赞比亚的围手术期死亡率。
Perioperative mortality in Zambia.
作者信息
Heywood A J, Wilson I H, Sinclair J R
机构信息
Department of Surgery, University Teaching Hospital, Lusaka, Zambia.
出版信息
Ann R Coll Surg Engl. 1989 Nov;71(6):354-8.
An audit of 10,592 consecutive operations performed during 7 months in a central African teaching hospital is presented. Eighty deaths occurred within 6 days of operation, an overall mortality rate (OMR) of 7.55 per 1000 operations. Deaths are classified as avoidable or unavoidable. Avoidable deaths are those for which there was evidence of mismanagement of a type and degree sufficient to account for the death. There were 35 avoidable deaths, an avoidable mortality rate (AMR) of 3.3 per 1000 operations. Avoidable factors which contributed to death are classified as surgical, anaesthetic, and administrative. Surgery and anaesthesia at this hospital are described, and possible means of decreasing avoidable mortality discussed. The value of combined anaesthetic and surgical audit is emphasised.
本文介绍了对一家中非教学医院7个月内连续进行的10592例手术的审计情况。80例患者在术后6天内死亡，总死亡率（OMR）为每1000例手术7.55例。死亡分为可避免和不可避免两类。可避免死亡是指有证据表明存在足以导致死亡的某种类型和程度的管理不善情况。有35例可避免死亡，可避免死亡率（AMR）为每1000例手术3.3例。导致死亡的可避免因素分为手术、麻醉和管理方面的因素。文中描述了该医院的手术和麻醉情况，并讨论了降低可避免死亡率的可能方法。强调了联合麻醉和手术审计的价值。
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