Evidence map›Paper›PMID 37142313›Full record

ArticleBMJ open2023

Incidence and predictors of perioperative mortality in a low-resource country, Ethiopia: a prospective follow-up study.

Amanuel Sisay Endeshaw, Fantahun Tarekegn Kumie, Misganew Terefe Molla, Gashaw Abebe Zeru, Kassaw Moges Abera, Zebenay Bitew Zeleke, Tigist Jegnaw Lakew

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In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
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  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amanuel Sisay EndeshawDepartment of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia yelfgntamirat@gmail.com.ORCID 0000-0003-4495-3260
Fantahun Tarekegn KumieDepartment of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.ORCID 0000-0001-5610-1087
Misganew Terefe MollaDepartment of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.ORCID 0000-0001-7143-7929
Gashaw Abebe ZeruDepartment of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Kassaw Moges AberaDepartment of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Zebenay Bitew ZelekeDepartment of Surgery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Tigist Jegnaw LakewDepartment of Statistics, College of Natural and Computational Science, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess the incidence and identify predictors of perioperative mortality among the adult age group at Tibebe Ghion Specialised Hospital.

designA single-centre prospective follow-up study.

settingA tertiary hospital in North West Ethiopia.

participantsWe enrolled 2530 participants who underwent surgery in the current study. All adults aged 18 and above were included except those with no telephone. PRIMARY OUTCOME MEASURES: The primary outcome was time to death measured in days from immediate postoperative time up to the 28th day following surgery.

resultA total of 2530 surgical cases were followed for 67 145 person-days. There were 92 deaths, with an incidence rate of 1.37 (95% CI 1.11 to 1.68) deaths per 1000 person-day observations. Regional anaesthesia was significantly associated with lower postoperative mortality (adjusted hazard ratio (AHR) 0.18, 95% CI 0.05 to 0.62). Patients aged ≥65 years (AHR 3.04, 95% CI 1.65 to 5.75), American Society of Anesthesiologist (ASA) physical status III (AHR 2.41, 95% CI 1.1.13 to 5.16) and IV (AHR 2.74, 95% CI 1.08 to 6.92), emergency surgery (AHR 1.85, 95% CI 1.02 to 3.36) and preoperative oxygen saturation <95% (AHR 3.14, 95% CI 1.85 to 5.33) were significantly associated with a higher risk of postoperative mortality.

conclusionThe postoperative mortality rate at Tibebe Ghion Specialised Hospital was high. Age ≥65, ASA physical status III and IV, emergency surgery, and preoperative oxygen saturation <95% were significant predictors of postoperative mortality. Patients with the identified predictors should be offered targeted treatment.

Indexed as

HIV InfectionsAdultEthiopiaFollow-Up StudiesHumansIncidenceProspective StudiesRetrospective StudiesRisk FactorsAdult anaesthesiaAdult surgeryPUBLIC HEALTH

Identifiers

PMID37142313
PMCPMC10163475

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.