Erschienen in:
06.10.2020 | Invited Commentary
The Value of Reporting Perioperative Mortality Rates (POMR)
verfasst von:
D. A. Watters
Erschienen in:
World Journal of Surgery
|
Ausgabe 1/2021
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Excerpt
The perioperative mortality rate (POMR) is a key performance indicator for global surgery, originally used by the WHO safe surgery saves lives program [
1,
2] and then adopted in 2013 through a consensus process by surgeons and anaesthetists in New Zealand, Australia and the Pacific, advocating for global surgery in conjunction with the Alliance for Surgery and Anaesthesia Presence (ASAP) and the International Surgical Society (ISS) [
3]. POMR is defined as death following surgery before discharge from hospital or within 30 days, whichever is sooner. Death after surgery before discharge from hospital was regarded as more feasible to collect than 30-day mortality, particularly in LMICs where it may be difficult to follow patients after discharge. POMR was subsequently adopted as one of six recommended surgical metrics by the Lancet Commission of Global Surgery (LCoGS) in 2015 [
4]. Malaysia has reported its POMR since 1998 [
5], New Zealand since 2011 [
6], whilst Tonga was the first Pacific Island nation began to systematically report its POMR in 2013, joined by twelve other countries in the Pacific region [
7]. …
