dc.contributor.author | Firth, Paul G. | |
dc.contributor.author | Mushagara, Rhina | |
dc.contributor.author | Musinguzi, Nicholas | |
dc.contributor.author | Liu, Charles | |
dc.contributor.author | Boatin, Adeline A. | |
dc.contributor.author | Mugabi, Walter | |
dc.contributor.author | Kayaga, Dorothy | |
dc.contributor.author | Naturinda, Phionah | |
dc.contributor.author | Twesigye, Deus | |
dc.contributor.author | Sanyu, Frank | |
dc.contributor.author | Mugyenyi, Godfrey Rwambuka | |
dc.contributor.author | Ngonzi, Joseph | |
dc.contributor.author | Ttendo, Stephen S. | |
dc.date.accessioned | 2022-05-18T08:59:32Z | |
dc.date.available | 2022-05-18T08:59:32Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Firth, P. G., Mushagara, R., Musinguzi, N., Liu, C., Boatin, A. A., Mugabi, W., ... & Ttendo, S. S. (2021). Surgical, Obstetric, and Anesthetic Mortality Measurement at a Ugandan Secondary Referral Hospital. Anesthesia & Analgesia, 133(6), 1608-1616. | en_US |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1954 | |
dc.description.abstract | 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) | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Anesthesia & Analgesia | en_US |
dc.subject | Obstetric | en_US |
dc.subject | Anesthetic Mortality | en_US |
dc.subject | Surgical diseases | en_US |
dc.subject | Health care systems | en_US |
dc.title | Surgical, Obstetric, and Anesthetic Mortality Measurement at a Ugandan Secondary Referral Hospital | en_US |
dc.type | Article | en_US |