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BMC Anesthesiology
Published in: BMC Anesthesiology 1/2021

Open Access 01-12-2021 | Research article

General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

Authors: Furaha Nzanzu Blaise Pascal, Agnes Malisawa, Andreas Barratt-Due, Felix Namboya, Gregor Pollach

Published in: BMC Anesthesiology | Issue 1/2021

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Abstract

Background

General anaesthesia (GA) in developing countries is still a high-risk practice, especially in Africa, accompanied with high morbidity and mortality. No study has yet been conducted in Butembo in the Democratic Republic of the Congo to determine the mortality related to GA practice. The main objective of this study was to assess mortality related to GA in Butembo.

Methods

This was a retrospective descriptive and analytic study of patients who underwent surgery under GA in the 2 main teaching hospitals of Butembo from January 2011 to December 2015. Data were collected from patients files, anaesthesia registries and were analysed with SPSS 26.

Results

From a total of 921 patients, 539 (58.5%) were male and 382 (41.5%) female patients. A total of 83 (9.0%) patients died representing an overall perioperative mortality rate of 90 per 1000. Out of the 83 deaths, 38 occurred within 24 h representing GA related mortality of 41 per 1000. There was a global drop in mortality from 2011 to 2015. The risk factors of death were: being a neonate or a senior adult, emergency operation, ASA physical status > 2 and a single deranged vital sign preoperatively, presenting any complication during GA, anaesthesia duration > 120 minutes as well as visceral surgeries/laparotomies. Ketamine was the most employed anaesthetic.

Conclusion

GA related mortality is very high in Butembo. Improved GA services and outcomes can be obtained by training more anaesthesia providers, proper patients monitoring, improved infrastructure, better equipment and drugs procurement and considering regional anaesthesia whenever possible.
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Metadata
Title
General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo
Authors
Furaha Nzanzu Blaise Pascal
Agnes Malisawa
Andreas Barratt-Due
Felix Namboya
Gregor Pollach
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2021
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-021-01280-2

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