Surgical inpatient mortality in a Nigerian Tertiary Hospital

On, Ekeke; Okonta, Kelechi E.; Igwe, PO

doi:10.4103/1119-3077.179286

Cited by 13 publications

(8 citation statements)

References 11 publications

(17 reference statements)

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“…It also aids in judicious allocation of scarce resources in terms of manpower and equipment. 9 The World Health Organization (WHO) defined POMR as death…”

Section: Introductionmentioning

confidence: 99%

“…It also aids in judicious allocation of scarce resources in terms of manpower and equipment. 9 The World Health Organization (WHO) defined POMR as death occurring after a surgical and anesthesia procedure at two time periods: the first period is on the day of surgery (including death in operating theater), and the second period either before discharge from hospital or within 30 days of operation. 1 10–12 …”

Section: Introductionmentioning

confidence: 99%

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Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

Talabi

Ojo

Aaron

et al. 2021

World Jnl Ped Surgery

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BackgroundPerioperative mortality is one of the tools that can help to assess the adequacy of healthcare delivery in a nation. This audit was conducted to determine the 24-hour, 7-day and 30-day perioperative mortality rates and the predictors of mortality in a pediatric surgical cohort.MethodsThis was a prospective study of children whose ages ranged from a few hours to 15 years and who were operated on between May 2019 and April 2020. The primary outcome was to determine the incidence of in-hospital perioperative mortality.ResultsA total of 530 procedures were done in 502 children. Their ages ranged from a few hours to 15 years with a median of 36 months. The 24-hour, 7-day and 30-day mortality rates were 113.2 per 10 000 procedures [95% confidence interval (CI) =40 to 210], 207.6 per 10 000 procedures (95% CI=110 to 320) and 320.8 per 10 000 procedures (95% CI=190 to 470), respectively. Congenital anomalies complicated by postoperative sepsis contributed to death in the majority of cases. The predictors of mortality were neonatal age group [adjusted odds ratio (AOR)=19.92, 95% CI=2.32 to 170.37, p=0.006], higher American Society of Anesthesiologists Physical Status III and above (AOR=21.6, 95% CI=3.05 to 152.91, p=0.002), emergency surgery (AOR=17.1, 95% CI=5.21 to 60.27, p=0.001), congenital anomalies (AOR=12.7, 95% CI=3.37 to 47.52, p=0.001), and multiple surgical procedures (AOR=9.7, 95% CI=2.79 to 33.54, p=0.001).ConclusionPerioperative mortality remains high in our institution.

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“…It also aids in judicious allocation of scarce resources in terms of manpower and equipment. 9 The World Health Organization (WHO) defined POMR as death…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

Talabi

Ojo

Aaron

et al. 2021

World Jnl Ped Surgery

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“…This finding is however lower than the global estimate of genitourinary injury at 10%. A 5-year audit of 527 deaths at a teaching hospital in Nigeria showed that trauma was the commonest cause of mortality (41.8%), and urological causes accounted for 6% of mortality[ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

Cassell¹,

Manobah²

2021

WJCCM

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BACKGROUND Trauma is a major cause of morbidity globally and the sixth leading cause of death, accounting for 10% of all mortalities. The genitourinary trauma is estimated for approximately 10% of all patients presenting with trauma, and the kidney is the most injured genitourinary organ globally. However, there is a paucity of data on genitourinary injury from the Sub-Saharan, and there may be variations from common genitourinary organs injured in developed nations. AIM To provide insight on the epidemiology and management of genitourinary trauma in Sub-Saharan Africa with recommendations based on international guidelines. METHODS A thorough literature search of genitourinary trauma was conducted using PubMed, Google Scholar and African Journal Online. RESULTS A total of 30 studies from the Sub-Saharan region were eligible for the study and reviewed for epidemiology, biodata, types of injury, mechanisms of injury, treatment and follow-up. After evaluating 21904 patients presenting with urological emergencies, approximately 6.6% of cases were due to genitourinary trauma. The commonest injury was urethral 42.9% (22.2-62.2%) followed by injury to the external genitalia (penis, scrotum, testes) 25.1% (8.8-67.7%). CONCLUSION Genitourinary injury in Sub-Saharan Africa is underreported, and the presence of more trauma registries, trained urologists and trauma facilities could improve the overall standard of care as well as providing data for research and development in the field.

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“…This failure is attributable to a multiplicity of health systemrelated, political and systemic challenges including high levels of corruption among the leadership echelon of Nigeria, incessant strikes in the health sector and interprofessional rivalry among the health workers as well as unabating high incidence of kidnapping and insurgency attacks. Previous mortality reports from UPTH were limited either in the time frame or scope especially given the cosmopolitan settlement pattern of Port Harcourt (George et al, 2009;Unachukwu et al, 2008;Ekeke et al, 2016;Onwuchekwa et al, 2008). This study obviates these limitations inherent in the previous local studies and presents the current pattern and trend of mortality at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.…”

Section: Introductionmentioning

confidence: 86%

Cause specific and trends of mortality in Nigeria: A six-year study of a tertiary hospital

Obiorah¹

2020

Int. J. Med. Med. Sci.

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Surgical inpatient mortality in a Nigerian Tertiary Hospital

Abstract: Trauma and cancer constitute a great deal of health burden in our region. Strong legislation and screenings with timely interventions are required.

Cited by 13 publications

References 11 publications

Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

Management of genitourinary trauma – current evaluation from the Sub-Saharan region: A systematic review

Cause specific and trends of mortality in Nigeria: A six-year study of a tertiary hospital

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