Start Submission Become a Reviewer

Reading: The workload, outcome and waiting time of cardiothoracic operations: a single unit study in ...

Download

A- A+
Alt. Display

Scientific Articles

The workload, outcome and waiting time of cardiothoracic operations: a single unit study in Sri Lanka

Authors:

Tolusha Harischandra ,

Teaching Hospital Karapitiya, Galle, LK
About Tolusha
Consultant Cardiothoracic Surgeon
X close

J M R G Jayaweera,

General Hospital Matara, LK
About J M R G
Consultant ENT surgeon General Hospital Matarra
X close

K A N S Kannagoda,

Teaching Hospital Karapitiya, Galle, LK
About K A N S
Medical Officer
X close

K P A Sewwandi,

Faculty of Health Science KIU, Battaramulla, LK
About K P A
Nursing lecturer
X close

B A W S Godakumbura,

General Hospital Matara, LK
About B A W S
Nursing Officer
X close

Richard Firmin

University Hospitals of Leicester, GB
About Richard
Consultant Cardiothoracic Surgeon
X close

Abstract

Introduction: Heart disease is the commonest cause of death worldwide. Its surgical treatment is expensive, and resources are limited. Although there is general concern regarding the work of cardiothoracic units in Sri Lanka, there is very little scientific data regarding it. Our objective was to establish the workload, outcome and waiting time of cardiothoracic operations in a single unit in Sri Lanka.

Methods: Prospectively entered data from the clinic register and operation logbooks from August 2010 to March 2020 were reviewed retrospectively and collected on data extraction sheets. The data was entered onto a Microsoft EXCEL database and analyzed using SPSS [Statistical Package for Social Sciences].

Results: In 1100 patients, 759 [69%] were males and 341[31%], females; The mean age was 50.8 years [1 day-77 years]. Coronary artery bypass grafting [CABG] was the commonest operation [573;52.1%]. Others were thoracic operations [207;18.8%], valve operations [160;14.5%], congenital operations [89;7.8%], Extracorporeal Membrane Oxygenation/ECMO [29;2.6%], cardiothoracic trauma [20;1.8%], cardiac tumours [14;1.3%] and aortic operations [6;0.5%]. Urgency categories were elective [855;77.7%], urgent [179;16.3%], emergency [36;3.3%] and salvage [30;2.7%]. The mortality rate for elective surgery was 3.3% and that of CABG, 2.4%. The recent death rate while waiting is 5.7%. The present waiting time for elective operations is 9.4 months and is increasing.

Conclusions: Coronary, thoracic and valvular operations are the commonest operations in this unit. The outcomes of surgery are within accepted international standards. The waiting time is long. This study provides a baseline for future research and audit to prioritize capacity building.  

How to Cite: Harischandra, T., Jayaweera, J.M.R.G., Kannagoda, K.A.N.S., Sewwandi, K.P.A., Godakumbura, B.A.W.S. and Firmin, R., 2020. The workload, outcome and waiting time of cardiothoracic operations: a single unit study in Sri Lanka. Sri Lanka Journal of Surgery, 38(2), pp.42–45. DOI: http://doi.org/10.4038/sljs.v38i2.8678
Published on 31 Aug 2020.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus