A 10-year retrospective review of perioperative mortality in pediatric general surgery at Ile-Ife Hospital, Nigeria

• Published in: Journal of pediatric surgery Vol. 53; no. 10; pp. 2072 - 2076
• Main Authors: Talabi, Ademola Olusegun, Sowande, Oludayo Adedapo, Adenekan, Anthony Taiwo, Adejuyigbe, Olusanya, Adumah, Collins Chijioke, Igwe, Arua Obasi
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.10.2018
• Subjects: Adolescent; Anesthesia related death; Child; Child, Preschool; Hospitals; Humans; Infant; Infant, Newborn; Intraoperative Complications - mortality; Mortality; Nigeria - epidemiology; Pediatric; Perioperative; Postoperative Complications - mortality; Retrospective Studies; Surgical procedure; Surgical Procedures, Operative - mortality; Perioperative; Pediatric; Mortality; Anesthesia related death; Surgical procedure
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/j.jpedsurg.2018.03.005

The analysis of perioperative mortality as well as surgery- and anesthesia-related death in pediatric patients may serve as a potential tool to improve outcome. The aim of this study is to report the 24-h and 30-day overall, and surgery and anesthesia-related, mortality in a tertiary hospital. This is a retrospective review of perioperative mortality in children ≤15years at a general pediatric surgery unit. All pediatric general surgery cases operated under general anesthesia between January 2007 and December 2016 were included in the study and data analyzed. A total of 4108 surgical procedures were performed in 4040 patients. The age was 1day to 15years with a median age of 2years. The all cause 24-h mortality was 34 per 10,000 procedures and the all cause 30-day mortality was 156 per 10,000 procedures. Septicemia was the most common cause of death. The determinants of mortality were neonatal age group (Adjusted Odd Ratio (AOR)=0.033, 95% CI=0.015–0.070, p=0.001), emergency surgery (AOR=90.91, 95% CI=27.78–333.33, p=0.001), higher ASA status (AOR=0.014, 95% CI=0.005–0.041, p=0.001) and multiple operative procedures (AOR=38.46, 95% CI=10.64–142.85, p=0.001). Neonatal age group, children with poorer ASA status, emergency and multiple surgeries were predictors of perioperative mortality. Retrospective study.