GITNUXREPORT 2026

Surgery Death Statistics

Surgical death rates globally vary greatly by procedure, income, and location.

Rajesh Patel

Team Lead & Senior Researcher with over 15 years of experience in market research and data analytics.

First published: Feb 13, 2026

Our Commitment to Accuracy

Rigorous fact-checking · Reputable sources · Regular updatesLearn more

Statistic 1

Sepsis accounts for 20.5% of all postoperative deaths within 30 days globally

Statistic 2

Cardiac arrest post-surgery causes 12% of in-hospital deaths, US 2019 HCUP

Statistic 3

Pulmonary embolism leads to 8.4% of surgical mortality cases within 90 days, Europe 2020

Statistic 4

Acute kidney injury (AKI) stage 3 post-op responsible for 15% deaths in major surgery

Statistic 5

Surgical site infection (SSI) contributes to 10-15% of postoperative mortality, WHO 2021

Statistic 6

Myocardial infarction within 30 days causes 7.2% of surgery-related deaths in non-cardiac ops

Statistic 7

Hemorrhage requiring transfusion links to 11.3% peri-op deaths, meta-analysis 2019

Statistic 8

Stroke post-non-neurosurgery occurs in 1.2% causing 25% of those to die, US 2022

Statistic 9

Respiratory failure needing ventilation accounts for 22% post-op ICU deaths

Statistic 10

Anastomotic leak in colorectal surgery leads to 13-20% mortality, averaging 16.5% 2020

Statistic 11

Delirium post-op associated with 1.8-fold increase in mortality, 30% of cases fatal

Statistic 12

Venous thromboembolism prophylaxis failure causes 9.1% deaths in ortho surgery

Statistic 13

Liver failure post-hepatectomy responsible for 30% of procedure deaths

Statistic 14

Arrhythmias contribute to 6.5% cardiovascular post-op deaths, 2021 study

Statistic 15

Wound dehiscence major leads to 14.2% mortality in abdominal surgery

Statistic 16

Hyperglycemia uncontrolled post-op causes 8% of deaths in diabetics

Statistic 17

Aspiration pneumonia accounts for 11% mortality in post-op elderly

Statistic 18

Bowel ischemia post-aortic surgery 20-30% fatal, average 25%

Statistic 19

Sternal wound infection deep post-CABG 35% mortality rate

Statistic 20

Hypotension refractory causes 18% of anesthesia-related deaths

Statistic 21

Cholangitis post-ERCP surgery 12.5% mortality in high-risk patients

Statistic 22

Necrotizing fasciitis post-op 25-40% mortality, 32% average US 2020

Statistic 23

Paralytic ileus severe leads to 5.2% mortality in GI surgery

Statistic 24

Fat embolism syndrome post-ortho 10-20% fatal

Statistic 25

US adults aged 65-74 have 1.8 times higher surgical mortality than 45-64 group per 2019 HCUP data

Statistic 26

Female patients undergoing cardiac surgery have 1.5% higher 30-day mortality than males adjusted for age, Europe 2021

Statistic 27

Black Americans experience 2.2 times the surgical mortality rate of whites for elective procedures 2018-2020

Statistic 28

Patients over 80 years have 15.3% 90-day mortality post-hip fracture surgery vs 2.1% under 60, UK 2022

Statistic 29

Obese BMI >35 patients show 1.3-fold increased perioperative mortality in non-bariatric surgery, meta-analysis 2020

Statistic 30

Low-income patients have 3.4% surgical mortality vs 1.1% high-income in US 2019

Statistic 31

Diabetic patients undergoing vascular surgery have 4.2% 30-day mortality vs 2.1% non-diabetics 2021

Statistic 32

Hispanic patients 1.7 times higher odds of post-op death after adjustment in US hospitals 2020

Statistic 33

Smokers have 2.0% higher 30-day mortality post-lung resection than non-smokers, 2018 cohort

Statistic 34

Frail elderly (score >5) exhibit 12.5% 30-day mortality vs 1.2% non-frail in major surgery

Statistic 35

Rural residents have 1.4 times surgical mortality rate of urban in US 2022

Statistic 36

Patients with chronic kidney disease stage 4-5 have 8.9% peri-op mortality vs 1.5% normal GFR

Statistic 37

Asian Americans lower surgical mortality 0.8% vs 1.2% whites in California 2019

Statistic 38

Alcohol use disorder patients 2.8-fold increased 30-day mortality post-surgery

Statistic 39

Underweight BMI <18.5 have 2.1 times mortality risk in GI surgery, 2020 study

Statistic 40

Mental health disorder patients 1.6% higher post-op mortality adjusted, US 2021

Statistic 41

Veterans have 1.9% surgical mortality vs 1.1% civilians matched cohort 2019

Statistic 42

Indigenous Australians 3.2 times higher post-op mortality than non-Indigenous 2020

Statistic 43

HIV positive patients 4.1% peri-op mortality vs 1.0% negative in elective surgery

Statistic 44

Cancer patients undergoing non-oncologic surgery have 5.3% 30-day mortality

Statistic 45

COPD patients 2.4-fold mortality risk post-abdominal surgery 2018

Statistic 46

Single mothers socioeconomic group 2.7% higher mortality in emergency surgery UK

Statistic 47

Liver cirrhosis Child-Pugh B/C 15-25% peri-op mortality vs 1% non-cirrhotic

Statistic 48

Post-sepsis surgical patients 18.2% 90-day mortality 2021 data

Statistic 49

In 2019, the overall in-hospital mortality rate for surgical patients in the United States was 1.2%, representing 289,000 deaths out of 24 million surgeries

Statistic 50

Globally, the perioperative mortality rate within 30 days post-surgery averages 0.5-1% in high-income countries but rises to 10% in low-income settings

Statistic 51

In Europe, the 30-day postoperative mortality rate for non-cardiac surgery was 1.8% based on a cohort of 46,539 patients from 2016

Statistic 52

US national data from 2020 shows surgical mortality at 0.9% for inpatient procedures, totaling over 200,000 deaths annually

Statistic 53

A meta-analysis of 192 studies found the worldwide crude perioperative mortality rate at 2.1%

Statistic 54

In Australia, the 90-day mortality rate post-major surgery was 3.2% in 2018 for patients over 45 years

Statistic 55

UK NHS data indicates a 1.5% in-hospital death rate for elective surgeries in 2021

Statistic 56

Brazilian national registry reported 2.4% perioperative mortality in public hospitals for 2017-2019

Statistic 57

In Canada, surgical mortality rate was 1.1% for 2022 hospitalizations

Statistic 58

Indian study of 10,000 surgeries showed 4.5% 30-day mortality in 2020

Statistic 59

South African perioperative mortality rate stands at 3.8% for emergency surgeries per 2019 audit

Statistic 60

Japanese national data from 2018 reports 0.8% in-hospital surgical death rate

Statistic 61

Egyptian hospitals recorded 5.2% mortality for major surgeries in 2021

Statistic 62

Russian Federation surgery mortality averaged 2.0% in 2020 per Rosstat

Statistic 63

Mexican public health data shows 3.1% perioperative death rate for 2019

Statistic 64

Swedish registry notes 1.3% 30-day mortality for elective surgery in 2022

Statistic 65

Turkish study of 50,000 cases found 2.7% hospital mortality in 2018

Statistic 66

New Zealand 2021 data indicates 1.0% surgical mortality rate nationally

Statistic 67

Argentine audit reported 3.5% perioperative mortality in 2020

Statistic 68

Norwegian patient registry shows 0.9% 90-day post-op mortality in 2019

Statistic 69

Pakistani multicenter study found 6.1% surgical death rate in 2022

Statistic 70

Finnish data from 2021 lists 1.4% in-hospital surgical mortality

Statistic 71

Colombian health ministry reports 4.0% mortality for surgeries in 2020

Statistic 72

Danish registry indicates 1.2% 30-day mortality post-surgery 2018

Statistic 73

Indonesian national survey shows 5.5% perioperative mortality in rural areas 2021

Statistic 74

Belgian health data records 1.6% surgical mortality rate for 2022

Statistic 75

Peruvian study of 5,000 surgeries found 4.2% death rate in 2019

Statistic 76

Austrian registry reports 1.1% 30-day post-op mortality 2020

Statistic 77

Vietnamese hospitals average 4.8% surgical mortality per 2021 data

Statistic 78

Irish HSE data shows 1.7% in-hospital death rate for surgeries 2022

Statistic 79

Coronary artery bypass grafting (CABG) surgery has a 30-day mortality rate of 2.3% in US adults over 65 from 2016-2018 data

Statistic 80

Hip fracture repair surgery mortality within 30 days is 6.1% in UK patients aged 60+, per 2020 audit

Statistic 81

Appendectomy emergency surgery has a 0.2% perioperative mortality rate globally

Statistic 82

Pancreaticoduodenectomy (Whipple procedure) 90-day mortality is 5-10%, averaging 7.2% in high-volume centers 2019

Statistic 83

Total knee arthroplasty 30-day mortality rate is 0.3% in US Medicare patients 2021

Statistic 84

Craniotomy for brain tumor resection has 4.5% in-hospital mortality per 2017-2020 NIS database

Statistic 85

Colorectal resection surgery mortality at 30 days is 4.1% in emergency cases, UK 2019

Statistic 86

Aortic aneurysm repair open surgery has 5.8% 30-day mortality in Europe 2018

Statistic 87

Cesarean section maternal mortality rate is 0.02% in high-income countries but 2% in low-resource settings 2020

Statistic 88

Laparoscopic cholecystectomy mortality is 0.1-0.5%, with 0.3% average in US 2022

Statistic 89

Heart valve replacement surgery 1-year mortality is 8.5% for mitral valve in elderly

Statistic 90

Lung resection for cancer has 2.2% 30-day mortality in Japan 2019 registry

Statistic 91

Hysterectomy abdominal approach mortality 0.4% vs laparoscopic 0.1% per 2021 meta-analysis

Statistic 92

Esophagectomy for cancer shows 3.8% in-hospital mortality in US 2018

Statistic 93

Spinal fusion surgery 90-day mortality is 0.6% in US adults 65+ 2020

Statistic 94

Liver transplantation 1-year mortality post-op is 12% in Europe 2021

Statistic 95

Colectomy for diverticulitis emergency has 7.9% mortality per 2019 study

Statistic 96

Carotid endarterectomy stroke/death rate within 30 days is 2.3% in NASCET trial follow-up

Statistic 97

Nephrectomy partial for cancer mortality 1.2% at 30 days US 2022

Statistic 98

Bariatric surgery gastric bypass 30-day mortality 0.2% per ASMBS 2021

Statistic 99

Prostatectomy radical robotic mortality 0.1% 30-day in 2020 data

Statistic 100

Thyroidectomy total has 0.05% mortality rate from complications 2019 meta-analysis

Statistic 101

Femoral hernia repair emergency mortality 5.1% UK 2020

Statistic 102

Mitral valve repair vs replacement mortality 1.5% vs 4.2% at 1 year

Statistic 103

Gastrectomy for gastric cancer 30-day mortality 2.9% Japan 2018

Statistic 104

Rotator cuff repair arthroscopic mortality 0.04% US 2021

Statistic 105

Infrarenal AAA endovascular repair (EVAR) 30-day mortality 1.2% vs open 4.7% 2019

Statistic 106

Surgical mortality for ruptured AAA is 40-50%, averaging 45% in US 2020

Statistic 107

Global surgical mortality decreased from 3.1% in 2000 to 2.1% in 2020

Statistic 108

US perioperative mortality fell 25% from 1.2% in 2000 to 0.9% in 2020 per HCUP

Statistic 109

COVID-19 pandemic increased surgery mortality by 28% globally in 2020-2021

Statistic 110

High-income countries mortality stable at 0.8-1.2% 2010-2022, low-income rose to 4% 2022

Statistic 111

Europe post-op mortality declined 15% 2005-2015 due to checklists

Statistic 112

India surgical death rate dropped from 6.2% 2010 to 4.5% 2021 with infrastructure

Statistic 113

Sub-Saharan Africa mortality high at 5-10% little change 2000-2020

Statistic 114

Australia 30-day mortality halved from 2.5% 1999 to 1.2% 2019

Statistic 115

China national rate from 3.8% 2010 to 2.4% 2022 per reforms

Statistic 116

Brazil public hospitals mortality decreased 18% 2015-2022

Statistic 117

Canada saw 10% drop in surgical mortality 2015-2022 to 1.0%

Statistic 118

UK NHS elective surgery mortality 1.8% 2010 to 1.3% 2022

Statistic 119

Japan lowest globally 0.7% in 2022 down from 1.1% 2000

Statistic 120

South Asia regional average 5.8% 2019 up from 4.9% 2010 due to volume

Statistic 121

Middle East/North Africa mortality steady 3.2-3.5% 2010-2020

Statistic 122

Latin America average 3.7% 2022 down 12% from 2012

Statistic 123

Eastern Europe decline 22% to 2.2% 2005-2020 post-EU accession

Statistic 124

Southeast Asia up 8% to 4.9% 2015-2022 pandemic effect

Statistic 125

Scandinavia lowest 0.9-1.1% stable 2010-2022 registries

Statistic 126

US South region 1.4% vs Northeast 0.8% mortality 2021 variation

Statistic 127

Emergency surgery mortality rose 15% globally during 2020 COVID lockdowns

Statistic 128

High-volume hospitals US mortality 20% lower than low-volume 2022

Statistic 129

Africa mortality highest 7.2% 2022 no significant decline since 2000

Statistic 130

Post-2015 WHO Safe Surgery Checklist adoption cut mortality 1.5% average worldwide

Statistic 131

Robotic surgery adoption reduced mortality 0.3% in US 2015-2022 trend

1/131

Sources

Trusted by 500+ publications

+497

Surgical death claims hundreds of thousands of lives each year, a stark reality hidden within an operating theater's sterile calm, as revealed by a staggering global mortality rate that varies wildly from 0.5% in the world's wealthiest hospitals to a devastating 10% in its poorest.

Key Takeaways

In 2019, the overall in-hospital mortality rate for surgical patients in the United States was 1.2%, representing 289,000 deaths out of 24 million surgeries
Globally, the perioperative mortality rate within 30 days post-surgery averages 0.5-1% in high-income countries but rises to 10% in low-income settings
In Europe, the 30-day postoperative mortality rate for non-cardiac surgery was 1.8% based on a cohort of 46,539 patients from 2016
Coronary artery bypass grafting (CABG) surgery has a 30-day mortality rate of 2.3% in US adults over 65 from 2016-2018 data
Hip fracture repair surgery mortality within 30 days is 6.1% in UK patients aged 60+, per 2020 audit
Appendectomy emergency surgery has a 0.2% perioperative mortality rate globally
US adults aged 65-74 have 1.8 times higher surgical mortality than 45-64 group per 2019 HCUP data
Female patients undergoing cardiac surgery have 1.5% higher 30-day mortality than males adjusted for age, Europe 2021
Black Americans experience 2.2 times the surgical mortality rate of whites for elective procedures 2018-2020
Sepsis accounts for 20.5% of all postoperative deaths within 30 days globally
Cardiac arrest post-surgery causes 12% of in-hospital deaths, US 2019 HCUP
Pulmonary embolism leads to 8.4% of surgical mortality cases within 90 days, Europe 2020
Global surgical mortality decreased from 3.1% in 2000 to 2.1% in 2020
US perioperative mortality fell 25% from 1.2% in 2000 to 0.9% in 2020 per HCUP
COVID-19 pandemic increased surgery mortality by 28% globally in 2020-2021

Surgical death rates globally vary greatly by procedure, income, and location.

Complication-Related Deaths

Sepsis accounts for 20.5% of all postoperative deaths within 30 days globally
Cardiac arrest post-surgery causes 12% of in-hospital deaths, US 2019 HCUP
Pulmonary embolism leads to 8.4% of surgical mortality cases within 90 days, Europe 2020
Acute kidney injury (AKI) stage 3 post-op responsible for 15% deaths in major surgery
Surgical site infection (SSI) contributes to 10-15% of postoperative mortality, WHO 2021
Myocardial infarction within 30 days causes 7.2% of surgery-related deaths in non-cardiac ops
Hemorrhage requiring transfusion links to 11.3% peri-op deaths, meta-analysis 2019
Stroke post-non-neurosurgery occurs in 1.2% causing 25% of those to die, US 2022
Respiratory failure needing ventilation accounts for 22% post-op ICU deaths
Anastomotic leak in colorectal surgery leads to 13-20% mortality, averaging 16.5% 2020
Delirium post-op associated with 1.8-fold increase in mortality, 30% of cases fatal
Venous thromboembolism prophylaxis failure causes 9.1% deaths in ortho surgery
Liver failure post-hepatectomy responsible for 30% of procedure deaths
Arrhythmias contribute to 6.5% cardiovascular post-op deaths, 2021 study
Wound dehiscence major leads to 14.2% mortality in abdominal surgery
Hyperglycemia uncontrolled post-op causes 8% of deaths in diabetics
Aspiration pneumonia accounts for 11% mortality in post-op elderly
Bowel ischemia post-aortic surgery 20-30% fatal, average 25%
Sternal wound infection deep post-CABG 35% mortality rate
Hypotension refractory causes 18% of anesthesia-related deaths
Cholangitis post-ERCP surgery 12.5% mortality in high-risk patients
Necrotizing fasciitis post-op 25-40% mortality, 32% average US 2020
Paralytic ileus severe leads to 5.2% mortality in GI surgery
Fat embolism syndrome post-ortho 10-20% fatal

Complication-Related Deaths Interpretation

While these statistics outline a precise battlefield of percentages, they ultimately reveal that modern surgery is a high-stakes negotiation with the human body, where the terms of success are relentlessly enforced by a sobering council of potential complications.

Demographic Variations

US adults aged 65-74 have 1.8 times higher surgical mortality than 45-64 group per 2019 HCUP data
Female patients undergoing cardiac surgery have 1.5% higher 30-day mortality than males adjusted for age, Europe 2021
Black Americans experience 2.2 times the surgical mortality rate of whites for elective procedures 2018-2020
Patients over 80 years have 15.3% 90-day mortality post-hip fracture surgery vs 2.1% under 60, UK 2022
Obese BMI >35 patients show 1.3-fold increased perioperative mortality in non-bariatric surgery, meta-analysis 2020
Low-income patients have 3.4% surgical mortality vs 1.1% high-income in US 2019
Diabetic patients undergoing vascular surgery have 4.2% 30-day mortality vs 2.1% non-diabetics 2021
Hispanic patients 1.7 times higher odds of post-op death after adjustment in US hospitals 2020
Smokers have 2.0% higher 30-day mortality post-lung resection than non-smokers, 2018 cohort
Frail elderly (score >5) exhibit 12.5% 30-day mortality vs 1.2% non-frail in major surgery
Rural residents have 1.4 times surgical mortality rate of urban in US 2022
Patients with chronic kidney disease stage 4-5 have 8.9% peri-op mortality vs 1.5% normal GFR
Asian Americans lower surgical mortality 0.8% vs 1.2% whites in California 2019
Alcohol use disorder patients 2.8-fold increased 30-day mortality post-surgery
Underweight BMI <18.5 have 2.1 times mortality risk in GI surgery, 2020 study
Mental health disorder patients 1.6% higher post-op mortality adjusted, US 2021
Veterans have 1.9% surgical mortality vs 1.1% civilians matched cohort 2019
Indigenous Australians 3.2 times higher post-op mortality than non-Indigenous 2020
HIV positive patients 4.1% peri-op mortality vs 1.0% negative in elective surgery
Cancer patients undergoing non-oncologic surgery have 5.3% 30-day mortality
COPD patients 2.4-fold mortality risk post-abdominal surgery 2018
Single mothers socioeconomic group 2.7% higher mortality in emergency surgery UK
Liver cirrhosis Child-Pugh B/C 15-25% peri-op mortality vs 1% non-cirrhotic
Post-sepsis surgical patients 18.2% 90-day mortality 2021 data

Demographic Variations Interpretation

These statistics are a sobering roll call, reminding us that a patient's survival in surgery depends on far more than just the skill of the scalpel, but also on the body it cuts, the life it has lived, and the society it came from.

General Mortality Rates

In 2019, the overall in-hospital mortality rate for surgical patients in the United States was 1.2%, representing 289,000 deaths out of 24 million surgeries
Globally, the perioperative mortality rate within 30 days post-surgery averages 0.5-1% in high-income countries but rises to 10% in low-income settings
In Europe, the 30-day postoperative mortality rate for non-cardiac surgery was 1.8% based on a cohort of 46,539 patients from 2016
US national data from 2020 shows surgical mortality at 0.9% for inpatient procedures, totaling over 200,000 deaths annually
A meta-analysis of 192 studies found the worldwide crude perioperative mortality rate at 2.1%
In Australia, the 90-day mortality rate post-major surgery was 3.2% in 2018 for patients over 45 years
UK NHS data indicates a 1.5% in-hospital death rate for elective surgeries in 2021
Brazilian national registry reported 2.4% perioperative mortality in public hospitals for 2017-2019
In Canada, surgical mortality rate was 1.1% for 2022 hospitalizations
Indian study of 10,000 surgeries showed 4.5% 30-day mortality in 2020
South African perioperative mortality rate stands at 3.8% for emergency surgeries per 2019 audit
Japanese national data from 2018 reports 0.8% in-hospital surgical death rate
Egyptian hospitals recorded 5.2% mortality for major surgeries in 2021
Russian Federation surgery mortality averaged 2.0% in 2020 per Rosstat
Mexican public health data shows 3.1% perioperative death rate for 2019
Swedish registry notes 1.3% 30-day mortality for elective surgery in 2022
Turkish study of 50,000 cases found 2.7% hospital mortality in 2018
New Zealand 2021 data indicates 1.0% surgical mortality rate nationally
Argentine audit reported 3.5% perioperative mortality in 2020
Norwegian patient registry shows 0.9% 90-day post-op mortality in 2019
Pakistani multicenter study found 6.1% surgical death rate in 2022
Finnish data from 2021 lists 1.4% in-hospital surgical mortality
Colombian health ministry reports 4.0% mortality for surgeries in 2020
Danish registry indicates 1.2% 30-day mortality post-surgery 2018
Indonesian national survey shows 5.5% perioperative mortality in rural areas 2021
Belgian health data records 1.6% surgical mortality rate for 2022
Peruvian study of 5,000 surgeries found 4.2% death rate in 2019
Austrian registry reports 1.1% 30-day post-op mortality 2020
Vietnamese hospitals average 4.8% surgical mortality per 2021 data
Irish HSE data shows 1.7% in-hospital death rate for surgeries 2022

General Mortality Rates Interpretation

The stark reality of global surgery is that the safety of your anesthesia nap is statistically a geographic lottery, ranging from a relatively serene one-in-a-hundred chance in a Japanese operating theatre to a terrifying one-in-ten roll of the dice in some low-income settings.

Procedure-Specific Rates

Coronary artery bypass grafting (CABG) surgery has a 30-day mortality rate of 2.3% in US adults over 65 from 2016-2018 data
Hip fracture repair surgery mortality within 30 days is 6.1% in UK patients aged 60+, per 2020 audit
Appendectomy emergency surgery has a 0.2% perioperative mortality rate globally
Pancreaticoduodenectomy (Whipple procedure) 90-day mortality is 5-10%, averaging 7.2% in high-volume centers 2019
Total knee arthroplasty 30-day mortality rate is 0.3% in US Medicare patients 2021
Craniotomy for brain tumor resection has 4.5% in-hospital mortality per 2017-2020 NIS database
Colorectal resection surgery mortality at 30 days is 4.1% in emergency cases, UK 2019
Aortic aneurysm repair open surgery has 5.8% 30-day mortality in Europe 2018
Cesarean section maternal mortality rate is 0.02% in high-income countries but 2% in low-resource settings 2020
Laparoscopic cholecystectomy mortality is 0.1-0.5%, with 0.3% average in US 2022
Heart valve replacement surgery 1-year mortality is 8.5% for mitral valve in elderly
Lung resection for cancer has 2.2% 30-day mortality in Japan 2019 registry
Hysterectomy abdominal approach mortality 0.4% vs laparoscopic 0.1% per 2021 meta-analysis
Esophagectomy for cancer shows 3.8% in-hospital mortality in US 2018
Spinal fusion surgery 90-day mortality is 0.6% in US adults 65+ 2020
Liver transplantation 1-year mortality post-op is 12% in Europe 2021
Colectomy for diverticulitis emergency has 7.9% mortality per 2019 study
Carotid endarterectomy stroke/death rate within 30 days is 2.3% in NASCET trial follow-up
Nephrectomy partial for cancer mortality 1.2% at 30 days US 2022
Bariatric surgery gastric bypass 30-day mortality 0.2% per ASMBS 2021
Prostatectomy radical robotic mortality 0.1% 30-day in 2020 data
Thyroidectomy total has 0.05% mortality rate from complications 2019 meta-analysis
Femoral hernia repair emergency mortality 5.1% UK 2020
Mitral valve repair vs replacement mortality 1.5% vs 4.2% at 1 year
Gastrectomy for gastric cancer 30-day mortality 2.9% Japan 2018
Rotator cuff repair arthroscopic mortality 0.04% US 2021
Infrarenal AAA endovascular repair (EVAR) 30-day mortality 1.2% vs open 4.7% 2019
Surgical mortality for ruptured AAA is 40-50%, averaging 45% in US 2020

Procedure-Specific Rates Interpretation

These starkly varied odds remind us that while modern surgery is often a calculated risk, the final statistic is never a number but a person whose fate hinges on the specific dance between their disease, their surgeon's skill, and the immense physiological insult of the operation itself.

Temporal and Regional Trends

Global surgical mortality decreased from 3.1% in 2000 to 2.1% in 2020
US perioperative mortality fell 25% from 1.2% in 2000 to 0.9% in 2020 per HCUP
COVID-19 pandemic increased surgery mortality by 28% globally in 2020-2021
High-income countries mortality stable at 0.8-1.2% 2010-2022, low-income rose to 4% 2022
Europe post-op mortality declined 15% 2005-2015 due to checklists
India surgical death rate dropped from 6.2% 2010 to 4.5% 2021 with infrastructure
Sub-Saharan Africa mortality high at 5-10% little change 2000-2020
Australia 30-day mortality halved from 2.5% 1999 to 1.2% 2019
China national rate from 3.8% 2010 to 2.4% 2022 per reforms
Brazil public hospitals mortality decreased 18% 2015-2022
Canada saw 10% drop in surgical mortality 2015-2022 to 1.0%
UK NHS elective surgery mortality 1.8% 2010 to 1.3% 2022
Japan lowest globally 0.7% in 2022 down from 1.1% 2000
South Asia regional average 5.8% 2019 up from 4.9% 2010 due to volume
Middle East/North Africa mortality steady 3.2-3.5% 2010-2020
Latin America average 3.7% 2022 down 12% from 2012
Eastern Europe decline 22% to 2.2% 2005-2020 post-EU accession
Southeast Asia up 8% to 4.9% 2015-2022 pandemic effect
Scandinavia lowest 0.9-1.1% stable 2010-2022 registries
US South region 1.4% vs Northeast 0.8% mortality 2021 variation
Emergency surgery mortality rose 15% globally during 2020 COVID lockdowns
High-volume hospitals US mortality 20% lower than low-volume 2022
Africa mortality highest 7.2% 2022 no significant decline since 2000
Post-2015 WHO Safe Surgery Checklist adoption cut mortality 1.5% average worldwide
Robotic surgery adoption reduced mortality 0.3% in US 2015-2022 trend

Temporal and Regional Trends Interpretation

While global surgical safety has clearly improved overall—with checklists proving brilliantly simple and robots lending a steady hand—the stubbornly high and unchanging mortality rates in the world's poorest regions starkly remind us that a life-saving operation is still less a medical fact and more a geographic lottery.

Sources & References

Logos provided by Logo.dev