Perioperative medicine & outcomes
Implementation of a Surgical Critical Care Service Reduces Failure to Rescue in Emergency Gastrointestinal Surgery in Rural Kenya
Authors' conclusion
The implementation of an SCCS in rural Kenya resulted in decreased rates of FTR despite an increase in patient complexity and severity of critical illness.
Study context
- Population
- Patients undergoing emergency gastrointestinal surgery, Tenwek Hospital, rural Kenya, January 2016–June 2019
- Participants
- 484 patients
- Exposure
- With vs without an active surgical critical care service
- Surgical critical care service (SCCS)n = 206
- Without SCCSn = 278reference
- Outcome
- Failure to rescue (FTR)
Methodological detailssingle-centre, quality improvement, Analysis controlled for patient complexity via the African Surgical Outcomes Study Surgical Risk Score
- Single-centre
- Quality improvement
- Analysis controlled for patient complexity via the African Surgical Outcomes Study Surgical Risk Score
Main finding
As reported in the abstract
FTR rate
P = 0.035
Observational data: associations, not effects.
Further findings
| Outcome | SCCS | P value |
|---|---|---|
| Average African Surgical Outcomes Study scoreSCCS vs No SCCS | average 15.2 (95% CI 14.7–15.7) | P = 0.03 |
- Average African Surgical Outcomes Study score: No SCCS average 14.5 (95% CI 14.1–14.9)
Postoperative complications, mortality and failure to rescue (FTR) (overall cohort)
- Postoperative complications
- 165 (34.1%)
- Mortalities
- 49 (10.1%)
- Overall FTR rate
- 29.7%
Original publication
Implementation of a Surgical Critical Care Service Reduces Failure to Rescue in Emergency Gastrointestinal Surgery in Rural Kenya. Ann Surg. Published 13 September 2021. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →