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Addressing priorities for surgical research in Africa: implementation of a multicentre cloud-based perioperative registry in Ethiopia
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Addressing priorities for surgical research in Africa: implementation of a multicentre cloud-based perioperative registry in Ethiopia
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Journal Article
Addressing priorities for surgical research in Africa: implementation of a multicentre cloud-based perioperative registry in Ethiopia
2022
Overview
Background: Improving global surgical capacity and quality requires data-driven, evidence-based interventions and collaborations. Low-resource settings, where disparities in access to and quality of surgical treatment led to excess mortality, have few surgical data, and most of the available data come from developed nations with little involvement from the data owner countries. The purpose of this study was to implement a perioperative registry in Ethiopia to generate continuous surgical data and examine whether this would help address African perioperative research priorities. Ethiopia is the second-most populous country in Sub-Saharan Africa and the headquarters of the African Union. Methods: A south-south collaboration supported the implementation of a context-specific, clinician-led, multicentre real-time perioperative registry in Ethiopia. Data from perioperative care, including the Ethiopian Ministry of Health's national Saving Lives Through Safe Surgery initiative was linked to real-time dashboards, which provided clinicians and administrators with reports on service utilization, surgical access, and national surgical performance indicators. A total of 285 beds were sourced from 4 hospitals in the Amhara, Southern Nations, Nationalities, and Peoples regions, and Addis Ababa. Results: A total of 1748 consecutive surgical cases were recorded from April 2019 to April 2020, and compliance with the World Health Organization's Surgical Safety Checklist was 1595 (92.1%). Thirty-three patients (3.1%) experienced adverse events during anesthesia, and 21 (2.0%) developed surgical site infections. Conclusion: The collaboration has successfully implemented a multicentre surgical registry that can assess key performance indicators for surgery and evaluate perioperative outcomes of patients. This can be scaled and is capable of interconnecting different African countries and implementing a minimal data set registry.
Publisher
CMA Impact, Inc
Subject
