Abstract
Real-world implementation challenges in low-resource settings
Highlights
Postoperative mortality is disproportionately high in low-income and middle-income countries (LMICs)
As reported in The Lancet Global Health, African Surgical Outcomes Study (ASOS)-2, a cluster-randomised controlled trial, developed this earlier work to assess an intervention aimed at reducing postoperative mortality.[2]
A package of five interventions were applied to patients at high risk on the basis of the clinical concept of failure to rescue—ie, that postoperative complications require active intervention and that hospitals with high rates of mortality fail to rescue deteriorating patients.[3]. This package included admitting the patient to a higher care ward, increasing the frequency of postoperative nursing observations, assigning the patient to a bed in view of the nursing station, allowing family members to say in the ward, and placing a postoperative surveillance guide in a visible position at the bedside
Summary
Postoperative mortality is disproportionately high in low-income and middle-income countries (LMICs). In 2019, the African Surgical Outcomes Study (ASOS) collaborative prospectively followed 11 422 patients in 25 African countries and showed that postoperative morality in this setting is twice as high as the global average.[1] As reported in The Lancet Global Health, ASOS-2, a cluster-randomised controlled trial, developed this earlier work to assess an intervention aimed at reducing postoperative mortality.[2] A package of five interventions were applied to patients at high risk on the basis of the clinical concept of failure to rescue—ie, that postoperative complications require active intervention and that hospitals with high rates of mortality fail to rescue deteriorating patients.[3] This package included admitting the patient to a higher care ward, increasing the frequency of postoperative nursing observations, assigning the patient to a bed in view of the nursing station, allowing family members to say in the ward, and placing a postoperative surveillance guide in a visible position at the bedside.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
