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埃塞俄比亚围手术期死亡率的发生率及预测因素：一项系统评价与荟萃分析

Incidence and predictors of perioperative mortality in Ethiopia: a systematic review and meta-analysis.

作者信息

Yetneberk Tikuneh, Teshome Diriba, Tiruneh Abebe, Dersesh Yohannes A, Getachew Nega, Gelaw Moges, Firde Meseret

机构信息

Department of Anesthesia, Debre Tabor University, Debre Tabor, Ethiopia.

School of Medicine, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

BMC Anesthesiol. 2025 Apr 26;25(1):214. doi: 10.1186/s12871-025-03093-z.

DOI:10.1186/s12871-025-03093-z
PMID:40287616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12034119/
Abstract

INTRODUCTION

The Lancet Commission on Global Surgery highlights perioperative mortality rate (POMR) as a key indicator of a nation's surgical system effectiveness. While POMR is often measured in high-income countries, it is less studied in low- and middle-income countries (LMICs). This study aims to assess the POMR and its predictors in Ethiopia.

METHODS

We conducted a thorough literature search across PubMed/MEDLINE, Embase, Web of Science, Scopus, and Google Scholar for studies from Ethiopia between 2019 and 2023 reporting POMR for various surgical procedures. Data were extracted in duplicate from eligible studies. We used random-effects meta-analysis to pool estimates of POMR and its predictors.

RESULTS

The meta-analysis revealed a POMR of 5.36%. Identified predictors of perioperative mortality in Ethiopia included older age, comorbidities, ICU admission, and an ASA physical status classification of III or higher and emergency surgeries.

CONCLUSION

Ethiopia's perioperative mortality rate is significantly high. Improving surgical care quality and safety, along with expanding access to surgical services, is crucial for bettering surgical outcomes in the country.

摘要

引言

《柳叶刀》全球外科委员会强调围手术期死亡率（POMR）是衡量一个国家外科系统有效性的关键指标。虽然围手术期死亡率在高收入国家经常得到测量，但在低收入和中等收入国家（LMICs）的研究较少。本研究旨在评估埃塞俄比亚的围手术期死亡率及其预测因素。

方法

我们在PubMed/MEDLINE、Embase、科学网、Scopus和谷歌学术上对2019年至2023年间埃塞俄比亚报告各种外科手术围手术期死亡率的研究进行了全面的文献检索。从符合条件的研究中重复提取数据。我们使用随机效应荟萃分析来汇总围手术期死亡率及其预测因素的估计值。

结果

荟萃分析显示围手术期死亡率为5.36%。在埃塞俄比亚确定的围手术期死亡预测因素包括年龄较大、合并症、入住重症监护病房、ASA身体状况分类为III级或更高以及急诊手术。

结论

埃塞俄比亚的围手术期死亡率显著较高。提高手术护理质量和安全性，以及扩大手术服务的可及性，对于改善该国的手术结果至关重要。

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