Introduction: Despite the use of less invasive and increasingly effective techniques\nin order to reduce the morbi-mortality per and post-operative, the\nCPPO remain an important problem in surgery. Objectives: To determine\nthe rate of per and post-operative complications, to describe the types of\ncomplications and to identify their risk factors. Methodology: This was a\nprospective study carried out from 04 April to 03 June 2016 in the surgical\ndepartment of CHU-Gabriel TOURE. All patients aged 18 and over operated\nin the Surgical Department (General Surgery, Gynaecology and Obstetrics,\nUrology, Traumatology, Otolaryngology, Neurosurgery and Emergency Department),\nhaving been hospitalized at least for 24 hours after surgery, were retained.\nThe method of sampling N = P(1- P)Za2I2was used; the minimum size\nnecessary was 209 patients. We conducted invitations and the phone call to\ndetermine the occurrence of complications and survival of patients up to 30\ndays after surgery Results: We counted 262 patients, of whom 142 (54.2%)\nwere women and 120 (45.8%) were men with a sex ratio = 0.85. The average\nage was 41.48 years, with extremes of 18 and 86 years. We found 71 complications\nin 61 patients, an early CPPO rate of 23.28%. The various complications\nencountered were: urinary tract infections (26.76%), surgical site infections\n(28.17%), pulmonary infections (12.68%) and Deaths (21.13%). The\noccurrence of complications prolonged the hospital stay by 6 days and increased\nthe average cost of care of 102,700 FCFA. According to Clavien Dindoâ??s\nclassification, the severe postoperative complication in our series was\n9.16% (grade III + IV + V). Factors favoring the occurrence of CPPO were\nage > 41 years old, ASA > II, the classes of Altemeier 3 and 4, NNISS score 1\nand 2, diabetes and hemoglobin rate 8 g/dl. Conclusion: Complications per and\n post-operative (CPPO) are common in the department of Surgery of\nCHU-Gabriel TOURE and are dominated by post-operative infection. These\ncomplications seem to be favored by multiple factors more related to the patients\nthan to the hospital structure.
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