The Relationship between the Duration of Sudden Abdominal Pain until Surgical Intervention and Gastric Perforation Patient Mortality Rate at RSUD Banten

Abstract

Gastric perforation is caused by damage to the gastric mucosa, leading to peritonitis and requiring emergency surgery. This study aims to determine the relationship between the duration of sudden abdominal pain complaints and the timing of surgical intervention with mortality in patients with gastric perforation at RSUD Banten. The research method used analytical observational study with a cross-sectional design involving 110 patients selected through consecutive sampling. Data were obtained from patient medical records from January to December 2023. The result showed the mortality rate of patients with gastric perforation was 16.4%. Bivariate analysis indicated no significant association between the duration of sudden abdominal pain complaints until surgery (p=0.463) and intraoperative systolic blood pressure (p=0.187) with mortality. However, there was a significant relationship between patient age (p=0.004) and comorbidities (p=0.030) with mortality, where patients aged ≥60 years and those with comorbidities such as heart disease had a higher risk of death. This study highlights the importance of comorbidity management and special attention to elderly patients in order to reduce mortality in cases of gastric perforation.