Objective To understand the influencing factors of perioperative death of elective surgery patients in a hos-pital,and to provide data reference for hospitals to strengthen perioperative management and reduce postoperative mortality.Methods The information of patients who underwent elective surgery from January 1,2020 to December 31,2022 was retrieved from the medical record homepage management system of a tertiary general hospital,and the main diagnosis,surgical method,surgical department and causes of postoperative death were retrospectively analyzed.Results From 2020 to 2022,81 722 pa-tients underwent elective surgery in the hospital,of which 103 patients died after the surgery,with a mortality rate of 0.13％;the top three primary diseases were circulatory system disease,tumor minor and congenital disease,accounting for 85.43％;the main surgical types of patients who died after elective surgery cardiac surgery,aortic surgery and craniocerebral surgery,account-ing for 46.07％;postoperative death cases were mainly concentrated in the departments of cardiothoracic surgery,cardiovascular surgery,cardiovascular medicine,vascular surgery,neurosurgery and intervention;the main cause of death was surgical compli-cations,accounting for 44.66％,followed by primary disease aggravation and other diseases after the surgery,accounting for 32.04％and 23.30％respectively.Conclusion The relevant surgical departments should strengthen the management of preop-erative,intraoperative and postoperative perioperative patients.The functional departments should carry out special management for the departments with more deaths of elective postoperative patients,which is of great significance to reduce the postoperative mortality of patients undergoing elective surgery.
关键词
择期手术/原发疾病/手术方式/手术科室/死亡原因
Key words
elective surgery/primary disease/type of surgery/surgical department/cause of death
万方数据