Why the study?
Patients with access to surgical care in LMICs face higher risks of complications and mortality than in HICs, with quality deficits being a major concern.
There is an urgent need to implement the Surgical Safety Checklist and ERAS protocols to address the disproportionately high perioperative mortality and complication rates in LMICs.
Answers are grounded in this paper and cite their sources.
Emphasizes urgent need to address perioperative mortality in LMICs; leaves open which interventions best reduce deaths and economic losses.
The Lancet Commission and Global Surgery Foundation in 2015 highlighted the need for access to safe and affordable surgical and anesthetic care in low-and middle-income countries (LMICs) [1].Patients that do have access to care in LMICs, however, have a higher risk of complications and mortality than in high-income countries (HICs).Ninety-six percent of all perioperative deaths worldwide occur in LMICs, and the economic impact of this is a staggering 2.6% of the combined gross domestic product of LMICs [1].Although it is a common belief that the greatest contributors to adverse outcomes in LMICs are poor access to care and late presentation, deficits in the quality of accessible care are a substantial concern.
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Oodit et al. (2021) conducted an editorial in Perioperative care in Low- and Middle-Income Countries. Surgical Safety Checklist (SSC) and Enhanced Recovery After Surgery (ERAS) was evaluated. Implementation of existing evidence-based tools like the Surgical Safety Checklist and Enhanced Recovery After Surgery programs is urgently needed to improve perioperative care and outcomes in LMICs.
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