View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, Aug. 18 (HealthDay News) -- Operative mortality is generally low in surgical programs in resource-limited countries, according to a study in the August issue of the Archives of Surgery.
Kathryn M. Chu, M.D., of the Johns Hopkins Medical Institutions in Baltimore, and colleagues reported on 17 surgical programs in 13 developing countries run by Médecins Sans Frontières during 2001 to 2008. The study looked at operative mortality, and used logistic regression to identify mortality determinants.
The researchers found that, during the study period, operative mortality was low at 0.2 percent, with eight of the surgical programs reporting no deaths and the highest mortality rate at 0.9 percent. Of 19,643 surgical procedures performed, 42 percent were emergent, 40 percent were obstetric related, and 14 percent were trauma related. Operative mortality was associated with American Society of Anesthesiologists classifications of 3 to 5 (adjusted odds ratio [aOR], 20.2), procedures performed under emergency conditions (aOR, 20.1), hysterectomy (aOR, 12.3), surgical programs in locations with ongoing conflicts (aOR, 4.6), and abdominal surgical procedures (aOR, 3.4).
"Surgical care can be provided safely in resource-limited settings with appropriate minimum standards and protocols. Studies on the burden of surgical disease in these populations are needed to improve service planning and delivery. Quality improvement programs are needed for the various stakeholders involved in surgical delivery in these settings," the authors write.
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top