Perioperative medicine & outcomes
Risk-Adjustment of Perioperative Mortality Rate Measurement in a Low-Income Country
Authors' conclusion
Laparotomy had a strong independent association with mortality at a Ugandan secondary hospital.
Study context
- Population
- Surgical operations at a Ugandan secondary referral hospital
- Participants
- 7,170 operations
- Outcome
- In-hospital perioperative mortality
- Follow-up
- 30 days
Methodological detailssingle-centre, 42-month
- Single-centre
- 42-month
Main finding
As reported in the abstract
30-day perioperative mortality rate
- 30-day perioperative mortality rate (381/7170)
- 5.3 %
- Laparotomy, aOR (95% CI 1.6, 4.3), P < .001 (procedure P < .001)
- 2.6
- Cranial surgery, aOR (95% CI 1.6, 4.9), P < .001
- 2.8
- American Society of Anesthesiologists (ASA) rating, aOR (95% CI 2.6, 3.6), P < .001
- 3.1
- HIV positive, aOR (95% CI 1.5, 4.8), P < .001 (HIV serostatus P < .001)
- 2.7
- Urgent/emergent procedure, aOR (95% CI 1.2, 2.3), P = .003
- 1.7
- Distant referral home district, aOR (95% CI 1.0, 1.9), P = .027 (home district P = .015)
- 1.4
- Age decile, aOR (95% CI 1.0,1.2), P = .001
- 1.1
Observational data: associations, not effects.
Further findings
Laparotomy share of procedures and deaths
- Laparotomy procedures (commonest)
- 2361
- Deaths associated with laparotomy (216/381)
- 56.3%
Original publication
Risk-Adjustment of Perioperative Mortality Rate Measurement in a Low-Income Country. Anesth Analg. Published 14 November 2025. doi:10.
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