{"id":"https://openalex.org/W7225310709","doi":"https://doi.org/10.1071/mj26012","title":"Perioperative mortality of emergency and elective surgical cases at a low-resource hospital in Papua New Guinea: a retrospective study at Kimbe Provincial Hospital","display_name":"Perioperative mortality of emergency and elective surgical cases at a low-resource hospital in Papua New Guinea: a retrospective study at Kimbe Provincial Hospital","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225310709","doi":"https://doi.org/10.1071/mj26012"},"language":"en","primary_location":{"id":"doi:10.1071/mj26012","doi":"https://doi.org/10.1071/mj26012","is_oa":true,"landing_page_url":"https://doi.org/10.1071/mj26012","pdf_url":"https://connectsci.au/mj/article-pdf/doi/10.1071/MJ26012/1975692/mj26012.pdf","source":{"id":"https://openalex.org/S2756190090","display_name":"Papua New Guinea Medical Journal","issn_l":"0031-1480","issn":["0031-1480","2981-8680"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4362724916","host_organization_name":"Medical Society of Papua New Guinea","host_organization_lineage":["https://openalex.org/P4362724916"],"host_organization_lineage_names":["Medical Society of Papua New Guinea"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Papua New Guinea Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://connectsci.au/mj/article-pdf/doi/10.1071/MJ26012/1975692/mj26012.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5136703488","display_name":"Fred Kaki","orcid":"https://orcid.org/0009-0000-5056-4777","observed_orcids":["https://orcid.org/0009-0000-5056-4777"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Fred Kaki","raw_affiliation_strings":["Kimbe Provincial Hospital, West New Britain Provincial Health Authority A , , , , ","Surgery Department A , , , , "],"raw_orcid":"https://orcid.org/0009-0000-5056-4777","affiliations":[{"raw_affiliation_string":"Kimbe Provincial Hospital, West New Britain Provincial Health Authority A , , , , ","institution_ids":[]},{"raw_affiliation_string":"Surgery Department A , , , , ","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045124284","display_name":"Ian Umo","orcid":"https://orcid.org/0000-0002-3551-0241","observed_orcids":["https://orcid.org/0000-0002-3551-0241"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ian Umo","raw_affiliation_strings":["Alotau Provincial Hospital, Milne Bay Provincial Health Authority B , , , ","Surgery Department B , , , "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Alotau Provincial Hospital, Milne Bay Provincial Health Authority B , , , ","institution_ids":[]},{"raw_affiliation_string":"Surgery Department B , , , ","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160941504","display_name":"Leo Junior Ganza","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Leo Junior Ganza","raw_affiliation_strings":["Kimbe Provincial Hospital, West New Britain Provincial Health Authority C , , , , ","Medical Records Department C , , , , "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kimbe Provincial Hospital, West New Britain Provincial Health Authority C , , , , ","institution_ids":[]},{"raw_affiliation_string":"Medical Records Department C , , , , ","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160961475","display_name":"Steven Waro","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steven Waro","raw_affiliation_strings":["Kimbe Provincial Hospital, West New Britain Provincial Health Authority A , , , , ","Surgery Department A , , , , "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kimbe Provincial Hospital, West New Britain Provincial Health Authority A , , , , ","institution_ids":[]},{"raw_affiliation_string":"Surgery Department A , , , , ","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068001724","display_name":"Victor Golpak","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Victor Golpak","raw_affiliation_strings":["Kimbe Provincial Hospital, West New Britain Provincial Health Authority A , , , , ","Surgery Department A , , , , "],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kimbe Provincial Hospital, West New Britain Provincial Health Authority A , , , , ","institution_ids":[]},{"raw_affiliation_string":"Surgery Department A , , , , ","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5136703488"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"67","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11731","display_name":"Global Health and Surgery","score":0.9740999937057495,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11731","display_name":"Global Health and Surgery","score":0.9740999937057495,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.022700000554323196,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/perioperative-mortality","display_name":"perioperative mortality","score":0.9990000128746033},{"id":"https://openalex.org/keywords/emergency-surgery","display_name":"emergency surgery","score":0.9810000061988831},{"id":"https://openalex.org/keywords/elective-surgery","display_name":"elective surgery","score":1.0},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8389999866485596},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.8309999704360962},{"id":"https://openalex.org/keywords/septic-shock","display_name":"septic shock","score":0.8949999809265137},{"id":"https://openalex.org/keywords/diabetic-foot-infection","display_name":"diabetic foot infection","score":0.8759999871253967},{"id":"https://openalex.org/keywords/necrotizing-soft-tissue-infection","display_name":"necrotizing soft tissue infection","score":0.9890000224113464},{"id":"https://openalex.org/keywords/general-surgery","display_name":"general surgery","score":0.6940000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9204000234603882},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.850600004196167},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5921000242233276},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5455999970436096},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.52920001745224},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.5001000165939331},{"id":"https://openalex.org/C2781312054","wikidata":"https://www.wikidata.org/wiki/Q5354947","display_name":"Elective surgery","level":2,"score":0.4812999963760376},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.4494999945163727},{"id":"https://openalex.org/C2992581537","wikidata":"https://www.wikidata.org/wiki/Q5354947","display_name":"Emergency surgery","level":2,"score":0.43639999628067017},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.4147999882698059},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.38609999418258667},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3183000087738037},{"id":"https://openalex.org/C2780283434","wikidata":"https://www.wikidata.org/wiki/Q7705274","display_name":"Tertiary referral hospital","level":3,"score":0.29820001125335693},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.29679998755455017},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2921999990940094},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.27900001406669617},{"id":"https://openalex.org/C187316915","wikidata":"https://www.wikidata.org/wiki/Q92307203","display_name":"Case fatality rate","level":3,"score":0.26980000734329224},{"id":"https://openalex.org/C3019730874","wikidata":"https://www.wikidata.org/wiki/Q11272","display_name":"Microsoft excel","level":2,"score":0.26759999990463257}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1071/mj26012","doi":"https://doi.org/10.1071/mj26012","is_oa":true,"landing_page_url":"https://doi.org/10.1071/mj26012","pdf_url":"https://connectsci.au/mj/article-pdf/doi/10.1071/MJ26012/1975692/mj26012.pdf","source":{"id":"https://openalex.org/S2756190090","display_name":"Papua New Guinea Medical Journal","issn_l":"0031-1480","issn":["0031-1480","2981-8680"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4362724916","host_organization_name":"Medical Society of Papua New Guinea","host_organization_lineage":["https://openalex.org/P4362724916"],"host_organization_lineage_names":["Medical Society of Papua New Guinea"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Papua New Guinea Medical Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1071/mj26012","doi":"https://doi.org/10.1071/mj26012","is_oa":true,"landing_page_url":"https://doi.org/10.1071/mj26012","pdf_url":"https://connectsci.au/mj/article-pdf/doi/10.1071/MJ26012/1975692/mj26012.pdf","source":{"id":"https://openalex.org/S2756190090","display_name":"Papua New Guinea Medical Journal","issn_l":"0031-1480","issn":["0031-1480","2981-8680"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4362724916","host_organization_name":"Medical Society of Papua New Guinea","host_organization_lineage":["https://openalex.org/P4362724916"],"host_organization_lineage_names":["Medical Society of Papua New Guinea"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Papua New Guinea Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225310709.pdf","grobid_xml":"https://content.openalex.org/works/W7225310709.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1423593067","https://openalex.org/W1753298007","https://openalex.org/W1809627859","https://openalex.org/W1981944570","https://openalex.org/W1983622997","https://openalex.org/W1999850853","https://openalex.org/W1999942315","https://openalex.org/W2011147226","https://openalex.org/W2045945747","https://openalex.org/W2057117124","https://openalex.org/W2148305663","https://openalex.org/W2261940451","https://openalex.org/W2262991246","https://openalex.org/W2390524166","https://openalex.org/W2413149045","https://openalex.org/W2531672001","https://openalex.org/W2769969114","https://openalex.org/W2775760745","https://openalex.org/W2793362293","https://openalex.org/W2809401007","https://openalex.org/W2892128779","https://openalex.org/W2912088129","https://openalex.org/W2997869298","https://openalex.org/W2998942843","https://openalex.org/W2999458270","https://openalex.org/W3044336426","https://openalex.org/W3194724832","https://openalex.org/W4211126724","https://openalex.org/W4220810651","https://openalex.org/W4286592399","https://openalex.org/W4292816696","https://openalex.org/W4386760134","https://openalex.org/W4394847387","https://openalex.org/W4398164247","https://openalex.org/W4402301443"],"related_works":["https://openalex.org/W4286592399","https://openalex.org/W3081734293","https://openalex.org/W2228895430","https://openalex.org/W3210703955","https://openalex.org/W2418509047","https://openalex.org/W1887772925","https://openalex.org/W4386760134","https://openalex.org/W1874417650","https://openalex.org/W2084858652","https://openalex.org/W1505944475"],"abstract_inverted_index":{"Background":[0],"Perioperative":[1],"mortality":[2,46,75,169,200,236],"rate":[3,170],"is":[4,265,278],"one":[5],"of":[6,90,136,159,172,191,219,227,259],"the":[7,44,66,112,131,189,224,256],"six":[8],"core":[9],"indicators":[10],"for":[11,48,145,153,188],"monitoring":[12],"access":[13],"to":[14,42,64,96,295],"safe":[15],"surgery":[16,186],"and":[17,35,50,63,69,104,180,241,273,286],"anaesthesia":[18],"by":[19],"providing":[20],"broader":[21],"insight":[22],"into":[23],"perioperative":[24,45,74,161,168,192,235,260,288],"processes,":[25],"including":[26],"patient":[27],"selection,":[28],"referral":[29],"pathways,":[30],"anaesthetic":[31],"capacity,":[32],"postoperative":[33],"monitoring,":[34],"critical":[36,289],"care":[37,290],"availability.":[38],"This":[39],"study":[40,84,100],"aims":[41],"determine":[43],"rates":[47],"emergency":[49,150,202,217,281],"elective":[51,212,225],"surgical":[52],"procedures":[53,110,143,151,203],"performed":[54,124],"at":[55],"Kimbe":[56,116],"Provincial":[57,117],"Hospital":[58,118],"in":[59,76,115,201,271,280],"Papua":[60],"New":[61],"Guinea":[62],"identify":[65],"major":[67,293],"clinical":[68],"system-related":[70],"factors":[71],"associated":[72,233],"with":[73,165,198,214,234,250,267],"this":[77],"low-resource":[78],"setting.":[79],"Method":[80],"A":[81,157],"retrospective":[82],"descriptive":[83],"was":[85,123],"conducted":[86],"over":[87],"a":[88,134,215],"period":[89],"6":[91,113],"years,":[92],"from":[93],"January":[94],"2020":[95],"December":[97],"2025.":[98],"The":[99,229],"included":[101],"all":[102],"paediatric":[103],"adult":[105],"patients":[106,138],"who":[107],"underwent":[108,139],"operative":[109,140],"within":[111],"years":[114],"operating":[119],"theateres.":[120],"Data":[121],"analysis":[122],"using":[125],"Microsoft":[126],"Excel":[127],"2013.":[128],"Result":[129],"Over":[130],"6-year":[132],"period,":[133],"total":[135,158],"7939":[137],"procedures.":[141,282],"Elective":[142],"accounted":[144,152,187],"5109":[146],"cases":[147,155],"(64.36%),":[148],"while":[149],"2830":[154],"(35.64%).":[156],"72":[160],"deaths":[162,178,183,193],"were":[163,175,237,276,292],"recorded":[164],"an":[166],"overall":[167],"(POMR)":[171],"0.91%.":[173],"There":[174],"46":[176],"male":[177],"(63.89%)":[179],"26":[181],"female":[182],"(36.11%).":[184],"General":[185],"majority":[190],"(n":[194,204,246],"=":[195,205,247],"47,":[196],"65.28%)":[197],"higher":[199],"41,":[206],"56.94%).":[207],"Emergency":[208],"POMR":[209,218,226,277],"consistently":[210],"exceeded":[211],"POMR,":[213],"cumulative":[216],"1.45%,":[220],"more":[221],"than":[222],"double":[223],"0.61%.":[228],"most":[230],"common":[231],"diagnosis":[232],"diabetic":[238],"foot":[239],"infections":[240,245],"necrotising":[242],"soft":[243],"tissue":[244],"25,":[248],"34.72%),":[249],"sepsis":[251],"or":[252],"septic":[253],"shock":[254],"(51.39%)":[255],"leading":[257],"cause":[258],"deaths.":[261],"Conclusion":[262],"Our":[263],"evidence":[264],"consistent":[266],"other":[268],"similar":[269],"studies":[270],"low-":[272],"middle-income":[274],"countries,":[275],"high":[279],"Sepsis,":[283],"delayed":[284],"presentation,":[285],"limited":[287],"capacity":[291],"contributors":[294],"mortality.":[296]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}
