Surgical, Obstetric, and Anesthetic Mortality Measurement at a Ugandan Secondary Referral Hospital
| Autor: | Nicholas Musinguzi, Walter Mugabi, Rhina Mushagara, Godfrey R Mugyenyi, Charles Liu, Phionah Naturinda, Stephen Ttendo, Dorothy Kayaga, Frank Sanyu, Joseph Ngonzi, Deus Twesigye, Paul G. Firth, Adeline A. Boatin |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
medicine.medical_specialty Referral Adolescent Cohort Studies Young Adult Obstetrics and gynaecology Pregnancy Management of Technology and Innovation Health care medicine Humans Anesthesia Uganda Hospital Mortality Child Perioperative Period Secondary Care Centers Perinatal Mortality Aged Aged 80 and over business.industry Mortality rate Age Factors Infant Newborn Infant Reproducibility of Results Perioperative Middle Aged Stillbirth Delivery Obstetric Anesthesiology and Pain Medicine Standardized mortality ratio Maternal Mortality Child Preschool Surgical Procedures Operative Emergency medicine Wounds and Injuries Female Neonatal death business Cohort study |
| Zdroj: | Obstetric Anesthesia Digest. 42:88-89 |
| ISSN: | 0275-665X |
| Popis: | Background The health care systems of low-income countries have severely limited capacity to treat surgical diseases and conditions. There is limited information about which hospital mortality outcomes are suitable metrics in these settings. Methods We did a 1-year observational cohort study of patient admissions to the Surgery and the Obstetrics and Gynecology departments and of newborns delivered at a Ugandan secondary referral hospital. We examined the proportion of deaths captured by standardized metrics of mortality. Results There were 17,015 admissions and 9612 deliveries. A total of 847 deaths were documented: 385 (45.5%) admission deaths and 462 (54.5%) perinatal deaths. Less than one-third of admission deaths occurred during or after an operation (n = 126/385, 32.7%). Trauma and maternal mortality combined with perioperative mortality produced 79.2% (n = 305/385) of admission deaths. Of 462 perinatal deaths, 412 (90.1%) were stillborn, and 50 (10.9%) were early neonatal deaths. The combined metrics of the trauma mortality rate, maternal mortality ratio, thirty-day perioperative mortality rate, and perinatal mortality rate captured 89.8% (n = 761/847) of all deaths documented at the hospital. Conclusions The combination of perinatal, maternal, trauma, and perioperative mortality metrics captured most deaths documented at a Ugandan referral hospital. |
| Databáze: | OpenAIRE |
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