5 research outputs found
Investigating Ethnic Disparity in Living-Donor Kidney Transplantation in the UK:Patient-Identified Reasons for Non-Donation among Family Members
- Author
- Publication venue
- 'MDPI AG'
- Publication date
- 21/11/2020
- Field of study
Fluorescence Behaviour and Singlet Oxygen Production of Aluminium Phthalocyanine in the Presence of Upconversion Nanoparticles
- Author
- B Brozek-PĆuska
- CL Takanishi
- EI Zenkevich
- F Wang
- G Chen
- G Torre dela
- G Wang
- HS Mader
- J Hsiao
- J Zhang
- J Zhou
- Jessica Taylor
- Jonathan Britton
- JR Lakowicz
- K Palewska
- K Sakamoto
- M Bejar
- M Idowu
- M Idowu
- M Liu
- MC DeRosa
- NA Kuznetsova
- NB Mckeown
- NM Idris
- P Erk
- P Gregory
- R Bonnett
- S Fery-Forgues
- S Sapra
- Sarah DâSouza
- T Blaudeck
- T Nyokong
- Tebello Nyokong
- TH Tran-Thi
- W Feng
- X-F Qiao
- XW Sun
- Y Bao
- Y Chin
- Y Park
- Z Hou
- Z Wang
- Z Zhao
- Zane Watkins
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications
- Author
- A. Abd-rouf
- A. Abduljalil
- A. Abdulrahman
- A. Abokris
- A. Abushnaf
- A. Addanfour
- A. Alatresh
- A. Alfari
- A. Alfetore
- A. Algddar
- A. Alghazali
- A. Alhendery Alhendery
- A. Ali
- A. Ali
- A. Alkilani
- A. Alli
- A. Almajbery
- A. Alsayed
- A. Anele
- A. Attia
- A. Basenero
- A. Berhe
- A. Bogoslovskiy
- A. Dasrath
- A. Dodiyi-Manuel
- A. Ehouni
- A. Elmgadmi
- A. Elshikhy
- A. Elwerfelli
- A. Feituri
- A. Gakenia
- A. Ganesh
- A. Garrido Lopez
- A. Ghnain
- A. Hdud
- A. Ibrahim Abdelatif
- A. Issoufou
- A. Jaber
- A. Juwid
- A. Khamajeet
- A. Maharaj
- A. Maharaj
- A. Mallier Peter
- A. Manneh
- A. Mansour
- A. Metali
- A. Mlotshwa
- A. Mohamed
- A. Mohamed
- A. Mohamed
- A. Mohamed
- A. Mohamed
- A. Muturi
- A. Mwale
- A. Nansook
- A. Onyegbule
- A. Prosper
- A. Rabemazava
- A. Sarkin-Pawa
- A. Shubba
- A. Sohoub
- A. Steyn
- A. Swaleh
- A. Tarhuni
- A. Thotharam
- A. Wafa
- A. Wafula
- A. Zidan
- A. Zo
- A.A. Alraheem
- A.A. Altagazi
- A.A. Aribi
- A.A. Eshwehdi
- A.A. Kornilov
- A.A. Munyika
- A.A. Sheshe
- A.A. Yahya
- A.A. Yunus
- A.A.G. Gomati
- A.B. Muhammad
- A.B. Zerihun
- A.C. Castro
- A.D. Aldarrat
- A.D. Maharaj
- A.E.T. Ayebale
- A.F.X. Agaba
- A.G.B. Andriamampionona
- A.G.L. Rocher
- A.H. Harissou
- A.H. Hery
- A.H.N. Rakotoarisoa
- A.H.R. Rakotoarijaona
- A.I. Ibrahim
- A.I. Levin
- A.I. Yahya
- A.J. Szpytko
- A.J. Vermeulen
- A.J.M. Lumbamba
- A.K. Egote
- A.K. Kintu
- A.K. Koledale
- A.L. AL Samateh
- A.L. Samateh
- A.M. Baloyi
- A.M. Elghallal
- A.M. Elghobashy
- A.M. Elzufri
- A.M. Iraya
- A.M. Kilembe
- A.M. Kukembila
- A.M. Macheka
- A.M. Mohamed
- A.M. Ngalala
- A.M. Torborg
- A.N. Kabongo
- A.N.J.D. Alberts
- A.O. Adisa
- A.O. Omigbodun
- A.O. Osinowo
- A.O. Ousseini
- A.O. Usenbo
- A.P. Gatheru
- A.P. Patience
- A.R.W. Mungherera
- A.S. Shkirban
- A.S. Singh
- A.S. Yusuf
- A.S.B. Benamour
- A.S.M. Madsen
- A.T. Robelie
- A.T.M. Masiyambiri
- A.Z. Elzoway
- A.Z. Machowski
- A.Z. Zeiton
- Abdulaziz M. Elkhogia
- Adam Hewitt-Smith
- Adams
- Ahmadou L. Samateh
- Akinyinka O. Omigbodun
- Akwasi Antwi-Kusi
- Al.-A. Amer
- Al.-J. Ahmed
- Alex M. Makupe
- Ambroise Guegni
- Amina. Kalisa
- Anatole Atomabe
- Andrew K.N. Ndonga
- Anthony R. Reed
- Apollo. Basenero
- B. Ahmed
- B. Alsellabi
- B. Chrirangi
- B. Church
- B. Dedekind
- B. Gadi
- B. Githae
- B. Kipngâetich
- B. Kiprop
- B. Lerutla
- B. Ntueba
- B. Rink
- B. Thakoor
- B. Veerasamy
- B.A. Albakosh
- B.A. Dokolwana
- B.B. Afolabi
- B.B. Osinaike
- B.B. Ryabchiy
- B.C. Businge
- B.C. Enicker
- B.E. Bilby
- B.H. Pienaar
- B.J.S. Diedericks
- B.M. Biccard
- B.M. Mabaso
- B.M. Ngari
- B.N. BN Tanjong
- B.N.K. Kaholongo
- B.O. Mofikoya
- B.O. Semo
- B.P. Thomas
- B.S. Sikombe
- B.S.G. Diale
- B.T. Amisi
- Belinda S. Kusel
- Bernard Mbwele
- Beye SeĂŻdina Alioune
- Biccard
- Biccard
- Blaise Tchaou
- Bruce M. Biccard
- Busi Mrara
- C. Bitta
- C. Chalo
- C. Changfoot
- C. Dhege
- C. Houston
- C. Kruse
- C. Lee
- C. Lionnet
- C. Manirimbere
- C. Msadabwe
- C. Nantulu
- C. Ndungâu
- C. Nnaji
- C. Ntoto
- C.A. Blake
- C.A. Roberts
- C.A.G. Smits
- C.H. Basson
- C.J. Bikuelo
- C.J.M. Mawire
- C.L.C. Lubamba
- C.M. Human
- C.M. Mwangi
- C.N. Mwaluka
- C.N. Namata
- C.R. Saaiman
- C.S. Jallow
- C.S. Sendagire
- C.S. Shambare
- C.Z. Zinyemba
- Chaibou M. Sani
- Charles Tchegnonsi
- Chris Cairns
- Christella S. Alphonsus
- Christina Salmina Gordon
- Christopher Y. Matola
- Collins
- Coulibaly Youssouf
- D. Benali
- D. Daliri
- D. Elrafifi
- D. Hugo
- D. Krick
- D. Naidoo
- D. Ndegwa
- D. Ngorora
- D. Ngouane
- D. Roytowski
- D. Tarloff
- D.E. du Plessis
- D.F. Dibwe
- D.G. Giles
- D.H. Imposo
- D.I. Uhuebor
- D.J. Van der Merwe
- D.K. Kabatoro
- D.K. Sanduku
- D.M. Adeleke
- D.M. Linyama
- D.M. Maimane
- D.M. Maluleke
- D.M. Mangoo
- D.M. Munlemvo
- D.M.A. Aurélia
- D.M.A. Randriambololona
- D.O. Ojuka
- D.P. Domoyyeri
- D.R. Bhagwandass
- D.S. Nesengani
- D.S. Sikazwe
- D.V. Manyere
- Daniel Zemenfes Ashebir
- David G. Bishop
- David Lee Skinner
- Dela A. Maiwald
- Devan. Rungan
- Diallo Gangaly
- Diango Djibo Mahamane
- Dolly M. Munlemvo
- Dominique van Dyk
- Doreen M. Mashava
- E. Atito-Narh
- E. Blignaut
- E. Chikumba
- E. Hadia
- E. Horugavye
- E. Loots
- E. Mashoko
- E. Ngatia
- E. Ninise
- E. Salaheddin
- E. Swayeb
- E.A. Alakkari
- E.A. Alzahra
- E.B. Etuk
- E.B. Holford
- E.E. Wynne
- E.F. Post
- E.K. Badianga
- E.K. Makopa
- E.M. Semenya
- E.N. Waweru
- E.O. Enendu
- E.O. Enwerem
- E.O. Ogboli-Nwasor
- E.S. al Shams
- E.S. Namegabe
- E.V. Neluheni
- Edith Djessouho
- El.-Z. Ahmed
- Ernest Nkwabi
- Estie Cloete
- Eugene Zoumenou
- F. Abuhdema
- F. Albert
- F. Alkobty Alkobty
- F. Almoraid
- F. Bigirimana
- F. Blignaut
- F. Boufas
- F. Carlos
- F. Lanos
- F. Madzimbamuto
- F. Mitema
- F. Nakandungile
- F. Ouanes
- F. Tshivhula
- F.A.M. Mohammed
- F.A.R. Razanakoto
- F.F.H. Alhoty
- F.F.H. Matoug
- F.F.H. Otman
- F.H. van der Merwe
- F.J. Rousseau
- F.K. Mariwa
- F.K. Mubeya
- F.K. Mukinda
- F.M. Chitungo
- F.M. Molokoane
- F.P. Paruk
- F.R. Rajah
- F.R. Rija
- F.S. Senusi
- F.T. Elharati
- Farai Madzimbamuto
- Felix Anani
- Fred Bulamba
- G. Ekwen
- G. Elsaadi
- G. Gerbel
- G. Mutizira
- G. Souley
- G. Steyn
- G. Yousef
- G.B. Shah
- G.C. Skinner
- G.G.N. Gama
- G.I.M. Muguti
- G.K. Kateregga
- G.K. Ngcobo
- G.N. Pengemale
- G.T. Girmaye
- G.T. Naude
- Gabriel Ndayisaba
- Gaoussou Sogoba
- Gareth L. Davies
- Guy Assoum
- H. Agilla
- H. Alobeidi
- H. Daddy
- H. Elmehdawi
- H. Eloi
- H. Holder
- H. Hurri
- H. Kanoun
- H. Mostafa
- H. Nchimunya
- H. Ramnarain
- H. Roura
- H. Salaou
- H. Schutte
- H. Steinhaus
- H.-L. Kluyts
- H.A. Algedar
- H.A. van Zyl
- H.A.M. Mwanga
- H.B. Badi
- H.B. Elmadany
- H.B. Hashmi
- H.C. Steyn
- H.E. Ramilson
- H.K. Sabwa
- H.L. Luweesi
- H.M. Ackermann
- H.M. Maakamedi
- H.M. Salisu-Kabara
- H.M.S.N. Heerah
- H.M.Z. Azzaidey
- H.N. Chifamba
- H.N. Sarah
- H.O. Nyawanda
- H.P. Mavesere
- H.T. Tshuma
- H.W. Alwahedi
- H.Z. Zentuti
- Hamza. Doles Sama
- Heidi L. Stoltenkamp
- Henry Ndasi
- Henry Zepharine
- Hippolyte Abadagan
- Hubert Dewanou
- Hyla-Louise Kluyts
- I. Akhideno
- I. Bori
- I. Buccimazza
- I. Jasim
- I. Macharia
- I. Mansour
- I. Mohammed
- I. Notoane
- I. Rois
- I.A. Alghafoud
- I.A. Udo
- I.A.R. Ike
- I.B.B. Ilunga
- I.D. Menkiti
- I.E. Elfaghi
- I.E. Elyasir
- I.E. Igaga
- I.E. Shefren
- I.F. Mukama
- I.M. Bula Bula
- I.M. Milod
- I.M. Mwepu
- I.S. Desalu
- International Surgical Outcomes Study group
- J. Chirengwa
- J. Gopall
- J. Mugambi
- J. Omoshoro-Jones
- J. Otokwala
- J. Pansegrouw
- J. Roos
- J. Tumukunde
- J. Visser
- J.A. Hariniaina
- J.B. de Wet
- J.C. Cisekedi
- J.C. Niyondiko
- J.D. Bertie
- J.D. Bezuidenhout
- J.D. Bruwer
- J.D. Mwamba
- J.D. Pembe
- J.D.L.C. Rasolonjatovo
- J.E. Mmasi
- J.E. van der Walt
- J.G. Davids
- J.G. Van Dyk
- J.J. Yanga
- J.J.A. Bester
- J.J.N. Ikuku
- J.J.S. van Niekerk
- J.K. Kabangu
- J.K. Karanja
- J.K. Kiwanuka
- J.K. Manzombi
- J.L. Esterhuizen
- J.M. Dippenaar
- J.M. Muriithi
- J.M. Musowoya
- J.M. Spicer
- J.N. Clegg-Lamptey
- J.N. Masipa
- J.O. Mogale
- J.P.B. Maritz
- J.P.M. Ilunga
- J.R. Rian
- J.S. Aluvale
- J.S. Athombo
- J.T. Chibanda
- J.T. De Lange
- J.T. Matubatuba
- J.T.K. Green-Harris
- Jammer
- Janat Tumukunde
- Jd.D. Uwiteyimbabazi
- John Igenge
- John Lumona
- Joseph Akodjenou
- K. Aghadi
- K. Al-Zubaidy
- K. Allopi
- K. Bhagwan
- K. Dube
- K. Govender
- K. Ikandi
- K. Jermi
- K. Kabongo
- K. Kakudji
- K. Kariuki
- K. Kaseke
- K. Muchiri
- K. Naicker
- K. Ngugi
- K. Simaga Abdoul
- K. Singata
- K. Touré Mamadou
- K.A. Bamuza
- K.A. Pilusa
- K.A.M. Kavuma
- K.A.P. Bhat
- K.D. Dullab
- K.E. Bischof
- K.F. Lumbala
- K.J. Kuteesa
- K.J.P. Kasongo
- K.K. GrĂŒnewald
- K.L. Kule
- K.N. Mongwe
- K.R. Mvwala
- K.U. Umeh
- Kanté Moussa
- Kapesa
- Khalfallah
- Kibandwa
- Kpatinvo. Oscar
- L. Andrianina
- L. Bangure
- L. Bashiya
- L. Chelbi
- L. Cronje
- L. Dahim
- L. Dippenaar
- L. Elmadani
- L. Habimana
- L. Hamadi
- L. Janneh
- L. Katsukunya
- L. Luthuli
- L. Mgonja
- L. Montenegro
- L. Nabela
- L. Naidoo
- L. Rademan
- L. Ramadan
- L. Royas
- L. Visser
- L.C. Marais
- L.C. Naidoo
- L.E. Netshimboni
- L.J. du Preez
- L.J. Madzivhe
- L.J.C. Anyanwu
- L.M. Ford
- L.M. Ntlhe
- L.N. Sanyang
- L.P. Jwambi
- L.T. Kabongo
- L.V.M. Mesarieki
- Le Manach
- Leanne W. Drummond
- Lidwine Zomahoun
- Lionelle Fanou
- M. Ahmed
- M. Akhter
- M. Akkari
- M. Al-Serksi
- M. Alashhab
- M. Algbali
- M. Alhajj
- M. Amadou
- M. Atiku
- M. Aungraheeta
- M. Bai
- M. Bester
- M. Bittaye
- M. Brand
- M. Christian
- M. El Hensheri
- M. Eltaguri
- M. Eshtiwi
- M. Gagara
- M. Garcia
- M. Gova
- M. Guenane
- M. Gwila
- M. Hammouda
- M. Hokoma
- M. Hove
- M. Isaacs
- M. Isiguzo
- M. Johnson
- M. Judicaël
- M. Kaggya
- M. Karar
- M. Kongolo
- M. Kumar
- M. Laksari
- M. Mabina
- M. Maghrabi
- M. Mahoko
- M. Maimbo
- M. Manvinder
- M. Mbayabu
- M. Mohammed
- M. Moopanar
- M. Morapedi
- M. Moutari
- M. Mushaninga
- M. Njoroge
- M. Nkunjana
- M. Ojujo
- M. Phaff
- M. Pupyshev
- M. Rademeyer
- M. Rambau
- M. Saleh
- M. Tchoupa
- M. Tun
- M. Voigt
- M. Weideman
- M. Zach Koto
- M.A. Alkassem
- M.A. Alkchr
- M.A. Alomami
- M.A. Alzarouk
- M.A. Amuthenu
- M.A. Cadersa
- M.A. Da Silva
- M.A. Degaulle
- M.A. Elfagieh
- M.A. Groenewald
- M.A. Kolotsi
- M.A. Labib
- M.A. Makwela
- M.A. Ndaie
- M.B Moussa Deye
- M.B. Greenwood
- M.B. Patel
- M.B. Thomas
- M.C. Chari
- M.C. Chiwanga
- M.C. Neil
- M.D. Kabongo
- M.D. Maiyalagan
- M.D. Sedekounou
- M.D. Seshibe
- M.E. Casey
- M.E. Gonzalez
- M.E. Maboya
- M.E. Malefo
- M.E.K. Knox
- M.F. Aguilera Perez
- M.G. Elghandouri
- M.G. Gamal
- M.G. Gweder
- M.G.H. Mutasiigwa
- M.I. Bamuza
- M.I. Hampton
- M.I.S. Kathrada
- M.J. Jannetjies
- M.K. Kangili
- M.L. Barongo
- M.L. Limbajee
- M.L.R. Ramananasoa
- M.M. Barow
- M.M. Ben Mansour
- M.M. Chokoe
- M.M. Liwani
- M.M. Mashamba
- M.M. Mukenga
- M.M. Theunissen
- M.M.Z.U. Bhuiyan
- M.N. Ilbarasi
- M.N. Njenga
- M.N.R. Mananjara
- M.O. Osazuwa
- M.O. Teeka
- M.P. Diyoyo
- M.P. Hayes
- M.P. Mamaleka
- M.P. Mohlala
- M.P. Muroonga
- M.P. Pochana
- M.P. Sebei
- M.P. Segooa
- M.R. Kalufwelu
- M.R. Mahmud
- M.R. Maluleke
- M.S. Chaibou
- M.S. Chaibou
- M.S. Dambaki
- M.S. Nel
- M.S. Rabiou
- M.S.A. Alshareef
- M.S.I. Alayeb Alayeb
- M.S.I. Sofia
- M.S.R. Rajcoomar
- M.T. Bahta
- M.T. Lerutla
- M.T. Nyassi
- M.T.M. Mandarry
- M.T.N. Nabukenya
- M.V. Mashile
- M.W. Matenchi
- M.W. Mbuyisa
- M.Y.K. Koraz
- Maher Fawzy
- Mahmoud Elfiky
- Maiga Amadou
- Mariette Grobbelaar
- Marius Guezo
- Meara
- Megan A.J. Jaworska
- Megan Coltman
- N. Abbas
- N. Anjar
- N. Chikh
- N. Constance
- N. Kady
- N. Majola
- N. Makgofa
- N. Mbewe
- N. Mgoqo
- N. Naidoo
- N. Okonu
- N. Perez
- N. Rousseau
- N. Samuel
- N. Sigcu
- N. Sipuka
- N.A. Adu-Aryee
- N.A. Mahomedy
- N.A. Taiwo
- N.A.V. Imbangu
- N.B. Babajee
- N.B.M. Ngari
- N.C. Ekwunife
- N.D. Chabayanzara
- N.D. Konwuoh
- N.K. Chakafa
- N.L. Allorto
- N.L. Fernandes
- N.L.M. Sithole
- N.M. Makhlouf
- N.M. Mohammed
- N.M. Mvwama
- N.N. Nyokabi
- N.P. Nansubuga
- N.P. Nkuliyingoma
- N.T. Nesengani
- N.Z. Dube
- N.Z. Najat
- N.Z. Zoobei
- N.Z. Zubia
- Nicholas T. Brouckaert
- Nicolette F. Rorke
- O. AntĂčnez
- O. Arrey
- O. Eurayet
- O. Gorelyk
- O. Huwidi
- O. Ihezie
- O. Mahomva
- O. Makori
- O. Maranga
- O. Ogunbode
- O. Ogutu
- O. Orjiako
- O. Polishchuk
- O. Sosinska
- O. Tobiko
- O. Yousef
- O.A. Akinyemi
- O.A. Alqawi
- O.A. Arowolo
- O.B. Bankole
- O.B. Shittu
- O.D. Montwedi
- O.E.O. Oduor
- O.I. Alatise
- O.I. Smith
- O.J.P. Ochieng
- O.K. Idowu
- O.M. Moyo
- O.M. Othin
- O.O. Ayandipo
- O.R. Eyelade
- O.R. Masia
- O.S. Okelo
- O.T. Alagbe-Briggs
- OngoĂŻba Oumar
- Oswald Gbéhadé
- Owen S. Porrill
- P. Chimberengwa
- P. Govender
- P. Izquirdo
- P. Kapp
- P. Minani
- P. Mohamed
- P. Mossy
- P. Nakangombe
- P. Waryoba
- P.C.K. Kairuki
- P.D. Deka
- P.D. Gallou
- P.E. Mphephu
- P.G.R. Anderson
- P.J. Venter
- P.K. Odia
- P.K. Wambugu
- P.K.A. Agaba
- P.M. Boloko
- P.M. Katompwa
- P.M. Mapanda
- P.M. Matondo
- P.M. Mukuna
- P.N. Ndarukwa
- P.N. Njuki
- P.N.K. Kashuupulwa
- P.R. Olang
- P.W. Njenga
- Patrice Forget
- Peduzzi
- Protopapa
- Q.K. Moodie
- R. Abusamra
- R. Almesmary
- R. Angelin
- R. Duvenhage
- R. Esayas
- R. Gigabhoy
- R. Hanta
- R. Harrichandparsad
- R. Jimoh
- R. Kabango
- R. Kalisa
- R. Matos-Puig
- R. Mavhungu
- R. Mbadi
- R. Mokretar
- R. Murray
- R. Naidoo
- R. Ndikumana
- R. Onyango
- R. Ramos
- R. Ramuntshi
- R. Randolph
- R. Sathiram
- R. Shamamba
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- R.S. Masela
- R.W. Ojewola
- Rajesh. J. Ramjee
- Reitze N. Rodseth
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- Riaz Goga
- Richard Eric Hodgson
- Richard P. von Rahden
- Robert D. Wise
- Rodrigue Hadecon
- Rodrigue Nascimento
- Rosalie Souhe
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- S. Abdurazig
- S. Akanyun
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- S.Z. Mzezewa
- Said Gitta
- Samantha Kransingh
- Sandra Spijkerman
- Sanogo Zimogo Zié
- Sarah. R. Rayne
- Serge Mewanou
- Shaaban Nsalamba
- Simbo D. Amanor-Boadu
- Steyerberg
- Steyerberg
- Sudha Bechan
- Sullivan
- Sylvia R. Rakotoarison
- SÚhivÚ Valéry Adjignon
- T. François
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- T.W. Munyaradzi
- T.W.A. Anabah
- Thandinkosi E. Madiba
- Theroshnie K. Kisten
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- Thomas Allaye
- Thuli Biyase
- Tim C. Hardcastle
- Tonya M. Esterhuizen
- Traoré Abdoulaye
- Traoré Ibrahim
- U.V. Jaganath
- Usha Singh
- Ushmaben Patel
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- V.L. Koller
- V.L. Moses
- V.M. Gacii
- V.M. Mtongwe
- V.M.K. Kissoon
- V.N. Nziene
- V.T. Manzini
- Veekash Gobin
- W. Abozaid
- W. Conradie
- W. Kibochi
- W. Kuhn
- W. Mathangani
- W. Njuguna
- W. Rois
- W. Sam-Awortwi
- W.A.G. Simo
- W.A.P. Ras
- W.D. Mbombo
- W.M. du Plessis
- W.M.S. Mbuyi
- W.P. Kuhn
- W.P. Makhaye
- W.V.J. Koperski
- Wong
- Y. Baitchu
- Y. Coulibaly
- Y. le Manach
- Y. Mampangula
- Y. Najm
- Y. Yakubu
- Y.A. Ali
- Y.B. Adamu
- Y.B. Bwambale
- Y.B.M. Freeman
- Y.G. Gandy
- Y.M. Yangazov
- Y.Y. Kutor
- Yannick Le Manach
- Youssouf Coulibaly
- Z. Farina
- Z. Imessaoudene
- Z. Nibe
- Z. Nyatela-Akinrinmade
- Z. Rakhda
- Z.S. Elghazal
- Z.S. Jamal
- Zipporah W.W. Ngumi
- Publication venue
- 'Elsevier BV'
- Publication date
- 17/09/2018
- Field of study
Background:
The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications.
Methods:
ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery.
Results:
The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784.
Conclusions:
This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance.
© 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran
Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.
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- Zipporah WW Ngumi
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- ZS Jamal
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/04/2019
- Field of study
BACKGROUND: Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. METHODS: A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged â„18 years) admitted to participating centres having elective and non-elective caesarean delivery during the 7-day study cohort period. To ensure a representative sample, each hospital had to provide data for 90% of the eligible patients during the recruitment week. The primary outcome was in-hospital maternal mortality and complications, which were assessed by local investigators. The study was registered on the South African National Health Research Database, number KZ_2015RP7_22, and on ClinicalTrials.gov, number NCT03044899. FINDINGS: Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100â000 population (IQR 0·2-2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3-0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2-18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46-13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99-17·34]) or anaesthesia complications (11·47 (1·20-109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7-5·0). INTERPRETATION: Maternal mortality after caesarean delivery in Africa is 50 times higher than that of high-income countries and is driven by peripartum haemorrhage and anaesthesia complications. Neonatal mortality is double the global average. Early identification and appropriate management of mothers at risk of peripartum haemorrhage might improve maternal and neonatal outcomes in Africa. FUNDING: Medical Research Council of South Africa.Medical Research Council of South Africa
SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
- Author
- Aamir Junaid
- Abaalkhail Muath
- Ababneh Adnan
- Ababneh Hazim
- Ababneh Laila
- Ababneh Roba
- Abad-Motos Ane
- Abaker Mussab
- Abary Ryan
- Abass Adam
- Abate Emmanuele
- Abayomi Olukayode
- Abazeed Alaa
- Abbad Bader
- Abbadessa Francesco
- Abbadi Osaid
- Abbakar Malaz
- Abbas Ahmed
- Abbas Alzhraa
- Abbas Asad
- Abbas Aya
- Abbas Jihad
- Abbas Manzar
- Abbas Mohammad
- Abbas Omer
- Abbasov Aykhan
- Abbo Olivier
- Abbott Daniel
- Abbott Tom
- Abboud Omar
- Abd Waleed
- Abd-Elkariem Ahmed
- Abd-Elsalam Sherief
- Abdalah Ahmad
- Abdalhadi Alya
- Abdalla Ahmed
- Abdalla Eman
- Abdalla Samir
- Abdalla Shimaa
- Abdalla Siddig
- Abdallah Emne
- Abdallah Ghaida
- Abdallah Lubna
- Abdallah Munir
- Abdallah Murad Al
- Abdallah Rasha
- Abdalnour Hani
- Abdeen Bashar
- Abdeewi Saedah
- Abdeh Louai
- Abdel-Aleem Mahmoud
- Abdel-Elsalam Wafaa
- Abdel-Fattah Areej
- Abdel-Fattah Nour
- Abdel-Hafez Ibrahim
- Abdelaal Abdelrahman
- Abdelaty Ahmed Adel
- Abdelazeem Khaled
- Abdelaziz Areej
- Abdelaziz Mohammed
- Abdelbagi Mohamad
- Abdelbaset Abouelnour
- Abdeldayem Hesham
- Abdelfattah Mahmoud
- Abdelgadir Alwaleed
- Abdelgalel Khaled
- Abdelghafar Moslem
- Abdelhafez Mohammed
- Abdeljalil Abdelkarim
- Abdelkabir Mohammed
- Abdelkareem Mohamed
- Abdelkarem Mohamed
- Abdelkarim Mostafa
- Abdelkhalek Mohamed
- Abdellah Fatima
- Abdelmajeed Ahmed
- Abdelmalik Abubaker
- Abdelmawla Ahmed
- Abdelrahman Abdelrahman
- Abdelrahman Haneen
- Abdelraouf Ali
- Abdelsamed Ahmed
- Abdelwahab Omar
- Abderrazaq Hafni
- Abdissa Desalegn
- Abdo Adnan Sayid
- Abdou Hossam
- Abdou Mostafa
- Abdoun Meriem
- Abdow Mohammad
- Abdrabou Ahmed
- Abdualqader Mahmmoud
- Abdul-Jabar Hani
- Abdul-Mumin Alhassan
- Abdulaal Safaa
- Abdulateef Omar
- Abdulfattah Ammar Yasser
- Abdulkareem Amal
- Abdull Mohammed
- Abdullaev Abakar
- Abdullah Abdullah
- Abdullah Bahiyah
- Abdullah Duha Milad
- Abdullah Muhammad Tariq
- Abdullah Nabila
- Abdullah Saleha
- Abdullah Shahbaz
- Abdullaha Lamess
- Abdullahi Alhassan
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- Abdullahi Lawal
- Abdullahi Mohammed Kabir
- Abdullahi Sani
- Abdullahi Yasir Younis
- Abdulmalek Abdulmalek
- Abdulmalik Abdulmuez
- Abdulmohsen Ahmed
- Abdulqawi Nabil
- Abdulrahem Abdullah
- Abdulrahman Mamuda
- Abdulrahman Mohamed
- Abdulrahman Taha
- Abdulsalam Albaraa
- Abdulsalam Fareed
- Abdulsalam Khalifa
- Abdulsalam Moruf
- Abdulwahab Taiceer
- Abdulwahed Eman
- Abdunabi Murad
- Abdur-Rahman Lukman
- Abdurab Ebrahim
- Abdurehman Oumer
- Abdurrazzaaq Abdussemee
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abe Anthonia
- Abe Nobutsugu
- Abe Tatsuro
- Abebe Engida
- Abebe Kirubel
- Abebe Metasebia
- Abebe Nebyou
- Abebrese John Tabiri
- Abed Arsan Abu
- Abed Francisco
- Abed Haneen
- Abed Laith Abu
- Abedalqader Lina
- Abedin Yasmin
- Abel Joel Reuben
- Abel Livingston
- Abel Mary Kathryn
- Abelevich Alexander
- Abella Andrei Cesar
- Abichou Wijden
- Abid Rubaba
- Abiodun Adekunle
- Abiola Olajide
- Abiola Paul
- Abiyere Henry
- Aboalsamh Ghaleb
- Aboazamazem Hajir
- Abodeeb Aya
- Aboelkhel Roger
- Abojeila Farah
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- Viveros-Carreño David
- Vives Inmaculada
- Vives-Barquiel Marian
- Vivian-Taylor Josephine
- Vix Michel
- Vlad Ioan Catalin
- Vlad Schitcu
- Vladimir Novgorodskii
- Vleminckx Nils
- Vo Uyen Giao
- Vogel Jon
- Vogel Keianna
- Vogel Rachel
- Vogelsang Holger
- Vogler Thomas
- Vogt Kelly
- Vohra Ravinder
- Vokshi Ismail
- Volkova Olga
- Volpe Gustavo Jardim
- Volpin Enrico
- Volpin Francesco
- von Ehrlich-TreuenstÀtt Viktor H
- von Renesse Janusz
- von Rundstedt Friedrich-Carl
- Voonna Murali Krishna
- Voppuru Saiesh Reddy
- Vora Sameer
- Voros Peter
- Vosoughi Fardis
- Vossler Kristen
- Vounckx Manon
- Vourganti Srinivas
- Vovola Fernanda
- Vozian Marin
- Vrakopoulou Gavriella Zoi
- Vömel Jacob
- Wadei Hajr Al
- Yahya Zakaria Al
- Zahran Mohammed
- Zahrani Attiya Al
- Zahrani Turki Ai
- Zaid Muna
- Zein Zeina Al
- Ălvarez Sofia
- ĂlgĂ„ Andreas
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2021
- Field of study
Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling.
Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty.
Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year.
Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population