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Abstract	Background: Mortality rates among surgical patients in Africa are double those of surgical patients in high-income countries. Internationally, there is a call to improve access to and safety of surgical and perioperative care. Perioperative research needs to be coordinated across Africa to positively impact perioperative mortality. Methods: The aim of this study was to determine the top 10 perioperative research priorities for perioperative nurses in Africa, using a research priority-setting process. A Delphi technique with 4 rounds was used to establish consensus on the top 10 perioperative research priorities. In the first round, respondents submitted research priorities. Similar research priorities were amalgamated into single priorities when possible. In round 2, respondents ranked the priorities using a scale from 1 to 10 (of which 1 is the first/highest priority, and 10 is the last/lowest priority). The top 20 (of 31) were determined after round 2. In round 3, respondents ranked their top 10 priorities. The final round was an online discussion to reach consensus on the top 10 perioperative research priorities. Results: A total of 17 perioperative nurses representing 12 African countries determined the top research priorities, which were: (1) strategies to translate and implement perioperative research into clinical practice in Africa, (2) creating a perioperative research culture and the tools, resources, and funding needed to conduct perioperative nursing research in Africa, (3) optimizing nurse-led postoperative pain management, (4) survey of operating theater and critical care resources, (5) perception of, and adherence to sterile field and aseptic techniques among surgeons in Africa (6) surgical staff burnout, (7) broad principles of infection control in surgical wards, (8) the role of interprofessional communication to promote clinical teamwork when caring for surgical patients, (9) effective implementation of the surgical safety checklist and measures of its impact, and (10) constituents of quality nursing care. Conclusions: These research priorities provide the structure for an intermediate-term research agenda for perioperative research in Africa.
MeSH term(s)	Humans ; Delphi Technique ; Nursing Research ; Africa ; Surveys and Questionnaires ; Nurses
Language	English
Publishing date	2022-05-13
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80032-6
ISSN	1526-7598 ; 0003-2999
ISSN (online)	1526-7598
ISSN	0003-2999
DOI	10.1213/ANE.0000000000006060
Database	MEDical Literature Analysis and Retrieval System OnLINE

Article ; Online: Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection

Nepogodiev, D / Bhangu, A / Glasbey, JC / Li, E / Omar, OM / Simoes, JFF / Abbott, TEF / Alser, O / Arnaud, AP / Bankhead-Kendall, BK / Breen, KA / Cunha, MF / Davidson, GH / Di Saverio, S / Gallo, G / Griffiths, EA / Gujjuri, RR / Hutchinson, PJ / Kaafarani, HMA /

Lederhuber, H / Löffler, MW / Mashbari, HN / Minaya-Bravo, A / Morton, DG / Moszkowicz, D / Pata, F / Tsoulfas, G / Venn, ML / Cox, D / Roslani, AC / Alakaloko, F / de Vries, JPPM / Aaraj, MA / Abbott, SJ / Abdalla, MOM / Abdelaal, AS / Ademuyiwa, AO / Aherne, TM / Ali, OM / Alkadeeki, GZ / Almeida, AC / Alrahawy, MM / Ambler, GK / Alameer, E / Andreani, SM / De Andrés-Asenjo, B / Antonanzas, LL / Aoun, SG / Ashoush, FM / Augestad, KM / Avellana, RB / Ayeni, FA / Ayorinde, JOO / Babu, BH / Baig, MMAS / Bajomo, OM / Baker, OJ / Baker, MP / Baldwin, AJ / Ban, VS / Baron, RD / Barranquero, AG / Barry, CP / DI Bartolomeo, A / Bass, GA / Bath, MF / Batjer, HH / Beamish, AJ / Belgaumkar, AP / Bence, MN / Benson, RA / Bernal-Sprekelsen, JC / Bhama, AR / Bhavaraju, AV / Biffl, WL / Blundell, CM / Boddy, AP / Borgstein, ABJ / Bosanquet, DC / Bosch, KD / Bouhuwaish, AEM / Bozkurt, MA / Brathwaite, CEM / Brown, BC / Brown, OD / Brown, AK / Buarque, IL / Bueno-Ca nones, AD / Bulugma, MR / Burke, JR / Byrne, MHV / Cagigal-Ortega, EP / Callcut, RA / DI Candido, F / Canova, ME / Carlos, WJ / Caruana, EJ / Cato, LD / Catton, AB / Ceretti, AP / Chase, TJG / Chiara, FD / Chowdhury, AH / Chung, EA / Cicerchia, PM / Clough, ECS / Coleman, NL / Collins, CG / Collins, ML / Colonna, ET / Comini, LV / Coughlin, PA / Cruzado, LFG / Davidson, BR / Davies, RJ / Davies, EJ / Davis, NF / Dawson, BE / Dean, BJF / Delgado, MGC / Diaz, JJ / Dickson, KE / Diez-Alonso, MM / Dixon, JR / Doe, MJ / Drake, TD / Drake, FT / Duffy, JP / Dunne, DFJ / Dunne, NJM / Durán-Mu noz-Cruzado, VM / Durst, AZE / Eardley, NJ / Edwards, JG / Elfallal, AH / Elfiky, MMA / Elliott, JA / Emile, SH / Emslie, KM / Endorf, FW / Engel, JL / Enjuto, DT / Etchill, EW / Evans, JP / Fahey, BA / Faria, CS / Feo, CV / Ferguson, HJM / Fernandez, BD / Fernandez, AG / Fernández, AJ / Fernández-Pacheco, BC / Fitzgerald, JE / Fonsi, GB / Font, RF / Fowler, AL / Fretwell, KR / Fructuoso, LS / Fusai, GK / Garcia, MH / Garcia-Ure na, MA / Gill, CK / Gisbertz, SS / Del Giudice, R / Giuffrida, MC / Di Giuseppe, M / Gómez, MF / Guariglia, CA / Hainsworth, AJ / Hall, BJ / Hall, JRW / Hammond, JS / Haqqani, MH / Harrison, EM / Hazelton, JP / van Heinsbergen, M / Hill, ADK / Hing, CB / Hirji, SA / Ho, MWS / Holbrook, CM / Holme, TJ / Hopkins, JC / Hopkinson, DN / Hossain, FS / Hudson, VE / Hughes, JL / Hwang, ES / Ibrahim, MAH / Isolani, SM / Jenkinson, MD / Jenny, HE / Jeyaretna, DS / Jones, RP / Jones, AP / Jonker, PKC / Jönsson, ML / Joyce, DP / Kalkwarf, KJ / Kamarajah, SK / El Kassas, M / Kavanagh, DO / Keatley, JM / Khalefa, MA / Khan, JS / Kirmani, BH / Kisiel, AP / Kouris, SM / Kowal, MR / Labib, PL / Larkin, JO / Lauscher, JC / Leclercq, WKG / Ledesma, FSJ / Leite-Moreira, AM / Leung, EYL / Lewis, SE / Lima, MJA / Lin, DJ / Liu, HH / Lowery, AJ / Lozano, SM / Luney, CR / Maia, MMA / Mariani, NM / Marino, MV / Marra, AA / Marsh, CL / Martin, RCG / McCluney, SJ / McIntyre, RC / Mckay, SC / McKevitt, KL / Meagher, AD / Mehdi, MQ / Mehigan, BJ / Gonzalez-De Miguel, M / De Miguel-Ardevines, MC / Mills, SJ / Mohan, HM / Moir, JAG / Monson, JRT / Monteiro, JM / Montella, MT / Montesinos, CS / Morgom, MM / Moura, FS / Muguerza, JM / Murphy, SH / De Nardi, P / Naumann, DN / Neary, PC / Neely, DTA / Ng-Kamstra, JS / Ngu, AWT / Nguyen, TA / Nita, GE / Nunes, QM / Nygaard, RM / O’Meara, LB / O’Neill, JR / Okafor, BU / Olson, SA / Oo, AY / Ormazabal, PC / Osorio, AL / Pachl, MJ / Parry, JT / Patel, PK / Pérez-Sánchez, LE / Pevidal, AN / Pezzuto, AP / Philp, MM / Pinkney, TD / Pollok, JM / Povey, MG / Poza, AA / Rajgor, AD / Rao, JN / Raptis, DA / Rice, HE / Ridgway, PF / Rivas, AM / Rodriguez-Sanjuan, JC / Rogers, LJ / Da Roit, A / Rollett, RA / Romera, JL / Rooney, SM / Roxo, VI / Le Roy, B / Rubio, EE / Ruiz, CC / Ruiz, ML / Ryan, ÉJ / Saad, AR / Saeed, SA / Salama, HA / Salamah, AA / Sampietro, GM / Sarma, DR / Schaffer, KB / Schnitzbauer, AA / Scurrah, RJ / Serevina, OL / Serralheiro, PA / Sewards, JM / Shackcloth, MJ / Shaw, AV / Sheel, ARG / Sica, GS / De Simone, V / Singh, AA / Singh, RP / Skelly, BL / Smith, HG / Sohail, AH / Spalding, DR / Springford, LR / Ssentongo, AE / Steinkamp, PJ / Stevens, KA / Stewart, GD / Stylianides, NA / Sullivan, TBB / Taher, ASA / Tamimy, MS / Tang, AM / Tebala, GD / Tejero-Pintor, FJ / Thaha, MA / Thomas, AJ / De Toma, G / La Torre, F / Torres, AJ / Townshend, DN / Trout, IM / Tucker, SC / Ubhi, HK / Vega, VA / Velmahos, GC / Velopulos, CG / Viswanath, YKS / Vivas, AA / Wade, RG / Wadley, MS / Wall, JJS / Walters, AM / Warren, OJ / Weerasinghe, CK / Wilkin, RJW / Williams, KJ / Winter, SC / Wormald, JCR / Wright, FL / Xyda, SE / Young, AL / Youssef, MMG / Yousuf, FB / El Youzouri, H / Zappa, MA / Abate, E / Abdalaziz, H / Abdelkarim, M / Abdou, H / Aboelkassem-Ibrahim, A / Abuown, A / Acebes-Garcia, F / Acharya, M / Adamina, M / Addae-Boateng, E / Aftab, R / Agarwal, A / Aguilar, J / Ahmed, Y / Aitken, E / Al-Azzawi, M / Al-Embideen, S / Al-Masri, M / Al-Najjar, H / Al-Sukaini, A / Alam, R / Alderson, D / Aliyeva, Z / Aljanadi, F / Almasri, M / Alonso-Ortu no, P / Altintoprak, F / Amira, G / Amjad, R / Anania, G / Andabaka, T / Angelou, D / Annamalai, S / Annessi, V / Anthoney, J / Anwar, S / Anwer, M / Aragon-Chamizo, J / Ardito, A / Arigoni, M / Armao, T / Arminio, A / Armstrong, L / Arnaud, A / Asaad, P / Ashcroft, J / Ashmore, C / Asqalan, A / Asti, E / Aubry, E / Aytac, E / Ayuso-Herrera, E / Baeza, M / Bailon-Cuadrado, M / Bakmaz, B / Baldi, C / Baldini, E / Baldo, S / Ballabio, M / Baloyiannis, I / Baltazar, G / Bàmbina, F / Bandiera, A / Barlow, E / Barmasse, R / Barmpagianni, C / Baronio, G / Barra, F / Bartsch, AM / Basgaran, A / Basha, A / Bashkirova, V / Bastazza, M / Baumber, R / Belcher, E / Belvedere, A / Benítez-Linero, I / Bergeat, D / Bernasconi, M / Bhalla, A / Bhutiani, N / Bianco, F / Bisagni, P / Blake, I / Blanco-Colino, R / Blazquez-Martin, A / Boal, M / Bonavina, L / Bonavina, G / Bond-Smith, G / Booth, K / Borges, F / Borghi, F / Bouchagier, K / Bourke, G / Boyle, E / Brachini, G / Brain, J / Brar, A / Breckles, L / Bretagnol, F / Brixton, G / Bruzzaniti, P / Bueser, T / Burnside, N / Caballero, A / Calcerrada-Alises, E / Callahan, M / Camarero, E / Campagnaro, T / Campanelli, M / Candiani, M / Cantalejo-Diaz, M / Cao, H / Capelli, P / Capizzi, V / Carcano, G / Carissimi, F / Carlini, M / Carlucci, M / Carmichael, H / Carrasco, M / Carrillo, M / Carvello, M / Casati, M / Castoro, C / Catalan, V / Cavaleiro, S / Cellerino, P / Centinaio, G / Cernei, C / Cerro, C / Cervellera, M / Chakrabortee, S / Chamberlain, S / Chan, J / Chang, G / Chaudhry, D / Chebaro, A / Chen, D / Chetty, G / Chia, Z / Chiappini, A / Chiarugi, M / Chidambaram, S / Chiozza, M / Cholewa, H / Chong, C / Choolani-Bhojwani, E / Christoforidis, D / Chui, K / Chung, C / Cirillo, B / Citterio, D / Clermidi, P / Coccolini, F / Colletti, G / Compagnoni, B / Concepción-Martín, V / Confalonieri, M / Connolly, H / Conso, C 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S / Francone, E / Frattaruolo, C / Frio, F / Gagliano, A / Gagliardi, F / Gahunia, S / Gaino, F / Gala, T / Galfrascoli, E / Galimberti, L / Gallagher, P / Galleano, R / Galván-Pérez, A / Gammeri, E / Ganau, M / Garcés-García, R / Garulli, G / Gascon-Ferrer, I / Gattolin, A / Gaujoux, S / Gentilli, S / Georgiades, F / Ghanbari, A / Ghosh, D / Giacometti, M / Giblin, AV / Gilbert, C / Giménez, C / Giorgakis, E / Gipponi, M / Glen, P / Goatly, G / Gobatti, D / Godbole, C / Gohil, K / Gómez, M / Gomez-Rosado, JC / Gonullu, E / Gonzalez-Gonzalez, E / Gordini, L / Gracia, I / Gracia-Roche, C / Granieri, S / Green, S / Grivon, M / Grove, T / Guaglio, M / Guaitoli, E / Guglielmi, A / Guha, S / Gustavino, C / Habeeb, A / Hagger, R / Hakmi, H / Halkias, C / Hall, C / Hampton, M / Handa, S / Hansen, L / Haq, I / Harky, A / Harries, R / Harrison, J / Hasan, R / Hawari, M / Hawkin, P / Hebblethwaite, B / Henriques, S / Heritage, E / Hernandez-Juara, P / Herrero-Lopez, M / Hervieux, E / Heyd, B / 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Lunevicius, R / Luraghi, M / Lye, G / Mabrouk, I / Macchi, A / MacDonald, L / Machairas, N / Madonini, M / Magowan, D / Maisonneuve, E / Majkowska, A / Majkowski, L / Mak, J / Malabarba, S / Malerba, M / Mannan, S / Manson, J / Mansuri, A / Mantoglu, B / Manu, N / Maqsood, A / Marano, A / Marchbank, A / Marcos-Santos, P / Marrano, E / Martin, J / Martin, E / Martin, G / Martin-Albo, L / Martín-Román, L / Martinelli, F / Martínez-dePaz, F / Martinez-German, A / Martinez-Pinedo, C / Martins, R / Marwan, H / Marzi, F / Mathieu, P / Matute-Najarro, MS / Maw, A / Mazingi, D / Mazzaferro, V / McCanny, A / McKenzie, K / McLarty, N / McPherson, I / Medina, E / Mediratta, S / Medone, M / Mehra, G / Mele, S / Melero-Cortés, L / Mendoza-Moreno, F / Meneghini, S / Mercante, G / Merdrignac, A / Merola, S / Metallidis, S / Michel, M / Migliore, M / Mihanovic, J / Miller, D / Mingoli, A / Minto, G / Mirabella, A / Misra, N / Mitrasinovic, S / Miu, V / Moawad, N / Mochet, S / Modabber, A / Mohammad, A 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Ruiz-Soriano, M / Ruzzenente, A / Ryska, O / Saez, C / Sagnotta, A / Sahnan, K / Sahni, A / Salim, A / Sallam, I / Salvia, R / Samadov, E / Sammarco, G / Sampaio-Alves, M / Sánchez-Arteaga, A / Sanchez-Fuentes, MN / Sanchez-Pelaez, D / Sanchez-Perez, C / Sanchez-Rubio, M / Sancho-Muriel, J / Sanders, J / Santero-Ramirez, MP / Santora, T / Santoro, A / Santos, I / Santos-Sousa, H / Sapienza, P / Sartarelli, L / Sarveswaran, J / Sasia, D / Saudemont, A / Saudi-Moro, S / Saxena, S / Saxena, D / Sayasneh, A / Scalabre, A / Schache, A / Schiavina, R / Schineis, C / Schreckenbach, T / Scorza, A / Scott, L / Seegert, S / Seguin-Givelet, A / Senent-Boza, A / Seymour, K / Shabana, A / Shah, K / Shah, J / Shah, P / Shah, S / Shakir, T / Shalaby, M / Shankar, S / Shaw, R / Shehata, S / Shenfine, A / Sheridan, K / Sherief, A / Sherief, M / Sherif, M / Shinkwin, M / Shu, S / Siaw-Acheampong, K / Sileri, P / Singh, A / Singh, S / Sinha, S / Sinha, D / Siragusa, L / Sivaprakasam, R / Sivayoganathan, 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an international cohort study

2020

Abstract: Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and ... ...

Abstract	Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
Keywords	covid19
Language	English
Publisher	Elsevier
Publishing country	uk
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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