Mortality Pattern in Surgical Wards of a University Teaching Hospital in Southwest Nigeria: A Review
- PDF / 181,470 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 109 Downloads / 203 Views
Mortality Pattern in Surgical Wards of a University Teaching Hospital in Southwest Nigeria: A Review Babatunde A. Ayoade • Lateef O. Thanni Olatunji Shonoiki-Oladipupo
•
Published online: 11 December 2012 Ó Socie´te´ Internationale de Chirurgie 2012
Abstract Background There are many reports from different parts of the world addressing different aspects of surgical mortality. There are few reports from our country, however, and most of them have dealt with mortality in the emergency room. The aim of this study was to determine the prevalence of mortality associated with surgical care and the trends in prevalence of surgical mortality. We used our results as benchmarks to identify areas of improvement. Methods The records of all patients who died during admission for surgical care in Olabisi Onabanjo Teaching Hospital Sagamu between January 2006 and December 2010 were studied retrospectively. Relevant data were extracted, including demographics, surgical diagnosis, co-morbid conditions, length of hospital stay, surgical procedure performed, outcome of treatment, and date of death. Results were analyzed with Statistical Package for Social Sciences version 15. Results The total admission in the surgical wards for 2005–2010 was 5,444, with a total of 2,217 surgical operations carried out during the same period. There were 277 (5.09 %) deaths (165 male and 112 female patients). Of 277 deaths, only 170 case notes (61 %) were available for review. Primary causes of death were classified as cancer (50 deaths, 29.4 %), trauma (66, 38.8 %), infection/inflammatory (16, 9.4 %), and other (38, 22.4 %). Surgical operations were performed in 60 (35.3 %) of the patients who died. No surgery was done in 110 (64.7 %) of those who died. Conclusions The pattern of surgical mortality is not directly related to surgical procedures as most of the deaths B. A. Ayoade (&) L. O. Thanni O. Shonoiki-Oladipupo Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria e-mail: [email protected]
123
occurred in the nonoperative care group. Trauma-associated deaths topped the list.
Introduction About 234 million surgical procedures are carried out annually worldwide with some mortality. Approximately 4,000 procedures per 100,000 population in many countries and up to 11,000 procedures per 100,000 population are carried out in high-volume countries [1]. Mortality during surgical care may result directly from the pathologic process necessitating surgical care, as a complication of a surgical procedure and anesthesia, or other co-morbid factors. Delay in diagnosis and treatment, medical and surgical errors, lack of expertise, and inadequate or limited health care facilities may contribute significantly to mortality during surgical care in the developing world. A study of the mortality pattern can help bridge knowledge gaps in a particular surgical setting and can identify areas of care that require more education, practice modification, and/or policy formulation. In-hospital surgical mortality is t
Data Loading...
