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在埃塞俄比亚沃莱塔苏多教学和转诊医院接受手术的患者中,术后死亡率及相关因素的研究。

Magnitude of post-operative mortality and associated factors among patients who underwent surgery in Wolaita Sodo teaching and referral hospital, SNNPR region, Ethiopia.

机构信息

School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

出版信息

Afr Health Sci. 2021 Dec;21(4):1842-1848. doi: 10.4314/ahs.v21i4.42.

Abstract

BACKGROUND

Each year 4.2 million people around the world die within 30 days of surgery and postoperative deaths account for 7.7 % of all deaths. So this study aimed to asses' magnitude of postoperative mortality and associated factors among patients who underwent surgery in Wolaita Sodo University Teaching referral Hospital.

METHOD

Retrospective cross sectional design was carried out from April 15-30 2019. Card review was done on 384 participants by using Systematic sampling technique. Entered to Epi Data; exported to SPSS for analysis. Variables with p-value < 0.25 in bivariate analysis were entered to multivariate logistic regression. Statistical significance is determined at p-value < 0.05.

RESULTS

The magnitude of postoperative mortality was 5.7%. Using surgical check list (AOR= 0.18; 95% CI 0.05 to 0.61), having comorbid condition (AOR= 4.45; 95% CI 1.39 to 14.19), and don't having blood transfusion (AOR= 0.07; 95% CI 0.02 to 0.22) and general anesthesia (AOR= 4.37; 95% CI 1.17 to 16.30) are factors of post-operative mortality.

CONCLUSION

The magnitude of postoperative mortality was high. Surgical check list, comorbidity, blood transfusion and general anesthesia are factors. The hospital should encourage using of surgical check list and work on comorbid patients to decrease the mortality.

摘要

背景

全球每年有 420 万人在手术后 30 天内死亡,术后死亡占所有死亡人数的 7.7%。因此,本研究旨在评估在沃莱塔索多大学教学转诊医院接受手术的患者的术后死亡率及其相关因素。

方法

回顾性横断面设计于 2019 年 4 月 15 日至 30 日进行。通过系统抽样技术对 384 名参与者进行病历回顾。将变量输入 EpiData,导出到 SPSS 进行分析。在双变量分析中 p 值<0.25 的变量被纳入多变量逻辑回归。以 p 值<0.05 为统计学意义。

结果

术后死亡率为 5.7%。使用手术检查表(AOR=0.18;95%CI 0.05 至 0.61)、合并症(AOR=4.45;95%CI 1.39 至 14.19)、未输血(AOR=0.07;95%CI 0.02 至 0.22)和全身麻醉(AOR=4.37;95%CI 1.17 至 16.30)是术后死亡的因素。

结论

术后死亡率较高。手术检查表、合并症、输血和全身麻醉是术后死亡的因素。医院应鼓励使用手术检查表,并针对合并症患者开展工作,以降低死亡率。

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