Postoperative complications occurred in 9.0% of patients, with an associated 30-day mortality rate of 1.50%, highlighting critical issues in perioperative care in Ethiopia.
What are the rates of postoperative complications and 30-day mortality following abdominal surgery in Ethiopia?
In Ethiopia, abdominal surgery is associated with a 9.0% complication rate and 1.5% 30-day mortality, highlighting the need for quality improvement interventions.
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Perioperative complications remain a significant global concern, contributing substantially to disability, mortality, and economic loss, particularly in low- and middle-income countries (LMICs). This study utilized data from the National Perioperative Quality Improvement Network (NaPQIN) perioperative registry database in Ethiopia. We extracted data from 3226 abdominal surgical patients recorded in the NaPQIN perioperative registry database in Ethiopia. The median patient age was 34 years (Inter quartile range (IQR): 26-45 years), with a majority (55.8%, n = 1797) being male and classified American Society of Anesthesiologists (ASA) class I-II. The overall postoperative complication rate was 9.0% (290/3226), and the 30-day mortality rate was 1.50% (48/3226). The World Health Organization (WHO) Surgical Safety Checklist was utilized in 91.49% of procedures (2935/3226). Multivariable analysis identified significant associations between postoperative complications and both hypertension (adjusted odd ratio (AOR) = 2.61, 95% CI: 1.53-4.46, p < 0.001) and cancer (AOR = 2.53, 95% CI: 1.45-4.40, p = 0.001). Our findings indicate that approximately one in eleven patients undergoing abdominal surgery experiences a postoperative complication, and one in sixty-six dies before discharge. These results highlight the pressing need for evidence-based interventions to strengthen the foundation, care processes, and overall quality of the surgical system in Ethiopia.
Awedew et al. (Mon,) reported a other. Postoperative complications occurred in 9.0% of patients, with an associated 30-day mortality rate of 1.50%, highlighting critical issues in perioperative care in Ethiopia.