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Perioperative mortality in children in a tertiary teaching hospital in Nigeria: a prospective study

World Journal of Pediatric Surgery 2021年第1期4卷 25-31页

作者： Ademola Olusegun Talabi Olugbenga Olalekan Ojo Olurotimi Idowu Aaron Oludayo Adedapo Sowande folayemi aramide faponle Olusanya Adejuyigbe Department of Surgery Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals ComplexIle-lfeOsun StateNigeria Department of Anaesthesia Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals ComplexIle-lfeOsun StateNigeria

Background Perioperative mortality is one of the tools that can help to assess the adequacy of healthcare delivery in a *** audit was conducted to determine the 24-hour,7-day and 30-day perioperative mortality rates and the predictors of mortality in a pediatric surgical *** This was a prospective study of children whose ages ranged from a few hours to 15 years and who were operated on between May 2019 and April *** primary outcome was to determine the incidence of in-hospital perioperative *** A total of 530 procedures were done in 502 *** ages ranged from a few hours to 15 years with a median of 36 *** 24-hour,7-day and 30-day mortality rates were 113.2 per 10000 procedures[95%confidence interval(CI)=40 to 210],207.6 per 10000 procedures(95%CI=110 to 320)and 320.8 per 10000 procedures(95%CI=190 to 470),*** anomalies complicated by postoperative sepsis contributed to death in the majority of *** predictors of mortality were neonatal age group[adjusted odds ratio(AOR)=19.92,95%CI=2.32 to 170.37,p=0.006],higher American Society of Anesthesiologists Physical Status III and above(AOR=21.6,95%CI=3.05 to 152.91,p=0.002),emergency surgery(AOR=17.1,95%CI=5.21 to 60.27,p=0.001),congenital anomalies(AOR=12.7,95%CI=3.37 to 47.52,p=0.001),and multiple surgical procedures(AOR=9.7,95%CI=2.79 to 33.54,p=0.001).Conclusion Perioperative mortality remains high in our institution.

关键词： mortality prospective children

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