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January 1, 2020Pan African Medical JournalOpen Access

Prehabilitation program for African sub-Saharan surgical patients is an unmet need?

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Why the study?

Postoperative mortality is high in sub-Saharan Africa, and interventions focused on intra- or postoperative measures may come too late for high-risk surgical patients.

Does a comprehensive prehabilitation program reduce postoperative morbidity and mortality in African sub-Saharan surgical patients?

Population

African sub-Saharan surgical patients, particularly those at high risk for elective surgery

Design

Editorial

Authors

AFAntero FernandesDMDaniel Moreira‐GonçalvesJCJotamo Come

Discussion

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Member takes

Overview

Should not yet implement formal prehabilitation; leaves open whether it can reduce high postoperative mortality after complications in sub-Saharan Africa.

Structured PICO

Does a comprehensive prehabilitation program reduce postoperative morbidity and mortality in African sub-Saharan surgical patients?

P
Population
African sub-Saharan surgical patients, particularly those at high risk for elective surgery
I
Intervention
Comprehensive preoperative intervention (prehabilitation program including risk assessment, increasing functional reserve, and anticipating postoperative care needs)
O
Outcome
Postoperative morbidity and mortality

A comprehensive prehabilitation program is proposed to address the high rate of postoperative mortality and complications in sub-Saharan Africa.

Cite This Study

Fernandes et al. (2020) studied this question.

synapsesocial.com/papers/6a7e9e7b6cdd7a4db30264cdhttps://doi.org/10.11604/pamj.2020.36.62.21203
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Also Consider

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  1. 1Prehabilitation: preparing patients for surgery2017 · 247 citations
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  3. 3Nigerian surgical outcomes – Report of a 7-day prospective cohort study and external validation of the African surgical outcomes study surgical risk calculator2019 · 30 citations
  4. 4The developing world of pre‐operative optimisation: a systematic review of Cochrane reviews2018 · 8 citations
  5. 5Perioperative processes and outcomes after implementation of a hospitalist‐run preoperative clinic2012 · 68 citations