Implementation of a perioperative registry in Ethiopia to enhance surgical quality improvement. World J Surg 2024 Aug;48(8):1829-1839
Date
06/07/2024Pubmed ID
38844403DOI
10.1002/wjs.12240Scopus ID
2-s2.0-85195428352 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
BACKGROUND: Despite a glaring need and proven efficacy, prospective surgical registries are lacking in low- and middle-income countries. The objective of this study was to design and implement a comprehensive prospective perioperative registry in a low-income country.
METHODS: This study was conducted at Hawassa University Comprehensive Specialized Hospital in Hawassa, Ethiopia. Design of the registry occurred from June 2021 to May 2022 and pilot implementation from May 2022 to May 2023. All patients undergoing elective or emergent general surgery were included. Following one year, operability and fidelity of the registry were analyzed by assessing capture rate, incidence of missing data, and accuracy.
RESULTS: A total of 67 variables were included in the registry including demographics, preoperative, operative, post-operative, and 30-day data. Of 440 eligible patients, 226 (51.4%) were successfully captured. Overall incidence of missing data and accuracy was 5.4% and 90.2% respectively. Post pilot modifications enhanced capture rate to 70.5% and further optimized data collection processes.
CONCLUSION: The establishment of a low-cost electronic prospective perioperative registry in a low-income country represents a significant step forward in enhancing surgical care in under-resourced settings. The initial success of this registry highlights the feasibility of such endeavors when strong partnerships and local context are at the center of implementation. Continuous efforts to refine this registry are ongoing, which will ultimately lead to enhanced surgical quality, research output, and expansion to other sites.
Author List
Jaraczewski TJ, Abebe BM, Diehl T, Esayas T, Melaku W, Nigussie Y, Ahmed KS, Vo T, Lee M, Woisha B, Woldegiorgis ET, Chen TH, Tegene BA, Belachew AG, Dodgion C, Iverson KR, Tefera G, Zafar SNAuthor
Christopher M. Dodgion MD Associate Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultDeveloping Countries
Ethiopia
Female
Humans
Male
Middle Aged
Perioperative Care
Pilot Projects
Prospective Studies
Quality Improvement
Registries
Surgical Procedures, Operative
