Vol. 11, Issue 4 (2025)

Profile and factors associated with mortality in orthopaedics and traumatology at Saint Jean de Dieu Hospital in Afagnan, Togo

Author(s):

Kombate Noufanangue, Kanfitine, James YE, Koulekey DYK, Bignandi K, Atana MJ, Awoudza KN and Walla A

Abstract:

Introduction: Knowledge of mortality statistics is important in the fight against the major causes of death. It is an indicator of the quality of care in a hospital. The main objective of this study was to identify the profile of deceased patients and the factors associated with mortality.

Patients and methods: This was a retrospective, descriptive and analytical study. It focused on patients over the age of 15 who died during hospitalisation, either during or after surgery. The study period ran from 1January 2012 to 31 December 2021. The parameters studied were socio-demographic, therapeutic and prognostic data. Statistical analysis was performed using the Chi-square test. The factors studied were: age, comorbidities, Baker's Injury Severity Score (ISS), the American Society of Anesthesiologists (ASA) score, and the cause of death.

Results: Of the 4,253 records collected, 180 deaths were recorded, representing 4.2%. The median age was 52.6±19.5 years (16-98). There were 69 (57.5%) men and 51 (42.5%) women. Delayed consultation affected 42.5% of patients. The main reason for consultation was diabetic gangrene in 49.2% of cases. Amputation was the most common procedure performed, at 75.8%. The main causes of death were septic shock and anaemia. The risk factors identified were: severe ISS score, male gender, time of death, septic shock and anaemia.

Conclusion: Hospital mortality due to trauma is a public health problem in our country. The mortality rate was 4.2%. The risk factors identified were male gender, ISS score (>25), time of death (at night), septic shock and anaemia.

Pages: 273-278  |  86 Views  42 Downloads

How to cite this article:
Kombate Noufanangue, Kanfitine, James YE, Koulekey DYK, Bignandi K, Atana MJ, Awoudza KN and Walla A. Profile and factors associated with mortality in orthopaedics and traumatology at Saint Jean de Dieu Hospital in Afagnan, Togo. Int. J. Orthop. Sci. 2025;11(4):273-278. DOI: 10.22271/ortho.2025.v11.i4d.3858