POSTOPERATIVE MORTALITY IN DIGESTIVE SURGERY IN TWO TERTIARY HOSPITALS OF CAMEROON ngwaneetape@yahoo.com

 

POSTOPERATIVE MORTALITY IN DIGESTIVE SURGERY IN TWO TERTIARY HOSPITALS OF CAMEROON

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Arthur Essomba artgessomba@gmail.com University of Yaounde I Department of surgery and specialties Yaounde Cameroon

 

 

 

Cameroon

Oral only

Digestive surgeries are frequently performed in sub-Saharan Africa, including Cameroon. The aim of this study was to assess the prevalence, clinical patterns and identify associated factors of patients who died post emergency and elective digestive surgery including both traumatic and non-traumatic cases at the Yaounde central hospital and Yaounde Emergency centre

This retrospective descriptive and analytic study made use of the medical records of patients aged above 17, who died in the postoperative phase of 30 days after an intervention for an elective and emergency digestive surgical pathology between January 1, 2020 and December 31, 2024 at the Yaounde central hospital and Yaounde Emergency centre. data was analyzed using the SPSS version 17

Out of 689 cases recruited, 505 were retained, out of which 96 (19.01%) were deceased. Postoperative mortality rates were 17.00% (30) for elective, 20.00% (66) for emergency of which traumatic cases accounted for 22.67% (17) and non-traumatic accounted for 19.21% (49). Majority, 38.50% (37) of patients died between 0-2 days postoperative and septic shock 30.2% (29) was the leading cause of death. The factors significantly associated with mortality were; Age ≥ 60 (OR: 1.62), ASA class ≥3 (OR: 3.35), delay of surgical intervention (OR: 2.88) and postoperative complications were significantly associated with mortality.

Post-operative mortality rates following digestive surgery is high, the main causes of death are septic shock and hypovolemic shock. Many factors influence this outcome, some of which are preventable. Early detection and intervention if implemented properly will significantly reduce the postoperative mortality