Surgical Audit of Patients at a Tertiary Care Hospital

Objective: Analysis of various cases admitted to surgical unit of Pakistan Institute of Medical Sciences (PIMS), Islamabad. Patients and Methods: This cross-sectional study was conducted from Jan 2016 – Dec 2016 at Department of General Surgery, PIMS Islamabad. The record of all the cases admitted in Surgical Unit II during the year 2016 was reviewed. All data was collected on a specially designed performa that included basic information of patients like demographics characters, mode of admission i.e. emergency, outpatient department, referred or transferred from another unit, management i.e. operation or conservative treatment, the outcome of management i.e. discharge, referred or death, and the presence of co-morbidities. Data was recorded and analyzed by using SPSS version 20. Results: Total number of admissions during the study period was 822, out of these 54.3% (n=447) were males and 45.60% (n=375) were females. The mean age of the patients was 35.9. The Record showed that 33.09% procedures were performed in an emergency while 66.91% were elective. Among these appendicectomy was the commonest emergency procedure while cholecystectomy was the commonest elective procedure. Majority of patients (94.89%) were discharged with full recovery and there were 19 (2.31%) deaths. Conclusion: Most patients were managed by surgery elective. Cholecystectomy being the most common elective procedure followed by breast surgeries and Appendicectomy was the most common operation performed in emergency. In Pakistan, there is a need for Surgical Audit in our hospitals for proper planning and betterment of health care system of the country. It is recommended to start computerized audit and sharing of patient’s database.