Risk factors affecting the difference of surgery’s wound after emergency laparotomy in H. Adam Malik Hospital Medan-Indonesia

Background: Infections of surgery wound have big impacts on mortality, morbidity, including health care costs, patient discomfort and dissatisfaction of the surgery’s result. Several factors affecting the risk of wound dehiscence are Gender, advanced age ( 50 years), emergency surgery, nutritional deficiencies, duration of surgery and the amount of intraoperative bleeding. Methods: Prospective clinical trials conducted in the Emergency Room and Inpatient of H. Adam Malik Hospital in Medan between May to December 2016. The sample was selected by systematic random sampling. Data processed by descriptive and analytic with univariate, bivariate and multivariate analysis. Results: Patient with wound dehiscence obtained at age 42.35 + 5.8 older than the findings from a patient without wound dehiscence that occurred at age 29.93 + 11.05. The amount of bleeding of the Patient with wound dehiscence was 317.29 + 38.45 cc which more than the findings of patient without wound dehiscence as much as 89.58 + 39.74 cc. Age and obesity become, the more risk factors that play a role of wound dehiscence in patients with emergency laparotomy. Conclusion: There is a difference between risk factors (age, sex, duration of surgery, the amount of bleeding, obesity and applied of subcutaneous drainage) with the occurrence of wound dehiscence in bivariate. Only, Age, and obesity Contributing to the occurrence of wound dehiscence in multivariate.