Perioperative medicine & outcomes
Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience
Authors' 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.
Study context
- Population
- Patients admitted to surgical wards or ICU who underwent surgical interventions at the largest academic medical centre in Ethiopia
- Participants
- 3,295 patients
- Exposure
- Emergency vs elective surgery
- Outcome
- Perioperative mortality rate
- Follow-up
- 30 days
Methodological detailssingle-centre, institutional
- Single-centre
- Institutional
Main finding
As reported in the abstract
30-day perioperative mortality
Died within 30 days of surgery (of 3295 patients evaluated)
148
4.5%
Observational data: associations, not effects.
Further findings
| Outcome | Fold higher rate | P value |
|---|---|---|
| Mortality, emergency vs elective surgery · 30 daysMore than a twofold higher mortality rate | P < 0.001 | |
| Death within 7 days of surgery, emergency vs elective | 2.6 | p value of 0.02 |
| Death within 72 h of surgery, ASA ≥3 (subgroup) | 1.7 | p value of 0.015 |
Timing of perioperative deaths · 7th postoperative day
- Proportion of perioperative mortality already occurred
- 69.5%
Cause of death: septic shock
- Septic shock contributed to deaths
- 54.2%
Original publication
Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience. Perioper Med (Lond). Published 16 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →