Analysis of 77 Patients Dying from Emergency Surgery in a Three A and Tertiary Hospital in a Minority Area
Objectives To analyze the death risk and influencing factors of emergency operation patients in a Three A and Tertiary Hospital,and reduce the mortality of emergency operation patients.Methods From January 1st,2019 to December 31st,2021,the number of emergency operation patients and emergency operation deaths in the operating department of a Three A and Tertiary Hospital was analyzed.A total of 12 099 emergency operations were performed,and 77 postoperative deaths were reported.The clinical data of patients included:gender,age,surgical department,anesthesia grade,surgical grade,cause of death and other indicators.Results There were 12 099 emergency operations in a Three A and Tertiary Hospital in 3 years,and 77 cases died after operation,the ratio of male to female was 1:2.2,among which 61.69%were in the age group of 18 to 39 years old,and the mortality in the age group of 40 to 64 years old was higher than that in other ages(P＜0.05).The mortality rates of neurosurgery(5.56%)and cardiothoracic vascular surgery(6.19%)were higher than those of other surgical departments(P＜0.05),obstetrics(0.03%)and orthopedics(0.07%)were lower than those of other surgical departments(P＜0.05).The mortality rate of patients undergoing emergency grade IV surgery(3.81%)was higher than that of other surgeries(P＜0.05),and that of patients undergoing anesthesia grade V(25.56%)was higher than that of other surgeries(P＜0.05).Non-traumatic intracranial hemorrhage,severe trauma,digestive diseases and aortic dissection were the top four causes of death in emergency surgery.Conclusions Non-traumatic intracranial hemorrhage,severe trauma,digestive diseases and aortic dissection were the main causes of death in emergency surgery in ethnic minority areas,and old age and severity of the disease were high-risk factors for death in emergency surgery.In ethnic minority areas,the construction of neurosurgery,cardiothoracic surgery,vascular surgery and general surgery should be further strengthened.
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