Erhebungen zur kausalen perioperativen MortalitätVersuch einer deutschen „CEPOD-Studie”*,**

Fichtner, K.; Dick, W.

doi:10.1007/s001010050419

Cited by 14 publications

(5 citation statements)

References 17 publications

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“…Furthermore, Ethiopian studies have shown a POMR rate ranging between 3.4% and 4.6% (Davies et al 2016 ; Dugani et al 2017 ). Our findings concur with both the national and regional findings, in that the POMR is higher than that of HIC, but equivalent to the regional figures (Fichtner and Dick 1997 ). In LIC, 40% of the POMR is reported to be attributed to facility-based resource factors such as postoperative care infrastructure and cancer care pathway, while the rest is attributed to patient factors (GlobalSurg Collaborative and National Institute for Health Research Global Health Research Unit on Global Surgery 2021 ).…”

Section: Discussionsupporting

confidence: 91%

Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience

Degu,

Kejela,

Zeleke

2023

Perioper Med

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Background The perioperative mortality rate is an indicator of access to safe anesthesia and surgery. Studies showed higher perioperative mortality rates among low- and middle-income countries. But the specific causes and factors contributing to perioperative death have not been adequately studied in the Ethiopian context. Methods This is a retrospective institutional study of the largest academic medical center in Ethiopia. Data of all patients who were admitted to surgical wards or intensive care and underwent surgical interventions were evaluated for perioperative mortality rate determination. All mortality cases were then evaluated in depth. Results Of the 3295 patients evaluated, a total of 148 patients (4.5%) died within 30 days of surgery. By the 7th postoperative day, 69.5% of the perioperative mortality had already occurred. Septic shock contributed to 54.2% of deaths. Emergency surgery patients had more than a twofold higher mortality rate than elective surgery patients (p value < 0.001) and had a 2.6-fold higher rate of dying within 7 days of surgery (p value of 0.02). Patients with ASA performance status of 3 or more had a 1.7-fold higher rate of death within 72 h of surgery (p value of 0.015). Conclusion More than two thirds of patients died within 7 postoperative days. More emergency patients died than elective counterparts, and emergency cases had a higher rate of dying within 7 days of surgery. Poor ASA performance score was associated with earlier postoperative death. Further prospective multi-institutional studies are warranted to elucidate the factors that contribute to higher postoperative mortality in low-income country patients.

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Section: Discussionsupporting

confidence: 91%

Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience

Degu,

Kejela,

Zeleke

2023

Perioper Med

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“…Cardiac arrhythmias appear to be rather frequent in humans after surgery but are rarely life-threatening (Vicenzi 2000). Fichtner and Dick (1997) state that cardiac arrhythmias are primarily observed in human medicine during the phase after surgery. However, Hines and others (1992) describe nausea and vomiting as the most frequent complications after surgery, followed by disorders of the upper respiratory tract and hypotension.…”

Section: Discussionmentioning

confidence: 99%

“…This discrepancy in the frequency of complications after surgery can be explained by the fact that different patients were grouped together. In the study by Fichtner and Dick (1997), nearly half of the patients were placed in a highrisk group due to their physical condition and surgery was frequently carried out on abdominal organs. There were also cases of accident and vascular surgery carried out under anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

Incidence of post‐anaesthetic arrhythmias in dogs

Buhl

Kersten

Krämer

et al. 2005

J of Small Animal Practice

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“…Leider gibt es keine aktuellen und repräsentativen Mortalitätsdaten aus Deutschland selbst. ¾ltere Untersuchungen in der geburtshilflichen Anästhesie [5] oder bei begrenzten Patientenkollektiven [6] legen jedoch nahe, dass der Anteil der Anästhesie als Todesursache in Deutschland nicht wesentlich anders sein dürfte als in anderen entwickelten Ländern.…”

Section: 1unclassified

Anästhesie heute

Blobner¹,

Kochs²

2003

Anasthesiol Intensivmed Notfallmed Schmerzthe

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Anaesthesia today is a cross-over of all medical sub-specialities, based on a stable scientific fundament and a high margin of safety. Anaesthetic techniques are sophisticated and enable a differentiated treatment of pre-, intra- and post-operative medical demands. The physician-patient-relationship and the patients' satisfaction are main aspects of peri-operative care by anaesthetists even in the area of conflict by economic pressure. Nonetheless, the credit to anaesthetists given by physicians and also by the general public is inadequate resulting in difficulties to recruit a sufficient percentage of the decreasing number of aspiring physicians. This could be prevented by an improved medical school and training. Anaesthesiologists in science address either fundamental questions as to mechanisms of anaesthesia and epidemiological aspects of peri-operative medicine.

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Erhebungen zur kausalen perioperativen MortalitätVersuch einer deutschen „CEPOD-Studie”*,**

Cited by 14 publications

References 17 publications

Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience

Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience

Incidence of post‐anaesthetic arrhythmias in dogs

Anästhesie heute

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