Dje Bi Dje-Assi Valerie, Amouzou Komla Sena, Kaba Lanciné, Allah Konan Christophe
From the Service de Chirurgie Plastique Reconstructrice et Esthétique, Chirurgie de la main et de Brulologie du CHU de Treichville, Abidjan, Cote d'Ivoire.
Department of Surgery, University of Lomé, Sylvanus Olympio Teaching Hospital, Lomé, Togo.
Plast Reconstr Surg Glob Open. 2025 Aug 22;13(8):e7050. doi: 10.1097/GOX.0000000000007050. eCollection 2025 Aug.
In Africa, there has been limited research on audits in plastic surgery (PS). This study analyzed key performance indicators from the PS department at the University Hospital of Treichville in Abidjan, Ivory Coast.
A retrospective analysis was conducted on 568 patient files collected between January 2018 and May 2019 (17 mo). The variables assessed included demographic profiles; clinic data (recruitment methods, treatment decisions); ward metrics (number of hospital days, average length of stay, average bed occupancy rate); emergency cases (conditions and surgery); elective procedures (number of postponed cases, number of revision procedures, postoperative outcomes); and outpatient wound care (number of dressings, outcomes).
A total of 568 patients were included in the study: 370 men (65.14%) and 198 women (34.85%), yielding a sex ratio of 1.86 to 1. The mean age was 41.78 years (range: 1-80 y). Conditions treated included skin and soft tissue defects (n = 323) and hand trauma or congenital conditions (n = 241). Surgery was performed on 406 of the 568 (71.47%) patients, including 276 elective (67.98%) and 130 emergency cases (32.02%). The average length of hospital stay was 9.9 days, with a bed occupancy rate of 40.8%. Uneventful outcomes were recorded for 368 of 383 (96.08%) patients, with 1 inpatient death. A total of 112 consultations were provided to other departments.
The audits of our PS activities highlighted the need for structured data collection. Evaluation of sociodemographic factors, patient conditions, organizational metrics, and key performance indicators identified areas for improvement.
在非洲，关于整形手术（PS）审计的研究有限。本研究分析了科特迪瓦阿比让特雷什维尔大学医院整形手术科室的关键绩效指标。
对2018年1月至2019年5月（17个月）收集的568份患者档案进行回顾性分析。评估的变量包括人口统计学资料；临床数据（招募方法、治疗决策）；病房指标（住院天数、平均住院时间、平均床位占用率）；急诊病例（病情和手术）；择期手术（延期病例数、修复手术数、术后结果）；以及门诊伤口护理（换药次数、结果）。
本研究共纳入568例患者：男性370例（65.14%），女性198例（34.85%），性别比为1.86:1。平均年龄为41.78岁（范围：1 - 80岁）。治疗的病情包括皮肤和软组织缺损（n = 323）以及手部创伤或先天性疾病（n = 241）。568例患者中有406例（71.47%）接受了手术，其中276例为择期手术（67.98%），130例为急诊手术（32.02%）。平均住院时间为9.9天，床位占用率为40.8%。383例患者中有368例（96.08%）预后良好，1例住院死亡。共向其他科室提供了112次会诊。
我们对整形手术活动的审计突出了结构化数据收集的必要性。对社会人口学因素、患者病情、组织指标和关键绩效指标的评估确定了需要改进的领域。
