Incidence and predictors of perioperative mortality in Ethiopia: a systematic review and meta-analysis.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

BMC Anesthesiology Pub Date : 2025-04-26 DOI:10.1186/s12871-025-03093-z

Tikuneh Yetneberk, Diriba Teshome, Abebe Tiruneh, Yohannes A Dersesh, Nega Getachew, Moges Gelaw, Meseret Firde

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引用次数: 0

Abstract

Introduction: The Lancet Commission on Global Surgery highlights perioperative mortality rate (POMR) as a key indicator of a nation's surgical system effectiveness. While POMR is often measured in high-income countries, it is less studied in low- and middle-income countries (LMICs). This study aims to assess the POMR and its predictors in Ethiopia.

Methods: We conducted a thorough literature search across PubMed/MEDLINE, Embase, Web of Science, Scopus, and Google Scholar for studies from Ethiopia between 2019 and 2023 reporting POMR for various surgical procedures. Data were extracted in duplicate from eligible studies. We used random-effects meta-analysis to pool estimates of POMR and its predictors.

Results: The meta-analysis revealed a POMR of 5.36%. Identified predictors of perioperative mortality in Ethiopia included older age, comorbidities, ICU admission, and an ASA physical status classification of III or higher and emergency surgeries.

Conclusion: Ethiopia's perioperative mortality rate is significantly high. Improving surgical care quality and safety, along with expanding access to surgical services, is crucial for bettering surgical outcomes in the country.

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埃塞俄比亚围手术期死亡率的发生率和预测因素：一项系统回顾和荟萃分析。

导言：《柳叶刀》全球外科委员会强调围手术期死亡率（POMR）是衡量一个国家外科系统有效性的关键指标。虽然经常在高收入国家测量POMR，但在低收入和中等收入国家（LMICs）对其研究较少。本研究旨在评估埃塞俄比亚的POMR及其预测因子。方法：我们在PubMed/MEDLINE、Embase、Web of Science、Scopus和谷歌Scholar上进行了全面的文献检索，检索了2019年至2023年间来自埃塞俄比亚的各种外科手术的POMR报告。数据一式两份从符合条件的研究中提取。我们使用随机效应荟萃分析来汇总POMR及其预测因子的估计。结果：meta分析显示POMR为5.36%。埃塞俄比亚围手术期死亡率的预测因素包括年龄较大、合并症、ICU入院、ASA身体状况分类为III或更高以及急诊手术。结论：埃塞俄比亚围手术期死亡率明显偏高。提高手术护理质量和安全性，以及扩大获得手术服务的机会，对于改善该国的手术结果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Anesthesiology ANESTHESIOLOGY-

CiteScore

3.50

自引率

4.50%

发文量

349

审稿时长

>12 weeks

期刊介绍： BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.