Surgical, Obstetric, and Anesthetic Mortality Measurement at a Ugandan Secondary Referral Hospital
View/ Open
Date
2021Author
Firth, Paul G.
Mushagara, Rhina
Musinguzi, Nicholas
Liu, Charles
Boatin, Adeline A.
Mugabi, Walter
Kayaga, Dorothy
Naturinda, Phionah
Twesigye, Deus
Sanyu, Frank
Mugyenyi, Godfrey Rwambuka
Ngonzi, Joseph
Ttendo, Stephen S.
Metadata
Show full item recordAbstract
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. (Anesth Analg 2021; 133:1608–16)
Collections
- Research articles [181]