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Incidence And Determinants Of Postoperative Sore Throat At Mogadishu Somali-Türkiye Recep Tayyip Erdoğan Training And
Abdalla Mohamed Hussein1, Duran Hashi Awale2, Irshad Ibrahim Ali2
1Department of Anesthesiology and Reanimation, Mogadishu Somali Türkiye Training and Research Hospital, Mogadishu, Somalia. abdallemoh@gmail.com.
Background:
Postoperative sore throat (POST) is a common sequela of endotracheal intubation that often contributes to patient dissatisfaction and delayed recovery. The risk profile for POST is complex and is modified by context-specific variables, including clinical practices and patient demographics. A significant knowledge gap exists, as there is a notable absence of epidemiological data regarding the incidence and predictors of POST in Somalia, limiting the ability to implement evidence-informed preventive strategies in this setting.
Aim:
To determine the incidence and identify the associated risk factors of POST among adult patients who underwent general anesthesia with endotracheal intubation at a tertiary care hospital in Mogadishu, Somalia.
Methods:
This hospital-based cross-sectional study was conducted between October and December 2023. This study included 265 adult patients. Data were collected using structured questionnaires and patient interviews 24 h postoperatively. Bivariate and multivariate logistic regression analyses were used to identify independent predictors, with statistical significance set at P < 0.05.
Results:
The overall incidence of POST in the study cohort was 59.2%. Multivariate analysis identified several independent predictors. Significantly higher odds of POST were associated with the 46-60 age group (Adjusted Odds Ratio [AOR] = 20.78, 95% Confidence Interval [CI]: 1.84-234.6), female sex (AOR = 13.32, 95% CI: 2.52-70.48), and Mallampati class II (AOR = 7.63, 95% CI: 1.27-45.88). Procedural factors with markedly increased odds included emergency surgery (AOR = 115.92, 95% CI: 13.20-1017.58), multiple intubation attempts (AOR = 6.17, 95% CI: 1.08-35.41), and nonsupine positioning (AOR = 81.28, 95% CI: 10.80-618.1).
Conclusion:
The incidence of POST was high in this setting. Emergency surgery, nonsupine positioning, female sex, middle age, Mallampati classification, and multiple intubation attempts were significant independent risk factors. These findings provide a clear evidence-based profile of high-risk patients, mandating the development of targeted institutional protocols to reduce the burden of POST and enhance perioperative care.
Trial Registration:
Not applicable.
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