Mortality after emergency abdominal surgery is more than three times higher in the least developed countries compared to the most developed. Yet among those who undergo surgery, injuries tend to be less severe—raising concerns that those most critically injured are not even reaching the operating theater.
A study published in The Lancet Global Health has revealed stark global inequalities in survival after emergency abdominal surgery for traumatic injuries. The research found that patients in the world’s least developed countries face a substantially higher risk of dying within 30 days of surgery than those in the most developed nations, as ranked by the United Nations Human Development Index (HDI).
Although overall mortality rates appeared similar across settings at 11%, risk-adjusted analysis showed that patients in the lowest-HDI countries faced more than three times the risk of death compared with those in the highest-HDI group, while the risk in middle-HDI countries was nearly double.