An Assessment of Perioperative Mortality Rate in Aliabad Teaching Hospital, Kabul, Afghanistan

Introduction: Non-communicable diseases, including trauma and cancer as a result of inadequacy of surgery increasingly contribute to surgical burden, the absence of surgery and safe anesthesia in low and middle income countries is increased. Trauma, a main cause of death in low and middle income countries, depends on surgical interference to avoid disability and mortality. There are two million potentially avoidable deaths among the 5 million annual deaths due to injury, and many more among the growing burden of non-communicable diseases. This study seeks to determine perioperative mortality rate in the surgical wards of Aliabad Teaching Hospital, Kabul, Afghanistan. Method: The cross-sectional study was conducted in Aliabad Teaching Hospital from March 2018 to March 2019. Data elements potentially available from logbooks include: registration number, age, gender, date of operation, postoperative diagnosis, type of operation, systematic diseases of the patients and urgency of operation. Data were initially entered into an excel data sheet, and then exported to SPSS Statistics version 22 for further analysis. Results: From a total of 2856 patient records, 2093 were males and 763 females. The mean age of the subjects was 39.16 ± 16.995 years. Majority of the patients (43.2 %) admitted to the general surgery ward of the Aliabad Teaching Hospital. The perioperative mortality rate was found to be 4.3 % among the study participants. Trauma was the first leading cause of perioperative mortalities. General anesthesia, age category of 17-29 years, male, emergency procedures were associated with perioperative mortality. Conclusion: Trauma was first leading causes of perioperative mortalities. The higher perioperative mortality rates identified among 17- 29 years old age category.