1000 urology deaths. Data from the Australia and New Zealand audit of surgical mortality.

Introduction and Objectives: The Australian and New Zealand Audit of Surgical Mortality (ANZASM) reviews all deaths either following an operation or under the care of a surgeon. The operating surgeon completes a surgical case form (SCF) once the death is reported and this is reviewed by independent assessors, with a case note review utilized when additional information is required. We have analyzed the ANZASM for data to provide the largest ever review of urological deaths. Method(s): The ANZASM Bi-National Audit System (BAS) database was interrogated for all deaths under the care of a urologist. Information on patient age, sex, hospital admission site, admission type, number of operations and operations conducted was obtained from the database. This demographic data was compared to the published all specialty ANZASM data. Result(s): The complete data for 1034 assessed urology deaths were recorded in BAS between 2009 and 2017. 764 (73.9%) males and 270 (26.1%) females were included. The mean age at the time of death was 77.6 years (range 21-101). 1091 operations were recorded in total (primary and re-operations) and there were 208 non-operative presentations (Table 1). 148 patients underwent 2 or more operations during their admission including some operations under different specialties. The most common primary operations are detailed in Table 2. Conclusion(s): Urology deaths appear to have the same proportion of operations as the general data set but are more commonly associated with elective surgery and private hospital admission than the overall ANZASM data. The most common emergency procedures were associated with sepsis and bleeding. We will be further investigating the reasons associated with the elective surgical deaths. (Table presented).