Perioperative patient outcomes in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.,The Lancet

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Perioperative patient outcomes in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.
The Lancet ( IF 168.9 ) Pub Date : 2018-04-21 , DOI: 10.1016/s0140-6736(18)30001-1
Bruce M Biccard ₁ , Thandinkosi E Madiba ₂ , Hyla-Louise Kluyts ₃ , Dolly M Munlemvo ₄ , Farai D Madzimbamuto ₅ , Apollo Basenero ₆ , Christina S Gordon ₆ , Coulibaly Youssouf ₇ , Sylvia R Rakotoarison ₈ , Veekash Gobin ₉ , Ahmadou L Samateh ₁₀ , Chaibou M Sani ₁₁ , Akinyinka O Omigbodun ₁₂ , Simbo D Amanor-Boadu ₁₃ , Janat T Tumukunde ₁₄ , Tonya M Esterhuizen ₁₅ , Yannick Le Manach ₁₆ , Patrice Forget ₁₇ , Abdulaziz M Elkhogia ₁₈ , Ryad M Mehyaoui ₁₉ , Eugene Zoumeno ₂₀ , Gabriel Ndayisaba ₂₁ , Henry Ndasi ₂₂ , Andrew K N Ndonga ₂₃ , Zipporah W W Ngumi ₂₄ , Ushmah P Patel ₂₅ , Daniel Zemenfes Ashebir ₂₆ , Akwasi A K Antwi-Kusi ₂₇ , Bernard Mbwele ₂₈ , Hamza Doles Sama ₂₉ , Mahmoud Elfiky ₃₀ , Maher A Fawzy ₃₁ , Rupert M Pearse ₃₂ ,

Affiliation

Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, South Africa.
Department of Surgery, University of KwaZulu-Natal, South Africa.
Department of Anaesthesiology, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Anaesthesiology, University Hospital of Kinshasha, Democratic Republic of the Congo.
Department of Anaesthesia and Critical Care Medicine, University of Zimbabwe College of Health Sciences, Avondale, Harare, Zimbabwe.
Ministry of Health and Social Services Namibia, Windhoek, Namibia.
Faculté de Médicine de Bamako, Bamako, Mali.
LOT II M 46 R, Androhibe, Tana, Madagascar.
Ministry of Health and Quality of Life, Jawaharlal Nehru Hospital, Rose Belle, Mauritius.
Department of Surgery, Edward Francis Small Teaching Hospital, Banjul, The Gambia.
Department of Anesthesiology, Intensive Care and Emergency, National Hospital of Niamey, Niamey, Republic of Niger.
Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Anaesthesia, University College Hospital, Ibadan, Nigeria.
Anaesthesiology, Makerere University, Kampala, Uganda.
Centre for Evidence Based Health Care, Stellenbosch University, Stellenbosch, South Africa.
Departments of Anesthesia & Clinical Epidemiology and Biostatistics, Michael DeGroote School of Medicine, Faculty of Health Sciences, McMaster University and Population Health Research Institute, David Braley Cardiac, Vascular and Stroke Research Institute, Perioperative Medicine and Surgical Research Unit, Hamilton, ON, Canada.
Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Anesthesiology and Perioperative Medicine, Brussels, Belgium.
Anaesthesia Department, Tripoli Medical Centre, Tripoli, Libya.
Hospital of Cardiovasculaire Pathology, Universitar Hospital, Algeria.
Faculté des Sciences de la Santé de Cotonou, Hôpital de la mère et de l'enfant, Lagune de Cotonou, Benin.
Kamenge Teaching Hospital, Department of Surgery, Bujumbura, Burundi.
Department of Orthopaedics and General Surgery, Baptist Hospital, Mutengene, Cameroon.
General and Gastrosurgery, Mater Hospital, Kenya.
Department of Anaesthesia, University of Nairobi School of Medicine, Nairobi, Kenya.
Anaesthesiology, University Teaching Hospital, Lusaka, Zambia.
Department of Surgery, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Department of Anaesthesiology and Intensive Care, School of Medical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
HIV/AIDS Care and Treatment & PMTCT, Christian Social Service Commission, Mwanza, Tanzania.
Anaesthesia Intensive Care Medicine Pain Management, Sylvanus Olympio University Teaching Hospital, Lomé TOGO, Togo.
Department of Surgery, Cairo University, Cairo, Egypt.
Anesthesia, ICU & Pain Management Departments, Faculty of Medicine, Cairo University, Cairo, Egypt.
Intensive Care Medicine, Queen Mary University of London, London, UK.

There is a need to increase access to surgical treatments in African countries, but perioperative complications represent a major global health-care burden. There are few studies describing surgical outcomes in Africa.

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