Evidence map›Paper›PMID 41430067›Full record

ArticleScientific reports2025

Perioperative outcomes of abdominal surgery in Ethiopia: a national clinical audit (2019-2024).

Atalel Fentahun Awedew, Fitsum Kifle Belachew, Megbar Dessalegn Mekonnen, Adugnaw Bogale Worku, Shamill Eanga Helill, Masresha Gebru Teklehaimanot, Kokeb Desita Belihu, Samrawit Tassew Mekuria, Fisiha Guade Tesifaw, Bethelhem Muluye and 3 more

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Atalel Fentahun AwedewDepartment of Surgery, SOM, Debre Tabor University, Debre Tabor, Ethiopia. atalelfentahun27@gmail.com.
Fitsum Kifle BelachewGlobal Partners for Improving Surgical System (GPISS), Project Network for Perioperative and Critical Care (GPISS-N4PCc), Addis Ababa, Ethiopia.
Megbar Dessalegn MekonnenDepartment of Surgery, SOM, Debre Markos University, Debre Markos, Ethiopia.
Adugnaw Bogale WorkuDepartment of Orthopedics and Trauma Surgery, SOM, Mizan Tepi University, Mizan Tip, Ethiopia.
Shamill Eanga HelillDepartment of Anesthesia, Wolkite University, Wolkite, Ethiopia.
Masresha Gebru TeklehaimanotDepartment of Anesthesia, SOM, Mekele University, Mekele, Ethiopia.
Kokeb Desita BelihuDepartment of Anesthesia, Debre Berhan University, Debre Berhan, Ethiopia.
Samrawit Tassew MekuriaDepartment of Anesthesiology and Critical Care, St. Paul's Hospital Millenium Medical College, Addis Ababa, Ethiopia.
Fisiha Guade TesifawDepartment of Surgery, SOM, Debre Tabor University, Debre Tabor, Ethiopia.
Bethelhem MuluyeDepartment of Quality, St. Peter Specialized Hospital, Addis Ababa, Ethiopia.
Kalkidan KifleDepartment of Statistical and Data Governance, Global Partners for Improving Surgical System (GPISS), Project Network for Perioperative and Critical Care (GPISS-N4PCc), Addis Ababa, Ethiopia.
Tesfay Yohannes AmbeseDepartment of Statistical and Data Governance, Global Partners for Improving Surgical System (GPISS), Project Network for Perioperative and Critical Care (GPISS-N4PCc), Addis Ababa, Ethiopia.
Amsalu Molla GetahunDepartment of Surgery, SOM, Debre Tabor University, Debre Tabor, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perioperative complications remain a significant global concern, contributing substantially to disability, mortality, and economic loss, particularly in low- and middle-income countries (LMICs). This study utilized data from the National Perioperative Quality Improvement Network (NaPQIN) perioperative registry database in Ethiopia. We extracted data from 3226 abdominal surgical patients recorded in the NaPQIN perioperative registry database in Ethiopia. The median patient age was 34 years (Inter quartile range (IQR): 26-45 years), with a majority (55.8%, n = 1797) being male and classified American Society of Anesthesiologists (ASA) class I-II. The overall postoperative complication rate was 9.0% (290/3226), and the 30-day mortality rate was 1.50% (48/3226). The World Health Organization (WHO) Surgical Safety Checklist was utilized in 91.49% of procedures (2935/3226). Multivariable analysis identified significant associations between postoperative complications and both hypertension (adjusted odd ratio (AOR) = 2.61, 95% CI: 1.53-4.46, p < 0.001) and cancer (AOR = 2.53, 95% CI: 1.45-4.40, p = 0.001). Our findings indicate that approximately one in eleven patients undergoing abdominal surgery experiences a postoperative complication, and one in sixty-six dies before discharge. These results highlight the pressing need for evidence-based interventions to strengthen the foundation, care processes, and overall quality of the surgical system in Ethiopia.

Indexed as

AbdomenPostoperative ComplicationsAdultClinical AuditEthiopiaFemaleHumansMaleMiddle AgedRegistriesTreatment Outcome

Identifiers

PMID41430067
PMCPMC12783233

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