Identifying the Unique Non-Technical Skills Used by Surgeons Operating in Low and Middle Income Contexts

RESULTS: Records of 1,276 laparotomy patients were analyzed; 827 (65%) from general surgery (GS) and 449 (35%) from obstetrics and gynecology (ObGyn); 1,093 (86%) had been transferred to CHUK. The POCR was 29% (n1⁄4376) and POMR was 12% (n1⁄4153). Home province (odds ratio [OR] 1.93 for GS and 6.29 for ObGyn) and ICU care (OR 15.42 for GS and 6.80 for ObGyn) predicted POMR in both groups. General surgery patients had higher POCR if they had higher American Society of Anesthesiologists score (OR 4.13), were transferred from outside Kigali, had an operation between 12am and 6am (OR 1.99), had a pediatric diagnosis (OR 2.99), or had generalized peritonitis (OR 3.49). ObGyn patients had higher POCR if surgery was emergent (OR 4.47), they had generalized peritonitis (OR 13.53), or had organ perforation (OR 5.13).