Aamir Bilal, Manzoor Ahmed, Tahira Nishtar, Ayesha Mansoor.
Two years audit of Geriatic thoracic surgery at Cardiothoracic Department at Peshawar.
Pak J Chest Med Jan ;12(2):23-8.

Objective: The aim of the study was to audit all admissions of geriatric age group during last two years (2003 to 2004). Design: A descriptive audit comprising of surgical aspects of Geriatric age group. Place and Duration: Department of Cardiothoracic Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from Jan 2003 to December 2004. Materials and Methods: Data comprising of patient demographics, number and type of various surgical procedures, hospital stay, various complications and number of deaths that occurred were entered into database. Geriatric age group is defined as patients aged above 60 years. Results: Analysis of Geriatric Thoracic Audit showed 174 admissions out of total 2170 admissions in Thoracic ward (08%). Total procedure performed were 1669 with Geriatric 133 cases (6.76%), elective cases were 93 out of 1072 (8.7%). All the elective procedures were thoracic, only 3 peri- cardial intubations were done. Various elective procedures performed were oesophagectomy 12 (12.91%), Oesophagoscopy & Dilatation 37 (39.8%). thoracotomies 10 (10.8%), feeding jejunostomy 8 (8.6%), pericardial intubation 3 (3.2%), mediastinotomy 4 (4.3%), open pleural biopsies 3 (3.2%), lobectomies, chest wall biopsies & Heller`s Myotomy 02 each (2.2%), while other procedures were 1% each. Overall morbidity was 9.7% and mortality was 7.5%. Conclusion: Highest priority should be accorded to surgical audit to determine various risk factors for mortality and morbidity and ultimately to improve patient care. Geriatric audit is also very important because they are very fragile and high risk patients. Accountability of the medical profession can only be achieved through surgical audit. It is high time that it becomes a part of our ward routine and teaching programmes.

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