Department of Otolaryngology, Imo State University Teaching Hospital, PMB 8, Orlu Imo State, Nigeria.
Int J Surg. 2010;8(5):381-3. doi: 10.1016/j.ijsu.2010.05.010. Epub 2010 Jun 9.
To identify deaths in the surgical wards, elicit the cause of death and suggest changes that will ensure improved surgical care of patients and outcome.
Retrospective.
Records collected from the theatre operation registers, ward registers and case notes of all patients who were admitted into the surgical wards Federal Medical Centre, Owerri whether elective or emergency from January 1997 to December 2001 were reviewed. Data extracted included date of admission, age, sex, educational status, residence; surgical diagnosis and clinical cause of death Data obtained were analyzed and presented in tabular and descriptive forms.
There were 4583 surgical admissions in all the surgical wards of which males were 2751 and females 1832. During this period there were 419 deaths with an overall death per admission crude mortality rate of 9.14%. The leading causes of death were acute abdomen (22.20%), RTA with head injury (18.14%) and malignances (14.56%). Of the 419 deaths males were 305 (72.79%) and females 114 (27.21%) in a ratio of 2.68:1.
Aggressive enlightenment and healthcare campaigns, health education, improvement of healthcare facilities and accessibility to healthcare facilities are highlighted. Structured study in the management of surgical cases is emphasized.
确定外科病房的死亡人数，找出死亡原因，并提出改进措施，以确保提高外科患者的护理水平和治疗效果。
回顾性研究。
从手术室操作登记簿、病房登记簿和 1997 年 1 月至 2001 年 12 月期间所有入住联邦医疗中心外科病房的患者（包括择期和急诊）的手术记录和病历中收集记录。提取的数据包括入院日期、年龄、性别、教育程度、居住地、手术诊断和临床死亡原因。所获得的数据以表格和描述性形式进行分析和呈现。
所有外科病房共有 4583 例外科手术，其中男性 2751 例，女性 1832 例。在此期间，共有 419 例死亡，总入院死亡率为 9.14%。主要死亡原因是急性腹痛（22.20%）、伴有头部损伤的 RTA（18.14%）和恶性肿瘤（14.56%）。419 例死亡中，男性 305 例（72.79%），女性 114 例（27.21%），男女比例为 2.68:1。
强调了积极的宣传和医疗保健运动、健康教育、改善医疗设施和增加医疗设施的可及性。强调了对外科病例管理的结构化研究。
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