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

Alexandre S. Allode; Adrien M. Hodonou; Bio Tamou-Sambo; Morel D. Seto

doi:10.18203/2349-2902.isj20180381

Authors

Alexandre S. Allode Department of General Surgery, Parakou Teaching Hospital, Faculty of Medicine, University of Parakou, Benin
Adrien M. Hodonou Department of General Surgery, Parakou Teaching Hospital, Faculty of Medicine, University of Parakou, Benin
Bio Tamou-Sambo Department of General Surgery, Parakou Teaching Hospital, Faculty of Medicine, University of Parakou, Benin
Morel D. Seto Department of General Surgery, Parakou Teaching Hospital, Faculty of Medicine, University of Parakou, Benin

DOI:

https://doi.org/10.18203/2349-2902.isj20180381

Keywords:

Death, Problem, Parakou, Surgical emergencies

Abstract

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 1^st to June 31^st 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.

Metrics

Metrics Loading ...

References

Grange C, Héron A. Accompagnement de la fin de vie aux urgences. Revue internationale de soins palliatifs. 2012;27(3):85-90.

Ouedrago N, Niakera A, Somné A. Cahier d’étude et de recherche francophone/santé. 2002;4(12):375-82.

Mondor H. Les Diagnostics urgents: Abdomen. Paris, Masson; 1928:846.

Fourestie V, Roussignol E, Elkharrat D, Rauss A, Simon N. Classification clinique des malades des urgences: définition et reproductibilité. Réan. Urg. 1994;3:5738.

Ngowe NM, Mboudou E, Ngo-Nonga B, Tambo MF, Ze-Minkande J. La mortalité hospitalière des urgences chirurgicales de l’adulte à Yaoundé. Rev Afr Chir Spec. 2009;3(5):5-8.

Ka-Sall B, Kane O, Diouf E, Beye MD. Les urgences dans un centre hospitalier et universitaire, le point de vue de l’anesthésiste réanimateur. Med Trop. 2002;62:247-50.

Mbengono JA, Bengono RB, Nkodo JM, Essame TC, Amengle AL, Minkande JZ. Etiologies des décès dans les services d’urgences et de réanimation dans deux hôpitaux de la ville de Yaoundé. Health Sci Dis. 2015 Mar 28;16(1).

Bahebeck J, Ngowe NM, Binam F, Essomba A, Sosso AM. Bilan topographique des lésions traumatiques chez 300 accidentés observés à l’Hôpital Général de Yaoundé. J Magh A Rea. 2000;8:246-48.

Sima A, Josseaume A, Ngaka ND, Galoisy GL, Carpentier JP. Surgical emergencies at Libreville hospital center. Annales françaises d’anesthésie et réanimation. 2003.

Diango D, Coulibaly Y, Keïta M, Diallo A, Koïta K, Diani N. Délais de prise en charge des urgences chirurgicales à l'Hôpital Gabriel Toure de Bamako. J Magh Rea. 2007;14(59):167-70.