La mortalité hospitalière des urgences chirurgicales de l’adulte à Yaoundé

Ngowe, NM; Mboudou, E; Ngo-Nonga, B; Mouafo, TF; Ze, MJ; Bahebeck, Jean; Sosso, A

doi:10.4314/racs.v3i5.67867

Cited by 4 publications

(8 citation statements)

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“…The same slice was found by Mbengono MJA et al but with a higher average age (42 years). 7 Male subjects were the most concerned with a sex ratio of 2.2, which is similar to the 1.7 reported in the study of Ngowe NM et al 5 In short, it is the active and young men of our African people who pay the heavy price.…”

Section: Epidemiological Aspectssupporting

confidence: 73%

“…5,7 In addition according to Bahebeck's study, road accidents were responsible for the majority of deaths related to surgical emergencies (60%). 8 On the other hand, with regard to non-traumatic causes, the rates differ.…”

Section: Etiological Aspectsmentioning

confidence: 99%

“…Ngowe NM et al found a similar delay of 72.7 hours while Diango D et al reported a shorter time (3.5 hours). 5,10 Many reasons are evoked to justify this delay for surgery but there is a common point, the indigence of patients. This calls for the need for the establishment of social security or health insurance.…”

Section: Therapeutic Aspectsmentioning

confidence: 99%

“…5 There is therefore no internal policy to facilitate the management of surgical emergencies, hence the need for better hospital organization. There were even patients CCMU 5 who had received first aid beyond 1 hour whereas they should be resuscitated immediately.…”

Section: Therapeutic Aspectsmentioning

confidence: 99%

“…This rate is significantly higher than the 8.1% reported by Ngowe NM et al in Cameroon and 2.4% of Sall KB et al in Senegal. 5,6 Present patients were 31 years old on average with a predominance of the age group of 20 to 40 years. The same slice was found by Mbengono MJA et al but with a higher average age (42 years).…”

Section: Epidemiological Aspectsmentioning

confidence: 99%

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Epidemiological characteristics of deaths related to surgical emergencies in Sub-Saharan Africa: case of Parakou, Benin

et al. 2018

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Background: Emergency and resuscitation departments, often on the front lines of the hospital care system, are sadly the site of many deaths. Author aim to study the epidemiological characteristics of deaths related to surgical emergencies at Parakou Teaching Hospital in Benin.Methods: This was a prospective, descriptive study covering 6 months from January 1st to June 31st 2016. It focused on patients admitted to the emergency department and hospitalized in general surgery or resuscitation department during the study period. Three criteria were defined: admission for a surgical emergency, clinical classification of emergency patients (known as CCMU: Classification Clinique des Malades aux Urgences) between 1 and 5 and evolution marked by death.Results: A total of 54 deaths were recorded out of 379 surgical emergencies (14.2%). The sex-ratio was 2.2. The average age was 31±18.8 years old. The average admission time was 75.7±95.2 hours. The CCMU 4 and 5 were the most numerous (77. 7%). Traumatic emergencies were the most likely cause of death (56.6%), with cranio-encephalic trauma being the leading cause (38.9%). for non-traumatic emergencies (44.4%), acute generalized peritonitis is the leading cause of death (18.5%). The average time to surgical management was 87.4 hours, mainly related to the indigence of patients.Conclusions: The reduction of deaths related to surgical emergencies requires the adapted equipment of the different services involved in the care, the continuous training of staff and the creation of a health insurance.

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Section: Epidemiological Aspectssupporting

confidence: 73%

Section: Etiological Aspectsmentioning

confidence: 99%

Section: Therapeutic Aspectsmentioning

confidence: 99%

Section: Therapeutic Aspectsmentioning

confidence: 99%

Section: Epidemiological Aspectsmentioning

confidence: 99%

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Epidemiological characteristics of deaths related to surgical emergencies in Sub-Saharan Africa: case of Parakou, Benin

et al. 2018

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Urgences chirurgicales digestives en Afrique subsaharienne : étude prospective d’une série de 622 patients à l’Hôpital national de Zinder, Niger

Magagi

Adamou

Habou

et al. 2016

Bull. Soc. Pathol. Exot.

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The purpose of this study was to describe the epidemiologic, therapeutic, and prognostic aspects of surgical acute abdomen at the National Hospital of Zinder (HNZ). This was a prospective study of patients undergoing digestive surgical emergencies in HNZ over 24 months (January 2013-December 2014). During the study period, 622 digestive surgical emergencies were operated. The mean age was 22.91 ± 18.14 years old, with a sex-ratio of 3:1. The average admission time was 64.31 ± 57.90 h. Abdominal pain was the main reason for admission in 61.90% (N = 385) of the cases, with or without fever throughout the course in 26.05% (N = 162) of the cases. The average time before surgery was 9.13 ± 5.97 h. Acute peritonitis accounted for 51.61% (N = 321) of cases, led by ileal perforation maybe from typhoid (N = 175). The acute intestinal obstruction and acute appendicitis accounted for 27.49% (N = 171) and 9.65% (N = 60) of the cases, respectively. Abdominal trauma had affected 53 patients (8.52%). The average length of hospital stay was 8.71 ± 5.29 days. Postoperative morbidity was 38.10% (N = 237). Septic complications (N = 187) were predominant. Overall lethality of 13.67% (N = 85), was associated with the delay of diagnosis and treatment (P < 0.001). The incidence and the high morbidity and lethality of digestive surgical emergencies in the Sub-Saharan context, could be avoided through prevention, early consultation, and adequate intra-hospital management.

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Prevalence and mortality rate of abdominal surgical emergencies in Sub-Saharan Africa: a systematic review and meta-analysis

Ndong,

Togtoga,

Bah

et al. 2024

BMC Surg

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Introduction Abdominal surgical emergencies remain prevalent in various healthcare settings, particularly in regions with limited access to basic surgical care, such as Africa. The aim of this literature review is to systematically assess publications on abdominal surgical emergencies in adults in sub-Saharan Africa to estimate their prevalence and mortality rate. Methodology A systematic review was conducted. The latest search was performed on October 31, 2022. We estimated the pooled prevalence with a 95% confidence interval (CI) for each abdominal surgical emergency, as well as overall postoperative mortality and morbidity rates. Results A total of 78 studies were included, and 55.1% were single-center retrospective and monocentric studies. The mean age of the patients was 32.5 years, with a sex ratio of 1.94. The prevalence of each abdominal surgical emergency among all of them was as follows: appendicitis: 30.0% (95% CI: 26.1–33.9); bowel obstruction: 28.6% (95% CI: 25.3–31.8); peritonitis: 26.6% (95% CI: 22.2–30.9); strangulated hernias: 13,4% (95% CI: 10,3–16,5) and abdominal trauma: 9.4% (95% CI: 7.5–11.3). The prevalence of complications was as follows: mortality rate: 7.4% (95% CI: 6.0-8.8); overall postoperative morbidity: 24.2% (95% CI: 19.4–29.0); and surgical site infection 14.4% (95% CI: 10.86–18.06). Conclusion Our study revealed a high prevalence of postoperative complications associated with abdominal surgical emergencies in sub-Saharan Africa. More research and efforts should be made to improve access and quality of patient care.

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La mortalité hospitalière des urgences chirurgicales de l’adulte à Yaoundé

Cited by 4 publications

References 0 publications

Epidemiological characteristics of deaths related to surgical emergencies in Sub-Saharan Africa: case of Parakou, Benin

Epidemiological characteristics of deaths related to surgical emergencies in Sub-Saharan Africa: case of Parakou, Benin

Urgences chirurgicales digestives en Afrique subsaharienne : étude prospective d’une série de 622 patients à l’Hôpital national de Zinder, Niger

Prevalence and mortality rate of abdominal surgical emergencies in Sub-Saharan Africa: a systematic review and meta-analysis

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