CoChat
Sign Up
Cited by 580Global Health and SurgeryCardiac, Anesthesia and Surgical OutcomesTrauma and Emergency Care Studies

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

Open access
Biccard, Bruce M, Madiba, Thandinkosi E, Kluyts, Hyla-Louise, Munlemvo, Dolly M, Madzimbamuto, Farai D, Basenero, Apollo, Gordon, Christina S, Youssouf, Coulibaly +1085 more·2018·The Lancet
DOI 10.1016/s0140-6736(18)30001-1
Open this paper in CoChat — free account

Abstract

Background 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.Methods We did a 7-day, international, prospective, observational cohort study of patients aged 18 years and older undergoing any inpatient surgery in 25 countries in Africa (the African Surgical Outcomes Study). We aimed to recruit as many hospitals as possible using a convenience sampling survey, and required data from at least ten hospitals per country (or half the surgical centres if there were fewer than ten hospitals) and data for at least 90% of eligible patients from each site. Each country selected one recruitment week between February and May, 2016. The primary outcome was in-hospital postoperative complications, assessed according to predefined criteria and graded as mild, moderate, or severe. Data were presented as median (IQR), mean (SD), or n (%), and compared using t tests. This study is registered on the South African National Health Research Database (KZ_2015RP7_22) and ClinicalTrials.gov (NCT03044899).Findings We recruited 11 422 patients (median 29 [IQR 10-70]) from 247 hospitals during the national cohort weeks. Hospitals served a median population of 810 000 people (IQR 200 000-2 000 000), with a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 (0·2-1·9) per 100 000 population. Hospitals did a median of 212 (IQR 65-578) surgical procedures per 100 000 population each year. Patients were younger (mean age 38·5 years [SD 16·1]), with a lower risk profile (American Society of Anesthesiologists median score 1 [IQR 1-2]) than reported in high-income countries. 1253 (11%) patients were infected with HIV, 6504 procedures (57%) were urgent or emergent, and the most common procedure was caesarean delivery (3792 patients, 33%). Postoperative complications occurred in 1977 (18·2%, 95% CI 17·4-18·9]) of 10 885 patients. 239 (2·1%) of 11 193 patients died, 225 (94·1%) after the day of surgery. Infection was the most common complication (1156 [10·2%] of 10 970 patients), of whom 112 (9·7%) died.Interpretation Despite a low-risk profile and few postoperative complications, patients in Africa were twice as likely to die after surgery when compared with the global average for postoperative deaths. Initiatives to increase access to surgical treatments in Africa therefore should be coupled with improved surveillance for deteriorating physiology in patients who develop postoperative complications, and the resources necessary to achieve this objective.Funding Medical Research Council of South Africa.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(18)30001-1

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

1 of the 38 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Biccard, B. M., Madiba, T. E., Kluyts, H.-L., Munlemvo, D. M., Madzimbamuto, F. D., Basenero, A., Gordon, C. S., Youssouf, C., Rakotoarison, S. R., Gobin, V., Samateh, A. L., Sani, C. M., Omigbodun, A. O., Amanor-Boadu, S. D., Tumukunde, J. T., Esterhuizen, T. M., Manach, Y. L., Forget, P., Elkhogia, A. M., Mehyaoui, R. M., Zoumeno, E., Ndayisaba, G., Ndasi, H., Ndonga, A. K. N., Ngumi, Z. W. W., Patel, U. P., Ashebir, D. Z., Antwi-Kusi, A. A. K., Mbwele, B., Sama, H. D., Elfiky, M., Fawzy, M. A., Pearse, R. M., Abadagan, H., Abbas, N., Abdelatif, A. I., Abdoulaye, T., Abd-rouf, A., Abduljalil, A., Abdulrahman, A., Abdurazig, S., Abokris, A., Abozaid, W., Abugassa, S., Abuhdema, F., Abujanah, S., Abusamra, R., Abushnaf, A., Abusnina, S., Abuzalout, T., Ackermann, H., Adamu, Y., Addanfour, A., Adeleke, D., Adigun, T., Adisa, A., Adjignon, S. V., Adu-Aryee, N., Afolabi, B., Agaba, A., Agaba, P., Aghadi, K., Agilla, H., Ahmed, B., Ahmed, E.-Z., Ahmed, A.-J., Ahmed, M., Ahossi, R., Aji, S., Akanyun, S., Akhideno, I., Akhter, M., Akinyemi, O., Akkari, M., Akodjenou, J., AL Samateh, A., al Shams, E., Alagbe-Briggs, O., Alakkari, E., Alalem, R., Alashhab, M., Alatise, O., Alatresh, A., Alayeb Alayeb, M., Albakosh, B., Albert, F., Alberts, A., Aldarrat, A., Alfari, A., Alfetore, A., Algbali, M., Algddar, A., Algedar, H., Alghafoud, I., Alghazali, A., Alhajj, M., Alhendery Alhendery, A., Alhoty, F., Ali, A., Ali, Y., Ali, A., Alioune, B. S., Alkassem, M., Alkchr, M., Alkesa, T., Alkilani, A., Alkobty Alkobty, F., Allaye, T., Alleesaib, S., Alli, A., Allopi, K., Allorto, N., Almajbery, A., Almesmary, R., Almisslati, S., Almoraid, F., Alobeidi, H., Alomami, M., Alphonsus, C. S., Alqawi, O., Alraheem, A., Alsabri, S., Alsayed, A., Alsellabi, B., Al-Serksi, M., Alshareef, M., Altagazi, A., Aluvale, J., Alwahedi, H., Alzahra, E., Alzarouk, M., Al-Zubaidy, K., Amadou, M., Amadou, M., Amanor-Boadu, S. D., Amer, A.-A., Amisi, B., Amuthenu, M., Anabah, T., Anani, F., Anderson, P., Andriamampionona, A., Andrianina, L., Anele, A., Angelin, R., Anjar, N., Antùnez, O., Antwi-Kusi, A., Anyanwu, L., Aribi, A., Arowolo, O., Arrey, O., Ashebir, D. Z., Assefa, S., Assoum, G., Athanse, V, Athombo, J., Atiku, M., Atito-Narh, E., Atomabe, A., Attia, A., Aungraheeta, M., Aurélia, D., Ayandipo, O., Ayebale, A., Azzaidey, H., Babajee, N., Badi, H., Badianga, E., Baghni, R., Bahta, M., Bai, M., Baitchu, Y., Baloyi, A., Bamuza, K., Bamuza, M., Bangure, L., Bankole, O., Barongo, M., Barow, M., Basenero, A., Bashiya, L., Basson, C., Bechan, S., Belhaj, S., Ben Mansour, M., Benali, D., Benamour, A., Berhe, A., Bertie, J., Bester, J., Bester, M., Bezuidenhout, J., Bhagwan, K., Bhagwandass, D., Bhat, K., Bhuiyan, M., Biccard, B. M., Bigirimana, F., Bikuelo, C., Bilby, B., Bingidimi, S., Bischof, K., Bishop, D. G., Bitta, C., Bittaye, M., Biyase, T., Blake, C., Blignaut, E., Blignaut, F., BN Tanjong, B., Bogoslovskiy, A., Boloko, P., Boodhun, S., Bori, I., Boufas, F., Brand, M., Brouckaert, N. T., Bruwer, J., Buccimazza, I., Bula Bula, I., Bulamba, F., Businge, B., Bwambale, Y., Cacala, S., Cadersa, M., Cairns, C., Carlos, F., Casey, M., Castro, A., Chabayanzara, N., Chaibou, M., Chaibva, T., Chakafa, N., Chalo, C., Changfoot, C., Chari, M., Chelbi, L., Chibanda, J., Chifamba, H., Chikh, N., Chikumba, E., Chimberengwa, P., Chirengwa, J., Chitungo, F., Chiwanga, M., Chokoe, M., Chokwe, T., Chrirangi, B., Christian, M., Church, B., Cisekedi, J., Clegg-Lamptey, J., Cloete, E., Coltman, M., Conradie, W., Constance, N., Coulibaly, Y., Cronje, L., Da Silva, M., Daddy, H., Dahim, L., Daliri, D., Dambaki, M., Dasrath, A., Davids, J., Davies, G. L., De Lange, J., de Wet, J., Dedekind, B., Degaulle, M., Dehal, V, Deka, P., Delinikaytis, S., Desalu, I., Dewanou, H., Deye, M. M., Dhege, C., Diale, B., Dibwe, D., Diedericks, B., Dippenaar, J., Dippenaar, L., Diyoyo, M., Djessouho, E., Dlamini, S., Dodiyi-Manuel, A., Dokolwana, B., Domoyyeri, D., Drummond, L. W., du Plessis, D., du Plessis, W., du Preez, L., Dube, K., Dube, N., Dullab, K., Duvenhage, R., Echem, R., Edaigbini, S., Egote, A., Ehouni, A., Ekwen, G., Ekwunife, N., El Hensheri, M., Elfaghi, I., Elfagieh, M., Elfallah, S., Elfiky, M., Elgelany, S., Elghallal, A., Elghandouri, M., Elghazal, Z., Elghobashy, A., Elharati, F., Elkhogia, A. M., Elkhwildi, R., Ellis, S., Elmadani, L., Elmadany, H., Elmehdawi, H., Elmgadmi, A., Eloi, H., Elrafifi, D., Elsaadi, G., Elsaity, R., Elshikhy, A., Eltaguri, M., Elwerfelli, A., Elyasir, I., Elzoway, A., Elzufri, A., Enendu, E., Enicker, B., Enwerem, E., Esayas, R., Eshtiwi, M., Eshwehdi, A., Esterhuizen, J., Esterhuizen, T. M., Etuk, E., Eurayet, O., Eyelade, O., Fanjandrainy, R., Fanou, L., Farina, Z., Fawzy, M., Feituri, A., Fernandes, N., Ford, L., Forget, P., François, T., Freeman, T., Freeman, Y., Gacii, V., Gadi, B., Gagara, M., Gakenia, A., Gallou, P., Gama, G., Gamal, M., Gandy, Y., Ganesh, A., Gangaly, D., Garcia, M., Gatheru, A., Gaya, S., Gbéhadé, O., Gerbel, G., Ghnain, A., Gigabhoy, R., Giles, D., Girmaye, G., Gitau, S., Githae, B., Gitta, S., Gobin, V., Goga, R., Gomati, A., Gonzalez, M., Gopall, J., Gordon, C. S., Gorelyk, O., Gova, M., Govender, K., Govender, P., Govender, S., Govindasamy, V, Green-Harris, J., Greenwood, M., Grey-Johnson, S., Grobbelaar, M., Groenewald, M., Grünewald, K., Guegni, A., Guenane, M., Gueye, S., Guezo, M., Gunguwo, T., Gweder, M., Gwila, M., Habimana, L., Hadecon, R., Hadia, E., Hamadi, L., Hammouda, M., Hampton, M., Hanta, R., Hardcastle, T. C., Hariniaina, J., Hariparsad, S., Harissou, A., Harrichandparsad, R., Hasan, S., Hashmi, H., Hayes, M., Hdud, A., Hebli, S., Heerah, H., Hersi, S., Hery, A., Hewitt-Smith, A., Hlako, T., Hodges, S., Hodgson, R. E., Hokoma, M., Holder, H., Holford, E., Horugavye, E., Houston, C., Hove, M., Hugo, D., Human, C., Hurri, H., Huwidi, O., Ibrahim, A., Ibrahim, T., Idowu, O., Igaga, I., Igenge, J., Ihezie, O., Ikandi, K., Ike, I., Ikuku, J., Ilbarasi, M., Ilunga, I., Ilunga, J., Imbangu, N., Imessaoudene, Z., Imposo, D., Iraya, A., Isaacs, M., Isiguzo, M., Issoufou, A., Izquirdo, P., Jaber, A., Jaganath, U., Jallow, C., Jamabo, S., Jamal, Z., Janneh, L., Jannetjies, M., Jasim, I., Jaworska, M. A., Jay Narain, S., Jermi, K., Jimoh, R., Jithoo, S., Johnson, M., Joomye, S., Judicael, R., Judicaël, M., Juwid, A., Jwambi, L., Kabango, R., Kabangu, J., Kabatoro, D., Kabongo, A., Kabongo, K., Kabongo, L., Kabongo, M., Kady, N., Kafu, S., Kaggya, M., Kaholongo, B., Kairuki, P., Kakololo, S., Kakudji, K., Kalisa, A., Kalisa, R., Kalufwelu, M., Kalume, S., Kamanda, R., Kangili, M., Kanoun, H., Kapesa, Kapp, P., Karanja, J., Karar, M., Kariuki, K., Kaseke, K., Kashuupulwa, P., Kasongo, K., Kassa, S., Kateregga, G., Kathrada, M., Katompwa, P., Katsukunya, L., Kavuma, K., Khalfallah, Khamajeet, A., Khetrish, S., Kibandwa, Kibochi, W., Kilembe, A., Kintu, A., Kipng'etich, B., Kiprop, B., Kissoon, V., Kisten, T. K., Kiwanuka, J., Kluyts, H.-L., Knox, M., Koledale, A., Koller, V., Kolotsi, M., Kongolo, M., Konwuoh, N., Koperski, W., Koraz, M., Kornilov, A., Koto, M. Z., Kransingh, S., Krick, D., Kruger, S., Kruse, C., Kuhn, W., Kuhn, W., Kukembila, A., Kule, K., Kumar, M., Kusel, B. S., Kusweje, V., Kuteesa, K., Kutor, Y., Labib, M., Laksari, M., Lanos, F., Lawal, T., Le Manach, Y., Lee, C., Lekoloane, R., Lelo, S., Lerutla, B., Lerutla, M., Levin, A., Likongo, T., Limbajee, M., Linyama, D., Lionnet, C., Liwani, M., Loots, E., Lopez, A. G., Lubamba, C., Lumbala, K., Lumbamba, A., Lumona, J., Lushima, R., Luthuli, L., Luweesi, H., Lyimo, T., Maakamedi, H., Mabaso, B., Mabina, M., Maboya, M., Macharia, I., Macheka, A., Machowski, A., Madiba, T. E., Madsen, A., Madzimbamuto, F., Madzivhe, L., Mafafo, S., Maghrabi, M., Mahamane, D. D., Maharaj, A., Maharaj, A., Maharaj, A., Mahmud, M., Mahoko, M., Mahomedy, N., Mahomva, O., Mahureva, T., Maila, R., Maimane, D., Maimbo, M., Maina, S., Maiwald, D. A., Maiyalagan, M., Majola, N., Makgofa, N., Makhanya, V, Makhaye, W., Makhlouf, N., Makhoba, S., Makopa, E., Makori, O., Makupe, A. M., Makwela, M., Malefo, M., Malongwe, S., Maluleke, D., Maluleke, M., Mamadou, K. T., Mamaleka, M., Mampangula, Y., Mamy, R., Mananjara, M., Mandarry, M., Mangoo, D., Manirimbere, C., Manneh, A., Mansour, A., Mansour, I., Manvinder, M., Manyere, D., Manzini, V., Manzombi, J., Mapanda, P., Marais, L., Maranga, O., Maritz, J., Mariwa, F., Masela, R., Mashamba, M., Mashava, D. M., Mashile, M., Mashoko, E., Masia, O., Masipa, J., Masiyambiri, A., Matenchi, M., Mathangani, W., Mathe, R., Matola, C. Y., Matondo, P., Matos-Puig, R., Matoug, F., Matubatuba, J., Mavesere, H., Mavhungu, R., Maweni, S., Mawire, C., Mawisa, T., Mayeza, S., Mbadi, R., Mbayabu, M., Mbewe, N., Mbombo, W., Mbuyi, T., Mbuyi, W., Mbuyisa, M., Mbwele, B., Mehyaoui, R., Menkiti, I., Mesarieki, L., Metali, A., Mewanou, S., Mgonja, L., Mgoqo, N., Mhatu, S., Mhlari, T., Miima, S., Milod, I., Minani, P., Mitema, F., Mlotshwa, A., Mmasi, J., Mniki, T., Mofikoya, B., Mogale, J., Mohamed, A., Mohamed, A., Mohamed, A., Mohamed, S., Mohamed, S., Mohamed, T., Mohamed, A., Mohamed, A., Mohamed, A., Mohamed, P., Mohammed, I., Mohammed, F., Mohammed, M., Mohammed, N., Mohlala, M., Mokretar, R., Molokoane, F., Mongwe, K., Montenegro, L., Montwedi, O., Moodie, Q., Moopanar, M., Morapedi, M., Morulana, T., Moses, V., Mossy, P., Mostafa, H., Motilall, Sr., Motloutsi, S., Moussa, K., Moutari, M., Moyo, O., Mphephu, P., Mrara, B., Msadabwe, C., Mtongwe, V., Mubeya, F., Muchiri, K., Mugambi, J., Muguti, G., Muhammad, A., Mukama, I., Mukenga, M., Mukinda, F., Mukuna, P., Mungherera, A., Munlemvo, D. M., Munyaradzi, T., Munyika, A., Muriithi, J., Muroonga, M., Murray, R., Mushangwe, V., Mushaninga, M., Musiba, V., Musowoya, J., Mutahi, S., Mutasiigwa, M., Mutizira, G., Muturi, A., Muzenda, T., Mvwala, K., Mvwama, N., Mwale, A., Mwaluka, C., Mwamba, J., Mwanga, H., Mwangi, C., Mwansa, S., Mwenda, V, Mwepu, I., Mwiti, T., Mzezewa, S., Nabela, L., Nabukenya, M., Nabulindo, S., Naicker, K., Naidoo, D., Naidoo, L., Naidoo, L., Naidoo, N., Naidoo, R., Naidoo, R., Naidoo, S., Naidoo, T., Naidu, T., Najat, N., Najm, Y., Nakandungile, F., Nakangombe, P., Namata, C., Namegabe, E., Nansook, A., Nansubuga, N., Nantulu, C., Nascimento, R., Naude, G., Nchimunya, H., Ndaie, M., Ndarukwa, P., Ndasi, H., Ndayisaba, G., Ndegwa, D., Ndikumana, R., Ndonga, A. K., Ndung'u, C., Neil, M., Nel, M., Neluheni, E., Nesengani, D., Nesengani, N., Netshimboni, L., Ngalala, A., Ngari, B., Ngari, N., Ngatia, E., Ngcobo, G., Ngcobo, T., Ngorora, D., Ngouane, D., Ngugi, K., Ngumi, Z. W., Nibe, Z., Ninise, E., Niyondiko, J., Njenga, P., Njenga, M., Njoroge, M., Njoroge, S., Njuguna, W., Njuki, P., Nkesha, T., Nkuebe, T., Nkuliyingoma, N., Nkunjana, M., Nkwabi, E., Nkwine, R., Nnaji, C., Notoane, I., Nsalamba, S., Ntlhe, L., Ntoto, C., Ntueba, B., Nyassi, M., Nyatela-Akinrinmade, Z., Nyawanda, H., Nyokabi, N., Nziene, V., Obadiah, S., Ochieng, O., Odia, P., Oduor, O., Ogboli-Nwasor, E., Ogendo, S., Ogunbode, O., Ogundiran, T., Ogutu, O., Ojewola, R., Ojujo, M., Ojuka, D., Okelo, O., Okiya, S., Okonu, N., Olang, P., Omigbodun, A. O., Omoding, S., Omoshoro-Jones, J., Onyango, R., Onyegbule, A., Orjiako, O., Osazuwa, M., Oscar, K., Osinaike, B., Osinowo, A., Othin, O., Otman, F., Otokwala, J., Ouanes, F., Oumar, O., Ousseini, A., Padayachee, S., Pahlana, S., Pansegrouw, J., Paruk, F., Patel, M., Patel, U., Patience, A., Pearse, R. M., Pembe, J., Pengemale, G., Perez, N., Perez, M. A., Peter, A. M., Phaff, M., Pheeha, R., Pienaar, B., Pillay, V, Pilusa, K., Pochana, M., Polishchuk, O., Porrill, O. S., Post, E., Prosper, A., Pupyshev, M., Rabemazava, A., Rabiou, M., Rademan, L., Rademeyer, M., Raherison, R., Rajah, F., Rajcoomar, M., Rakhda, Z., Rakotoarijaona, A., Rakotoarisoa, A., Rakotoarison, S. R., Rakotoarison, R., Ramadan, L., Ramananasoa, M., Rambau, M., Ramchurn, T., Ramilson, H., Ramjee, R. J., Ramnarain, H., Ramos, R., Rampai, T., Ramphal, Sr., Ramsamy, T., Ramuntshi, R., Randolph, R., Randriambololona, D., Ras, W., Rasolondraibe, R., Rasolonjatovo, J., Rautenbach, R., Ray, S., Rayne, S. R., Razanakoto, F., Reddy, Sr., Reed, A. R., Rian, Jr., Rija, F., Rink, B., Robelie, A., Roberts, C., Rocher, A., Rocher, S., Rodseth, R. N., Rois, I., Rois, W., Rokhsi, S., Roos, J., Rorke, N. F., Roura, H., Rousseau, F., Rousseau, N., Royas, L., Roytowski, D., Rungan, D., Rwehumbiza, S., Ryabchiy, B., Ryndine, V, Saaiman, C., Sabwa, H., Sadat, S., Saed, S., Salaheddin, E., Salaou, H., Saleh, M., Salisu-Kabara, H., Sama, H. D., Samateh, A. L., Sam-Awortwi (Jnr), W., Samuel, N., Sanduku, D., Sani, C. M., Sanyang, L., Sarah, H., Sarkin-Pawa, A., Sathiram, R., Saurombe, T., Schutte, H., Sebei, M., Sedekounou, M., Segooa, M., Semenya, E., Semo, B., Sendagire, C., Senoga, S., Senusi, F., Serdyn, T., Seshibe, M., Shah, G., Shamamba, R., Shambare, C., Shangase, T., Shanin, S., Shefren, I., Sheshe, A., Shittu, O., Shkirban, A., Sholadoye, T., Shubba, A., Sigcu, N., Sihope, S., Sikazwe, D., Sikombe, B., Simaga Abdoul, K., Simo, W., Singata, K., Singh, A., Singh, S., Singh, U., Sinoamadi, V, Sipuka, N., Sithole, N., Sitima, S., Skinner, D. L., Skinner, G., Smith, O., Smits, C., Sofia, M., Sogoba, G., Sohoub, A., Sookun, S., Sosinska, O., Souhe, R., Souley, G., Souleymane, T., Spicer, J., Spijkerman, S., Steinhaus, H., Steyn, A., Steyn, G., Steyn, H., Stoltenkamp, H. L., Stroyer, S., Swaleh, A., Swayeb, E., Szpytko, A., Taiwo, N., Tarhuni, A., Tarloff, D., Tchaou, B., Tchegnonsi, C., Tchoupa, M., Teeka, M., Thakoor, B., Theunissen, M., Thomas, B., Thomas, M., Thotharam, A., Tobiko, O., Torborg, A., Tshisekedi, S., Tshisola, S., Tshitangano, R., Tshivhula, F., Tshuma, H., Tumukunde, J., Tun, M., Udo, I., Uhuebor, D., Umeh, K., Usenbo, A., Uwiteyimbabazi, J., Van der Merwe, D., van der Merwe, F., van der Walt, J., van Dyk, D., Van Dyk, J., van Niekerk, J., van Wyk, S., van Zyl, H., Veerasamy, B., Venter, P., Vermeulen, A., Villarreal, R., Visser, J., Visser, L., Voigt, M., von Rahden, R. P., Wafa, A., Wafula, A., Wambugu, P., Waryoba, P., Waweru, E., Weideman, M., Wise, R. D., Wynne, E., Yahya, A., Yahya, A., Yahya, R., Yakubu, Y., Yanga, J., Yangazov, Y., Yousef, O., Yousef, G., Youssouf, C., Yunus, A., Yusuf, A., Zeiton, A., Zentuti, H., Zepharine, H., Zerihun, A., Zhou, S., Zidan, A., Zié, S. Z., Zinyemba, C., Zo, A., Zomahoun, L., Zoobei, N., Zoumenou, E., & Zubia, N.
Affiliations
  • University Teaching Hospital (ZM)
  • Cairo University (EG)
  • Centre Hospitalier Universitaire de Tokoin (TG)
  • Sefako Makgatho Health Sciences University (ZA)
  • Christian Social Services Commission (TZ)
  • Addis Ababa University (ET)
  • University College Hospital, Ibadan (NG)
  • Queen Mary University of London (GB)
  • Republic of Burundi (BI)
  • National Hospital Niamey (NE)
  • University of Nairobi (KE)
  • Ministry of Health and Quality of Life (MU)
  • University of Zimbabwe (ZW)
  • University of Ibadan (NG)
  • Ministry of Health and Social Services (NA)
  • Kwame Nkrumah University of Science and Technology (GH)
  • Population Health Research Institute (CA)
  • Makerere University (UG)
  • University of Cape Town (ZA)
  • University of KwaZulu-Natal (ZA)
  • Tripoli Central Hospital (LY)
  • Stellenbosch University (ZA)
  • University of Bamako (ML)
  • Vrije Universiteit Brussel (BE)
ORCID
Venue
The Lancet
Publisher
Elsevier BV
Published
2018-04
Volume
391
Issue
10130
Pages
1589-1598
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(18)30001-1
OpenAlex
W2782431511
Cited by
580
References
38
Citations by year
2026: 44 · 2025: 68 · 2024: 59 · 2023: 72 · 2022: 85 · 2021: 76 · 2020: 88 · 2019: 49 · 2018: 37 · 2017: 2
FWCI
59.59
Type
journal article
Language
en
Open access
Licence
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by-nc-nd)
  • VUBIR (Vrije Universiteit Brussel) (submittedVersion)
Funders
National Institute for Health and Care Research (RP_2014-04-022)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
Keywords
perioperative complications, postoperative complications, surgical outcomes, Africa, inpatient surgery, cesarean section, surgical access, healthcare workers, HIV infection, emergency surgery, postoperative mortality, postoperative hospital stay, resource-limited settings
MeSH terms
Adult, Africa, Cesarean Section, Female, Cardiac Surgical Procedures, Hospitals, Humans, Male, Middle Aged, Mortality, Postoperative Complications, Postoperative Period, Pregnancy, Prospective Studies, Severity of Illness Index, Digestive System Surgical Procedures, Gynecologic Surgical Procedures, Surgical Procedures, Operative, Urologic Surgical Procedures, Surgical Wound Infection, Vascular Surgical Procedures, Global Health, Cohort Studies, Logistic Models, Outcome Assessment, Health Care, Thoracic Surgical Procedures, Neurosurgical Procedures, Orthopedic Procedures, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review