Table 2

Inverse-variance aggregated perioperative mortality rate (POMR) across the 34 most commonly reported procedures or diagnoses described in the low-income and middle-income countries surgical outcomes literature, 2009–2014

Diagnostic or procedure codeDescriptionNumber of studiesTotal number of deathsTotal denominatorMedian POMR (range, %)Inverse-variance aggregated POMR (%, 95 CI)I-Squared (%)
CAESCaesarean section558053 66 5010.12 (0–15.61)0.05 (0 to 0.13)93.52
CABGCoronary artery bypass graft4958071 23 5133.60 (0–52.81)4.38 (3.47 to 5.37)97.32
EPHEmergency peripartum hysterectomy39196224510.30 (0–31.03)7.81 (5.81 to 10.04)64.27
VALVECardiac valve procedures35119730 3654.29 (0–15.07)4.17 (3.05 to 5.45)93.61
CARDCardiac surgery, not otherwise specified3178471 23 0604.79 (0–23.08)4.96 (3.81 to 6.25)97.80
COLRESColon resection, excluding resection for volvulus2735612 6361.86 (0–33.64)2.83 (1.62 to 4.31)92.35
APPYAppendicitis232852370 (0–2.78)0.01 (0 to 0.19)37.74
LUNGRESPulmonary resection, excluding resection for tuberculosis239656301.14 (0–13.76)1.3 (0.48 to 2.41)84.46
PERFPerforated hollow viscus, excluding perforations secondary to salmonella typhi infection22264242711.85 (0–40.00)11.85 (8.35 to 15.83)84.73
LIVRESHepatic resection209972431.38 (0–13.16)1.04 (0.32 to 2.02)77.08
MULTIMultispecialty patient population, usually institution-level surgical mortality1916451 77 2831.06 (0.16–7.36)1.29 (0.77 to 1.94)99.02
PCARDPaediatric cardiac procedures, excluding complex congenital heart disease and valve-specific procedures1953866187.14 (0–24.24)6.76 (4.99 to 8.75)81.36
RIMResection of intracranial mass19208140 (0–5.88)1.29 (0.41 to 2.51)0.00
GASTCAGastric cancer1826782502.71 (0–18.97)3.72 (1.92 to 6.01)94.48
INGHERNInguinal hernia177111 1960 (0–9.73)0.38 (0 to 1.22)93.48
LAPARLaparotomy, not meeting other abdominal surgery codes. Includes laparotomy performed for trauma17354306411.11 (4.94–42.11)12.53 (9.39 to 16.04)83.70
PAEDPaediatric surgical procedures, not otherwise specified1735554 3893.57 (0–62.22)6.16 (4.06 to 8.64)98.64
CHOLECholecystectomy15460880 (0–0.15)0 (0 to 0)0.00
UTRUPUterine rupture158711698.22 (0–17.50)7.36 (4.42 to 10.88)71.74
ESOCAEsophageal carcinoma1313418025.81 (0–24.00)5.4 (2.28 to 9.54)89.16
CCHDComplex congenital heart disease129359614.65 (0–61.54)14.94 (7.03 to 24.75)83.32
BOBSBowel obstruction1013711588.79 (2.27–38.10)12.32 (6.77 to 19.15)89.13
ICHIntracranial haemorrhage10224101125.48 (3.77–62.22)24.47 (15.88 to 34.16)89.05
LIVTRAUMHepatic trauma1013390917.01 (6.80–61.11)15.84 (10.31 to 22.16)76.86
WHIPWhipple pancreaticoduodenectomy109020652.84 (0–9.92)2.94 (1.61 to 4.57)52.48
MISMinimally invasive surgery, not otherwise specified9213140 (0–4.17)0 (0 to 0.1)0.00
RECTALRectal resection9610320 (0–5.88)0.07 (0 to 0.92)50.09
SPINESpine surgery, excluding trauma9115180 (0–8.96)0.77 (0 to 3.8)67.18
TIPTyphoid intestinal perforation913466220.73 (4.55–33.33)20.09 (14.36 to 26.48)71.46
AABDOAcute abdomen but not meeting other abdominal surgery codes8228287710.42 (4.90–34.88)11.2 (7.42 to 15.62)86.27
ACHIAll-comer head injury8377139023.08 (10.00–54.58)27.2 (14.98 to 41.39)96.32
BILDBile duct procedures, excluding Whipple procedure8517142.30 (0–21.54)4.08 (0.1 to 11.63)91.49
INTUSSIntussusception8433553.66 (0–33.70)4.8 (0.03 to 14.28)88.09
TADThoracic aortic disease877542038.66 (0–20.30)9.5 (3.96 to 16.74)91.49