Post-Operative Mortality Analysis in the Urology Department of Conakry University Hospital
- 1 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 2 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 3 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 4 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 5 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 6 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 7 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 8 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 9 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
- 10 Faculty of Health Sciences and Technique, Gamal Abdel Nasser University of Conakry, Urology Department, CHU of Conakry, Guinée
Abstract
Introduction: Death is a major accident which constitutes an element whose evaluation and analysis are necessary in a surgical service. Such a study is especially important in our country where the health structure operates with limited resources and more than half of the population lives below the poverty line. The objective of this study was to determine the frequency of post-operative mortality, to describe the main comorbidity factors responsible for this mortality and to identify the main cause of post-operative death in the urology department of the Ignace Deen National Hospital Material and Method: This was a retrospective descriptive study lasting 5 years from January 1, 2015 to December 31, 2019. It had focussed on all the files of patients operated on at the Urology Department of the Ignace Deen National Hospital, either in an emergency or planned and who died in per or post-operative immediately or 30 days later. Results: We recorded 63 cases of post-operative death, or a frequency of 1.84%. The average age was 61.92 ± 16.91 with the extremes of 12 and 91 years. Bladder (20.63%) and prostate tumours (60.3%) were the main admission diagnoses. High blood pressure was the main comorbidity factor found with 38.09% of cases followed by diabetes with 12.69%. Transurethral resection of the prostate, transurethral resection of the bladder and prostate adenocomectomy were the most performed surgical procedure with respective proportion of 19.04%, 20.63% and 38.09%. Probable cause of death were anemia in 25 cases (39.68%), septic in 20 cases (31.75%), heart failure in 6 cases (9.52%), pulmonary embolism in 5 cases (7.94%), obstructive renal failure 4 cases (6.35%) and stroke in 3 cases (4.76%). Conclusion: The majority of deaths occurred in patients over the age of fifty. Anaemia was the main cause of deaths. Difficulties in procuring blood products as well as the lack of modern therapeutic means are factors that make it difficult for patients to adequately manage.
- Ancelle, T. (2011) Statistique Epidémiologie 3 eme édition. Maloine, Paris, 305 p.
- Gillion, J.-F. (2005) Le taux brut de mortalité postopératoire est-il un critère pertinent d’efficience d’une équipe chirurgicale? Étude prospective des suites opératoires de 11 756 patients. Annales de Chirurgie, 130, 400-406. https://doi.org/10.1016/j.anchir.2005.01.013
- Sine, B., Fall, B., Sow, Y., et al. (2016) La mortalité spécifique en urologie dans un hôpital de référence au Sénégal: analyse d’une série de 132 décès. African Journal of Urology, 22, 329-332. https://doi.org/10.1016/j.afju.2015.08.004
- Rebillard, X., Grosclaude, P., Lebret, T., Patard, J.J., Pfister, C., Richaud, P., et al. (2010) Projection de l’incidence et de la mortalité par cancer urologique en France en 2010. Progrès en Urologie, 20, S211-S214. https://doi.org/10.1016/S1166-7087(10)70041-5
- Bosland, M.C., et al. (2007) Cancer de la prostate. Progrès en Urologie, 17, 1159-1230. https://doi.org/10.1016/S1166-7087(07)74785-1
- Dekou, A., Ouegnin, G.A., et al. (2009) Contribution à l’étude de la mortalité dans un service d’Urologie: Le cas du service d’urologie du CHU de Cocody d’Abidjan de 2000 à 2006. African Journal of Urology, 15, 44-52. https://doi.org/10.1007/s12301-009-0009-4
- Ondongo Atipo, A.M., Ondziel Opara, A.S., Odzébé, A.W.S., et al. (2019) Causes de Décès dans le Service d’Urologie du Centre Hospitalier et Universitaire de Brazzaville: Une étude de 343 Patients. Health Sciences and Diseases, 20, 55-59.
- Ouattara, A., Honodou, R., Avakoudjo, J., Cissé, D., Zango, B., Gandaho, I., et al. (2012) Épidémiologie des cancers urologiques au centre national hospitalier Universitaire Hubert Koutoukou de Cotonou, Bénin: Analyse d’une série hospitalière de 158 cas. Progrès en Urologie, 22, 261-265. https://doi.org/10.1016/j.purol.2011.12.003
- Hubert, J., Descotes, J.L. and Bellin, M.F. (2003) Imagerie et lithiase urinaire. Progrès en Urologie, 13, 993-1021.
- Shokeir, A.A., Shoma, A.M., Mosbah, A., et al. (2002) Non Contrast Computed Tomography in Obstructive Anuria: A Prospective Study. Urology, 59, 861-864. https://doi.org/10.1016/S0090-4295(02)01597-2
- (2007) The Joint Commission Releases Improving America’s Hospitals: The Joint Commission’s Annual Report on Quality and Safety 2007. The Joint Commission Perspectives, 27, 1+3.
- Bruce, J., Russell, E.M., Mollison, J. and Krukowski, Z.H. (2001) The Measurement and Monitoring of Surgical Adverse Events. Health Technology Assessment, 5, 1-194. https://doi.org/10.3310/hta5220