Factors Associated with Postoperative Mortality in the General Surgery Department of Ignace Deen Hospital of Conakry University Hospital

Abstract

Introduction:The aim of this study was to analyze the prevalence and factors associated with Postoperative Mortality (POM) in the general surgery department of the Ignace Deen hospital of the Conakry University Hospital. Material and methods:This was a Four-month prospective cohort (September to December 2018) conducted in the general surgery department of the Ignace Deen hospital of the Conakry University Hospital. The patients were divided into groups of "deceased" and "alive" postoperatively. The qualitative and quantitative variables were compared in these two groups. The univariate logistic regression then the multivariate one was carried out.Results: a series of 399 operated on was included in the analysis. The median age was 26 years (P25=18; p75=42). The prevalence of postoperative mortality was 3.5% (95% CI : 1.8 -5.5) . multivariate analysis by logistic regression, two factors associated with postoperative mortality were identified: advanced age ≥ 60 years (OR: 9.8; CI: 2.5 -37.7) and resection of small bowel loops ( OR: 8.3; CI: 1.3 -52.4). Conclusion :The analysis of mortality factors in this study allowed us to note a high risk of postoperative mortality in patients of advanced age and in those in whom a small intestinal resection had been performed.Improving the surgical prognosis will require the identification of mortality factors and their adequate management.