Risk factors associated with enterocutaneous fistula in colostomy in a General Hospital in Ica, Peru

Abstract

Objective:To determine the risk factors associated with enterocutaneous fistula in colostomy, Hospital Santa María del Socorro 2020-2022.Methodology:Quantitative, observational, analytical, correlational, cross-sectional, and retrospective study design. Results: We established that, of the 115 patients studied, 15 presented with enterocutaneous fistula in colostomy, considering both sexes and all ages. The frequency of enterocutaneous fistula in colostomy was 13.00% of the total patients studied. 46.67% presented with hypoalbuminemia, 40.00% presented with ASA IV, 93.33% presented with sepsis, 60.00% presented with drainage use, 80.00% presented with cancer, 80.00% presented with intestinal disease, and 20.00% presented with tuberculosis. The anthropometric characteristics of the patients according to age were: 4.35% were under 18 years old, 9.57% were 18 to 40 years old, 27.83% were 41 to 60 years old, 40.87% were 61 to 80 years old, and 17.39% were over 80 years old. Regarding sex, 40.00% were male, while 60.00% were female. According to BMI, 11.30% of patients suffered from obesity, 44.35% had normal weight, and 44.35% were overweight. The high-flow risk factors in patients with enterocutaneous fistula in colostomy were identified as hypoalbuminemia OR=10.063; ASA IV OR=8.857; sepsis OR=73.500; drainage use OR=15.167; and cancer OR=24.750.Conclusions: The main results of the risk factors associated with enterocutaneous fistula in colostomy established that hypoalbuminemia OR=10.063; ASA IV OR=8.857; sepsis OR=73.500; drainage use OR=15.167; cancer OR=24.750, tuberculosis OR=6.000; and intestinal disease OR=6.000, were significant. In addition to age greater than 61 years and overweight.