DURING THE FIRST WAVE OF COVID-19 PANDEMIC, TRAUMA WAS THE FIRST LEADING CAUSE OF PERIOPERATIVE MORTALITIES IN ALIABAD TEACHING HOSPITAL

Abstract

Perioperative mortality rate is defined as number of deaths following anesthesia and surgery occurring either in the operating theater or within 7 days after surgery. This research seeks to determine perioperative mortality rate in the surgical wards of Aliabad Teaching Hospital, Kabul, Afghanistan.The cross-sectional study was conducted after obtaining the ethical approval from Scientific Research Center review committee in Aliabad Teaching Hospital from March 2020 to March 2021. Patient data were collected from medical archive. Anesthesia and surgical log books were also used for collection of the data. Data were initially entered into an excel data sheet, and then exported to SPSS Statistics version 24 for further analysis. From the overall 1832 participants, 1050 were males and 782 females. 60.97 % of the patients had received general anaesthesia. Both elective and emergency procedures were included in the study. 37.9 % of the patients had systemic diseases. The perioperative mortality rate was found to be 3 % among the study participants. Trauma was the first significant reason of mortalities in the study. Majority of the mortalities have occurred in patients undergoing general anesthesia, being a young adults and emergency procedures. Female participants and those with ssystemic disease had higher risks of perioperative mortality.