DOI: https://doi.org/10.36347/sasjm.2026.v12i04.005

Pages: 261-265

Objective: The objective was to study postoperative complications in the Intensive Care Unit (ICU) of Gabriel Touré University Hospital. Methodology: This was a descriptive, analytical study with prospective data collection covering a 12-month period from April 1, 2023, to March 31, 2024. Patients admitted to the ICU who developed a postoperative complication were included in the study. Data were analyzed using SPSS software version 20.0. The analysis was performed in Microsoft Office Excel 2020, and the document was created in Microsoft Office Word 2020. The Chi-square test was used, with a significance level set at P<0.05. Results: Out of 602 patients admitted to the ICU, 297 underwent surgical interventions, among whom 123 experienced postoperative complications, representing a frequency of 41.4%. The male-to-female sex ratio was 1.08. The most represented age group was 21 to 40 years, with an average age of 28.8 ± 14.9 years. The most frequent comorbidities were arterial hypertension (17.07%) and duodenal ulcers (5.6%). Peritonitis was the most common indication for surgery, with a frequency of 17.88%, followed by hemoperitoneum (13%). Hemodynamic instability was the most frequent reason for ICU admission, representing 25.2% of cases. Digestive surgery accounted for 44.7% of patients. At least one adverse perioperative event occurred in 47.2% of patients, with hypotension being the most frequent (65% of cases). General anesthesia was the most commonly used type (97.3% of cases). Renal complications were the most frequently observed, found in 43.9% of patients. Additionally, 39% of patients were classified as Grade I according to the Clavien-Dindo classification. Age, ASA classification (ASA3 and 4), and the Altemeier classification (Altemeier IV) were identified as risk factors. The prognosis of the patients was linked to the Altemeier classification as well as the nature and severity of the complications encountered. Although the overall outcome was favorable f