA J Nepal Med Assoc [Internet]. 2023 [citado el 19 de julio de 2024];61(260):390–6. Disponible en: http://dx.doi.org/10.31729/jnma.8134

Maienza E, Godiris-Petit G, Noullet S, Menegaux F, Chereau N. Management of adhesive small bowel obstruction: the results of a large retrospective study. Int J Colorectal Dis [Internet]. 2023 [citado el 19 de julio de 2024];38(1). Disponible en: http://dx.doi.org/10.1007/s00384-023-04512-8

Garibay-González F, Navarrete-Arellano M, Moreno-Delgado F, Salinas-Hernández EL, Rodríguez-Ayala E, Cleva-Villanueva G. Incidencia de la obstrucción intestinal por adherencias postoperatorias en el Hospital Central Militar. Factores de riesgo asociados. Rev Sanid Milit [Internet]. 2017 [citado el 20 de julio de 2024];71(6):534–44. Disponible en: https://revistasanidadmilitar.org/index.php/rsm/article/view/137

Idrovo Dueñas DSA, Pérez Escobar DKM. Obstrucción Intestinal secundaria a adherencia en cirugía abdominal. Ciencia Latina [Internet]. 2022 [citado el 20 de julio de 2024];6(4):5702–27. Disponible en: http://dx.doi.org/10.37811/cl_rcm.v6i4.3044

Horta Martínez LE, Bejerano Durán R, Sorá-Rodriguez M, González-Yero MC. Caracterización de pacientes operados por obstrucción intestinal mecánica. Rev Cubana Med Milit [Internet]. 2023 [citado el 21 de Julio de 2024];52(4). Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/10138

Idrobo AA, Bastidas BE, Yasno LM, Vargas AL, Merchán Galvis AM. Presentación y desenlace del manejo conservador en obstrucción intestinal por bridas en el Cauca. Rev Colomb Gastroenterol [Internet]. 2020 [citado el 21 de Julio de 2024];35(4):447–54. Disponible en: http://dx.doi.org/10.22516/25007440.517

Rodriguez L, You A, Perurena J, Orillac A, Rodríguez S. Epidemiología quirúrgica de la obstrucción intestinal por adherencias en el servicio de cirugía general del Complejo Hospitalario Dr. Arnulfo Arias Madrid. 2015-2020, Panamá. Rev Med Panama [Internet]. 2024 [citado el 21 de Julio de 2024];28–32. Disponible en: http://dx.doi.org/10.37980/im.journal.rmdp.20242264

Moris D, Chakedis J, Rahnemai-Azar AA, Wilson A, Hennessy MM, Athanasiou A, et al. Postoperative abdominal adhesions: Clinical significance and advances in prevention and management. J Gastrointest Surg [Internet]. 2017;21(10):1713–22. Disponible en: http://dx.doi.org/10.1007/s11605-017-3488-9

Tang J, Xiang Z, Bernards MT, Chen S. Peritoneal adhesions: Occurrence, prevention and experimental models. Acta Biomater [Internet]. 2020;116:84–104. Disponible en: http://dx.doi.org/10.1016/j.actbio.2020.08.036

Guzmán-Valdivia-Gómez G, Tena-Betancourt E, Martínez de Alva-Coria P. Adherencias abdominales postoperatorias: patogénesis y técnicas actuales de prevención. Cir Cir [Internet]. 2019;87(6). Disponible en: http://dx.doi.org/10.24875/ciru.18000511

Published

2025-05-05

How to Cite

1.
Bustamante Bahamonde F. Hospital discharge rate for intestinal obstruction due to adhesions, 2019-2022, Chile: a descriptive study: Hospital discharge rate due to intestinal obstruction due to adhesions, 2019 -2022, Chile: a descriptive study. Rev Estud Med Sur [Internet]. 2025 May 5 [cited 2025 Oct. 14];12(2):23-8. Available from: https://rems.ufro.cl/index.php/rems/article/view/227

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