Capnography access and use in Kenya and Ethiopia
Authors' conclusion
Capnography use in LMICs is substantially lower compared with other standard anesthesia monitors. Capnography was used at higher rates in tertiary centres and with patients undergoing general anesthesia. While this study revealed decreased odds of intraoperative mortality with capnography use, further studies need to confirm these findings.
Study context
- Population
- Anesthetic cases in Kenya and Ethiopia, 2014 to 2020
- Participants
- 61,792 anesthetic cases
- Exposure
- Capnography use vs no capnography
- Outcome
- Capnography use (association with patient/procedure factors)
Methodological detailsobservational, historical cohort data, logistic regression
- Observational
- Historical cohort data
- Logistic regression
Main finding
As reported in the abstract
Capnography use
Odds ratio (95% CI)
Tertiary hospital vs Primary hospital
6.27(5.67–6.93)
Secondary hospital vs Primary hospital
6.88(6.40–7.40)
General anesthesia vs Regional anesthesia
4.83(4.41–5.28)
Observational data: associations, not effects.
Secondary outcomes
Intraoperative mortality with capnography use (GA patients)
| OR (95% CI) | ||
|---|---|---|
| Capnography use | 0.31 (0.17–0.48) | |
| 0.10.31310Odds ratio (log scale) |
24-hr and 7-day mortality with capnography use · 24 hr; 7 days
- No evidence of association with capnography in fully-adjusted models
Original publication
Capnography access and use in Kenya and Ethiopia. Can J Anaesth. Published 1 November 2023. doi:10.
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