Four-year overall surgical mortality rate at Princess Marina Hospital, a tertiary hospital in Botswana

Authors

  • Nkhabe Chinyepi Department of Surgery, Faculty of Medicine, University of Botswana
  • Mpapho Joseph Motsumi Department of Surgery, Faculty of Medicine, University of Botswana https://orcid.org/0000-0003-4340-0824
  • Samuel Rackara Department of Surgery, Princess Marina Hospital, Ministry of Health
  • Rashid Lwango Department of Surgery, Princess Marina Hospital, Ministry of Health
  • Getrude Kapinga Department of Surgery, Princess Marina Hospital, Ministry of Health
  • Karabo Ngwako Department of Surgery, Faculty of Medicine, University of Botswana
  • Maranatha Sentsho Department of Surgery, Faculty of Medicine, University of Botswana
  • Tefo Leshomo Department of Surgery, Faculty of Medicine, University of Botswana
  • Unami Chilisa Department of Surgery, Faculty of Medicine, University of Botswana
  • Elijah Kopo Lekgowe Department of Surgery, Princess Marina Hospital, Ministry of Health
  • Mogomotsi Binikwa Department of Surgery, Faculty of Medicine, University of Botswana
  • Pako Motlaleselelo Department of Surgery, Princess Marina Hospital, Ministry of Health

DOI:

https://doi.org/10.4081/jphia.2023.2262

Keywords:

overall mortality rate, crude mortality rate, surgical mortality rate, mortality rate

Abstract

Background. Improving surgical mortality rates is a global priority as they measure the success of surgical care systems. There is no data on Botswana’s overall surgical mortality rate. Therefore, this study set out to evaluate the overall mortality rate in a surgical department at Princess Marina Hospital, a tertiary hospital in Botswana.

Method. This study is a single-center quantitative and retrospective study conducted in the surgical department at Princess Marina Hospital from August 2016 to December 2019. The Department of Surgery at Princess Marina Hospital keeps a prospectively updated database for quality assurance, which started in August 2016. The study received ethical approval. We included all patients older than 12 years admitted to the surgical department. Our adults surgical wards admit patients who are older than 12 years. This study collected all mortality data and determined the overall mortality rate as a percentage of surgical admissions.

Results. We retrieved 4660 admissions. The mean age was 56 (standard deviation=20.1). 66% (3083/4660) were operated. Out of the 4660 admissions, 267 deaths were registered, giving an overall mortality rate of 6%. The overall postoperative mortality rate was 3.63% (112/3083), and the non-operatively managed patient mortality rate 9.83% (155/1577). Overall, malignancies were the leading cause of death, at 49.1%(131/267), followed by trauma at 22.1% (59/267).

Conclusions. The 4-year overall surgical mortality rate at Princess Marina Hospital was 6%. The mortality rate of the non-operatively managed patients was more than twice as high as the postoperative mortality rate. Overall, malignancies were the leading cause of death, followed by trauma.

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References

Heeney A, Hand F, Bates J, et al. Surgical mortality - an analysis of all deaths within a general surgical department. Surgeon 2014;12:121-8. DOI: https://doi.org/10.1016/j.surge.2013.07.005

Nepogodiev D, Martin J, Biccard B, et al. Global burden of postoperative death. Lancet 2019;393:401. DOI: https://doi.org/10.1016/S0140-6736(18)33139-8

Bergström S, McPake B, Pereira C, et al. Workforce innovations to expand the capacity for surgical services. Disease control priorities 2015;1:307-16. DOI: https://doi.org/10.1596/978-1-4648-0346-8_ch17

Bruns SD, Davis BR, Demirjian AN, et al. The subspecialization of surgery: a paradigm shift. J Gastrointest Surg 2014;18:1523-31. DOI: https://doi.org/10.1007/s11605-014-2514-4

Biluts H, Bekele A, Kottiso B, et al. In-patient surgical mortality in Tikur Anbessa Hospital: a five-year review. Ethiop Med J 2009;47:135-42.

World Health Organization. Guidelines for trauma quality improvement programmes. 2009.

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Published

05-05-2023

How to Cite

Chinyepi, N., Motsumi, M. J., Rackara, S., Lwango, R., Kapinga, G., Ngwako, K., Sentsho, M., Leshomo, T., Chilisa, U., Lekgowe, E. K., Binikwa, M., & Motlaleselelo, P. (2023). Four-year overall surgical mortality rate at Princess Marina Hospital, a tertiary hospital in Botswana. Journal of Public Health in Africa, 14(3). https://doi.org/10.4081/jphia.2023.2262

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Original Articles