Prevalence and Peroperative Factors Associated with Early Post-Operative Complications at the University Clinics in Kisangani (DRC)

Background and Objectives: Post-operative complications (POC) are new pathological phenomena occurring in the post-operative period and generally worsening the previous situation through their morbidity and mortality. Our aim was to determine the prevalence and intraoperative factors associated with early POC at University Clinics of Kisangani (CUKIS). Methods: This was an analytical cross-sectional study carried out in the CUKIS Department of Surgery from 1 January 2014 to 31 December 2023. The target population consisted of all patients who had undergone full post-operative follow-up. A logistic regression model using RStudio version 4.4.0 software was used to determine the intraoperative factors predictive of early postoperative complications. Results: The prevalence of early POC was estimated at 35%, with surgical site infection the most frequent CPO at 45.3%. After multivariate analysis using logistic regression, fracture of two bones in the leg; exploratory laparotomy; adenomectomy; surgical trimming; skin grafting; osteosynthesis; amputation; and types of surgery according to Altemeier 3 and 4 were significant risk factors associated with the occurrence of POC in the intraoperative period. Conclusion: Certain factors can predict the occurrence of intraoperative POC. Knowledge of these factors can help practitioners to take useful steps before each operation on a patient with these factors, with a view to preventing or managing POC.