Comparative Clinical Audit of Neurosurgical Procedures Across Three Institutions: A Multi-Center Retrospective Study

Authors

  • Saumitra Sarkar Professor, Department of Neurosurgery, Sylhet MAG Osmani Medical College Hospital, Sylhet
  • Md Nuruzzaman Khan Professor & Head, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka
  • Md Mahamudul Haque Morshed Associate Professor, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka
  • Avijit Dey Registrar, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Shuvro Saha Medical officer, Department of Neurosurgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Anindya Das Gupta Medical Officer, Department of Neurosurgery, National Institute of Neuroscience Hospital, Dhaka, Bangladesh
  • Md Shahadat Hossain Sarker Medical Officer, Department of Neurosurgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Saumik Sarkar Resident Medical officer, Department of Intensive Care Unit, Popular Medical College Hospital, Dhaka, Bangladesh
  • Syed Shahreor Razzaque Assistant Professor, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • A M M Mukarrabin Assistant Registrar, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Fateha Yasmin Antara Assistant Registrar, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Md Sakib Bin Shahabuddin Assistant Registrar, Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Md Kamal Hossen Assistant Professor, Department of Neurosurgery, Mymensingh Medical College Hospital, Mymensingh, Bangladesh

Keywords:

Neurosurgical audit, complication rate, mortality rate, spinal surgery, cranial procedures, quality improvement, multi-center study

Abstract

Background: Institutional audits are essential in neurosurgery to evaluate the quality of care, identify gaps, and guide improvements. Comparing multiple centers provides a broader understanding of practice patterns and outcomes.

Methods: This is a multi-center retrospective review of neurosurgical procedures performed at Shaheed Suhrawardy Medical College Hospital (ShSMCH), Popular Medical College Hospital (PMCH), Dhaka and Pranto Specialized Hospital (PSH), Mymensingh over Jan 2022- Dec 2024. Key variables including case volume, procedure types, outcomes, and complication rates were analyzed.

Results: A total of 530 cases were analyzed: ShSMCH (200), PMCH (180), and PSH (150). The mortality rates were 5%, 1%, and 0.6% respectively, while complication rates were 14%, 3%, and 5%. The most common procedures were Fenestration & Discectomy, Spinal Stabilization, ACDF, Brain Tumor Excision, VP shunt and Trauma Craniotomy.

Conclusion: This study highlights institutional variations in neurosurgical practice and outcomes, indicating the need for standardized care protocols and quality improvement initiatives.

J Shaheed Suhrawardy Med Coll 2024; 16(2): 49-52

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Published

2026-03-15

How to Cite

Saumitra Sarkar, Md Nuruzzaman Khan, Md Mahamudul Haque Morshed, Avijit Dey, Shuvro Saha, Anindya Das Gupta, Md Shahadat Hossain Sarker, Saumik Sarkar, Syed Shahreor Razzaque, A M M Mukarrabin, Fateha Yasmin Antara, Md Sakib Bin Shahabuddin, & Md Kamal Hossen. (2026). Comparative Clinical Audit of Neurosurgical Procedures Across Three Institutions: A Multi-Center Retrospective Study. Journal of Shaheed Suhrawardy Medical College, 16(2), 49-52. https://doi.org/10.3329/jssmc.v16i2.88327

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Section

Original Articles

How to Cite

Saumitra Sarkar, Md Nuruzzaman Khan, Md Mahamudul Haque Morshed, Avijit Dey, Shuvro Saha, Anindya Das Gupta, Md Shahadat Hossain Sarker, Saumik Sarkar, Syed Shahreor Razzaque, A M M Mukarrabin, Fateha Yasmin Antara, Md Sakib Bin Shahabuddin, & Md Kamal Hossen. (2026). Comparative Clinical Audit of Neurosurgical Procedures Across Three Institutions: A Multi-Center Retrospective Study. Journal of Shaheed Suhrawardy Medical College, 16(2), 49-52. https://doi.org/10.3329/jssmc.v16i2.88327