Abdul Baseer, Aamir Bilal, Mohammad Muslim.
Audit of one year workload of thoracic surgical team at Peshawar.
Pak J Chest Med Jan ;13(2):5-8.

Objective: The aim of the study was to audit all procedures for significant adverse events of our department during last one year. Design: A descriptive audit comprising of surgical procedures. Place and Duration: Department of Cardiothoracic Surgery, Postgraduate Medical Institute, Lady Reading Hospital and Khyber Medical Center Peshawar from January 2006 to December 2006. Materials and Methods: Data comprising of patients demographics, number and type of various surgical procedures, hospital stay, various complications and number of deaths that occurred were entered into database. Data base analysis was carried out for determining morbidity and mortality. Results: Analysis of surgical audit showed 1340 procedures. Tube thoracostomy was required in 697patients while elective procedures were 643. Elective thoracic procedures were 615(95.64%) while elective cardiac procedures were 28(4.35%). Various procedures performed included, decortication 154 (23.9%), Oesophagectomy 83(12.9%), Hydatid cystectomy 33 (5.1%), PDA ligation 18 (2.79%), pericardiectomy 03 (.46%), lobectomy 34(5.28%), pneumonectomy 10 (1.55%), thoracoplasty 41(6.37%), while other thoracic and cardiac procedures were 37.16% and 1.55% respectively. Overall mortality was 3.57% while morbidity was 4.35%. Conclusion: Highest priority should be accorded to surgical audit to determine various risk factors for mortality and morbidity, ultimately to improve patient care. Accountability of the medical profession can only be achieved through surgical audit. It is high time that this becomes part of our ward routine and teaching programs.

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