ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Nationwide enumeration of emergency operations performed in Ghana.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Towards Policy Integration of Vestibular Management in Pediatric Hearing Health Care: Global Service Delivery Gaps with Relevance to Low-Income and Middle-Income Countries.Journal of the American Academy of Audiology · 2026Review
- Article
- The state of surgery, obstetrics, trauma, and anaesthesia care in Ghana: a narrative review.Global health action · 2022Review
- Improving Global Surgical Oncology Benchmarks: Defining the Unmet Need for Cancer Surgery in Ghana.World journal of surgery · 2021Article
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Abstract
purposeTo determine the population-based rate of emergency surgery performed in Ghana, categorized by hospital level.
methodsData on operations performed from June 2014 to May 2015 were obtained from a nationally representative sample of hospitals and scaled up to nationwide estimates. Operations were categorized as to: "emergency" or "elective" and as to "essential" (most cost-effective, highest population impact) or "other" according to the World Bank's Disease Control Priorities project.
resultsOf 232,776 (95% UI 178,004-287,549) total operations performed nationally, 48% were emergencies. 112,036 emergency operations (95% UI 92,105-131,967) were performed and the annual national rate was 416 per 100,000 population (95% UI 342-489). Most emergency operations (87%) were in the essential category. Of essential emergency procedures, 47% were obstetric and gynecologic, 22% were general surgery, and 31% were trauma. District (first-level) hospitals performed 54%, regional hospitals 10%, and tertiary hospitals 36% of all emergency operations. About half (54%) of district hospitals did not have a fully trained surgeon, however, these hospitals performed 36% of district hospital emergency operations and 20% of all emergency operations.
conclusionsEmergency operations make up nearly half of all operations performed in Ghana. Most are performed at district hospitals, many of which do not have fully trained surgeons. Obstetric procedures make up a large portion of emergency operations, indicating a need for improved provision of non-obstetric emergency surgical care. These data are useful for future benchmarking efforts to improve availability of emergency surgical care in Ghana and other low- and middle-income countries.
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