Jaraczewski Taylor J, Abebe Belay M, Diehl Thomas, Esayas Tinbite, Melaku Winta, Nigussie Yonas, Ahmed Kaleem S, Vo Tien, Lee McKenzie, Woisha Biruk, Woldegiorgis Ermias Tadesse, Chen Taylor H, Tegene Bereket A, Belachew Anteneh Gadisa, Dodgion Christopher, Iverson Katherine R, Tefera Girma, Zafar Syed Nabeel
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Department of Surgery, Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.
World J Surg. 2024 Aug;48(8):1829-1839. doi: 10.1002/wjs.12240. Epub 2024 Jun 6.
Despite a glaring need and proven efficacy, prospective surgical registries are lacking in low- and middle-income countries. The objective of this study was to design and implement a comprehensive prospective perioperative registry in a low-income country.
This study was conducted at Hawassa University Comprehensive Specialized Hospital in Hawassa, Ethiopia. Design of the registry occurred from June 2021 to May 2022 and pilot implementation from May 2022 to May 2023. All patients undergoing elective or emergent general surgery were included. Following one year, operability and fidelity of the registry were analyzed by assessing capture rate, incidence of missing data, and accuracy.
A total of 67 variables were included in the registry including demographics, preoperative, operative, post-operative, and 30-day data. Of 440 eligible patients, 226 (51.4%) were successfully captured. Overall incidence of missing data and accuracy was 5.4% and 90.2% respectively. Post pilot modifications enhanced capture rate to 70.5% and further optimized data collection processes.
The establishment of a low-cost electronic prospective perioperative registry in a low-income country represents a significant step forward in enhancing surgical care in under-resourced settings. The initial success of this registry highlights the feasibility of such endeavors when strong partnerships and local context are at the center of implementation. Continuous efforts to refine this registry are ongoing, which will ultimately lead to enhanced surgical quality, research output, and expansion to other sites.
尽管存在迫切需求且已证实其有效性，但低收入和中等收入国家缺乏前瞻性手术登记系统。本研究的目的是在一个低收入国家设计并实施一个全面的前瞻性围手术期登记系统。
本研究在埃塞俄比亚霍瓦萨的霍瓦萨大学综合专科医院进行。登记系统的设计于2021年6月至2022年5月进行，试点实施于2022年5月至2023年5月进行。纳入所有接受择期或急诊普通外科手术的患者。一年后，通过评估捕获率、缺失数据发生率和准确性来分析登记系统的可操作性和保真度。
登记系统共纳入67个变量，包括人口统计学、术前、术中、术后和30天数据。在440名符合条件的患者中，226名（51.4%）被成功记录。缺失数据的总体发生率和准确性分别为5.4%和90.2%。试点后进行的修改将捕获率提高到70.5%，并进一步优化了数据收集流程。
在低收入国家建立低成本的电子前瞻性围手术期登记系统是在资源匮乏地区加强手术护理方面向前迈出的重要一步。该登记系统的初步成功凸显了在实施过程中以强大的伙伴关系和当地情况为核心时此类努力的可行性。目前正在持续努力完善该登记系统，这最终将提高手术质量、研究产出，并推广到其他地点。
