Perioperative mortality: Analysis of 3 years of operative data across 7 general surgical projects of Médecins Sans Frontières in Democratic Republic of Congo, Central African Republic, and South Sudan

Surgery
Jessica F DaviesCono Ariti

Abstract

The African continent has the greatest burden of surgical disability-adjusted life years, yet the least is known about operative care here. This analysis describes the surgical patients admitted to 7 hospitals supported by the Médécins Sans Frontières (MSF) over 3 years in 3 conflict-affected countries-Eastern Democratic Republic of Congo, Central African Republic, and South Sudan. A standardized operative data collection tool was used for routine collection of operative inpatient data between 2011 and 2013 at 7 MSF surgical facilities. Surgical records of 14,482 patients were analyzed to describe surgical epidemiology, major procedures, and perioperative mortality. The perioperative mortality rate (POMR) was calculated within 2 days of admission (POMR2) and within 30 days from admission (POMR30). The POMR is used as a marker of quality of operative care. Caesarean delivery was the most common major procedure performed and had a POMR30 of 5.28 per 1,000 admissions. The overall inpatient mortality was 19.67 per 1,000 admissions. Children had greater POMR than adults for the same procedure types (47.97 vs 15.89 deaths per 1,000 admissions, P < .001); 85.1% of all major procedures were emergency procedures and between 3 and 30% of...Continue Reading

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Citations

Apr 18, 2018·The British Journal of Surgery·M MansouratiM Gerdin Wärnberg
Dec 23, 2017·World Journal of Surgery·Meghan PrinAnthony Charles
Aug 28, 2018·BMJ Global Health·Sabrina JuranVictor A Alegana
May 18, 2020·Pediatric Surgery International·Ameer Al-HadidiNathan Novotny
Aug 21, 2021·Anesthesia and Analgesia·Paul G FirthUNKNOWN Mbarara SQUAD Consortium
Jan 29, 2019·British Journal of Anaesthesia·A TorborgUNKNOWN South African Paediatric Surgical Outcomes Study Investigators

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