Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Minimally Invasive Surgery
  •  Gynecological Surgery
  •  General Surgery
  •  Transplant Surgery
  •  Vascular Surgery
  •  Plastic Surgery
  •  Thoracic Surgery
  •  Surgical Oncology

Abstract

Citation: Clin Surg. 2021;7(1):3378.Research Article | Open Access

Audit of Mortality in a University Surgical Unit in a Low-Income Country

Tchangai Boyodi Katanga1*, Alassani Foussen1, Sakiye Kodjo Abossisso2 and Dosseh David Ekoue3

1Department of Visceral Surgery, University of Lomé, Lomé, Togo
2Department of Surgical Emergencies, University of Lomé, Lomé, Togo
3Department of General Surgery, University of Lomé, Lomé, Togo

*Correspondance to: Boyodi Katanga Tchangai 

 PDF  Full Text DOI: 10.25107/2474-1647.3378

Abstract

Objectives: To identify leading and preventable causes of death in a surgical unit of a tertiary care hospital in a low income country. Material and Method: This was a retrospective study covering a period of two years (January 01st, 2018 to December 31st, 2019). Patients who died during hospitalization in the visceral and general surgery department of the Sylvanus Olympio University Hospital in Lomé (Togo) were included. Results: 53 were included, with a mortality rate of 1.92%. The mean age was 51.7 years ± 15.3 (range: 20 to 80 years). Of the patients, 26 were male (sex ratio: 0.96). One or more comorbidities were observed in 21 patients. Of the included patients, 31 who had not undergone surgery died (56.6%). Among these patients, 30 (96.7%) were diagnosed with terminal stage cancer. Death was noted as a post-operative outcome in 22 patients (41.5%). Operations were performed in an emergency context in 18 cases (81.81%). Septic shock was the cause of death in 12 patients (54.4%). The leading factor contributing the death of the surgical patients was ineffective treatment in 18 patients (33.96%). Pre-operative physiological status and treatment delay were involved in respectively 11 (20.75) and 10 cases (18.87). Conclusion: Preventable mortality in this study was essentially limited to surgical patients, and half the patients who died received palliative care. Early management of patients and better treatment decisions should improve the outcome of care and reduce mortality.

Keywords

Cite the article

Katanga TB, Foussen A, Abossisso SK, Ekoue DD. Audit of Mortality in a University Surgical Unit in a Low- Income Country. Clin Surg. 2021; 6: 3378.

Search Our Journal

Journal Indexed In

Articles in PubMed

Risk Factors for Visual Impairment in an Uninsured Population and the Impact of the Affordable Care Act
 PubMed  PMC  PDF  Full Text
RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

IL-36, 37 and 38 in Ulcerative Colitis
 Abstract  PDF  Full Text
Comparison of Two Extended Interbody Fusion Techniques in the Treatment of Adjacent Segment Disease after Transforaminal Lumbar Interbody Fusion: Using Cortical Bone Trajectory Screws vs. Traditional Pedicle Screws Combined with a Novel Domino System
 Abstract  PDF  Full Text
View More...