Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
World J Surg. 2013 Mar;37(3):504-9. doi: 10.1007/s00268-012-1877-5.
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.
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.
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.
The pattern of surgical mortality is not directly related to surgical procedures as most of the deaths occurred in the nonoperative care group. Trauma-associated deaths topped the list.
世界不同地区有许多关于手术死亡率的不同方面的报告。然而，我们国家的报告很少，而且大多数报告都涉及急诊室的死亡率。本研究旨在确定与外科护理相关的死亡率的流行率，并确定外科死亡率的流行趋势。我们将我们的结果用作基准，以确定需要改进的领域。
回顾性研究了 2006 年 1 月至 2010 年 12 月期间在奥拉比西·奥巴尼琼教学医院萨嘎姆住院接受外科治疗的所有死亡患者的记录。提取了相关数据，包括人口统计学、外科诊断、合并症、住院时间、实施的手术程序、治疗结果和死亡日期。使用社会科学统计软件包 15 版对结果进行分析。
2005-2010 年外科病房的总入院人数为 5444 人，同期共进行了 2217 例外科手术。共有 277 人（5.09%）死亡（165 名男性和 112 名女性患者）。在 277 例死亡中，只有 170 份病历（61%）可用于审查。主要死亡原因分为癌症（50 例死亡，29.4%）、创伤（66 例，38.8%）、感染/炎症（16 例，9.4%）和其他（38 例，22.4%）。在死亡的 60 名患者中进行了手术。在死亡的 110 名患者中，没有进行手术。
手术死亡率的模式与手术程序没有直接关系，因为大多数死亡发生在非手术治疗组。创伤相关死亡人数最多。
