The Factors associated with Systemic Inflammatory Response Syndrome 72 hours after Major Abdominal Surgery

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Permpen Noitun
Teeranut Harnirattisai
Chatchai Mingmalairak
Siriluck Kaewsriwong


This research of a descriptive design, aimed at studying the factors associated with systemic inflammatory response syndrome (SIRS) 72 hours after major abdominal surgery. Patients that had received major abdominal surgery were used in the study, and a total of 102 patients that met the inclusion criteria were studied. Data were collected between January and November, 2016. The instruments used were: 1) a Demographic Questionnaire; 2) a Pre-operative Physical Status Assessment; 3) the Nutrition Risk Index; 4) the Self-rating Anxiety Scale; 5) Surgical APGAR Scores; 6) Systemic Inflammatory Response Syndrome Scores and 7) a Postoperative Complication Form. The data were analyzed using descriptive statistics and Spearman’s rank correlation coefficient. The samples were males at 56.90% with an average age of 61.47 years (SD=13.25). The surgery treatments were gastrointestinal surgery at 55.90% and liver and biliary tract surgery at 44.10%. SIRS was found to occur in the patients postoperatively at a percentage of 55.90, 44.10, and 40.20 at 24, 48, and 72 hours after surgery respectively. Preoperative physical status and intraoperative status were found to be statistically significantly associated with SIRS within 72 hours. Nurses and healthcare teams can apply these findings to improve the quality of clinical nursing care, especially for monitoring SIRS and the factors related to pre-operative, and intraoperative postoperative phase in order to prevent life-threatening complications.
Keywords: Systemic inflammatory response syndrome, Nutrition, Anxiety, Intraoperative status, Major abdominal surgery


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Noitun P, Harnirattisai T, Mingmalairak C, Kaewsriwong S. The Factors associated with Systemic Inflammatory Response Syndrome 72 hours after Major Abdominal Surgery. Rama Nurs J [Internet]. 2017Sep.1 [cited 2020Apr.4];23(3):269-83. Available from:


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