ArticleAfrican health sciences2014
Outcome of patients undergoing open heart surgery at the Uganda heart institute, Mulago hospital complex.
Article in African health sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Volatile Anesthetic Choice on Postoperative Outcomes of Cardiac Surgery: A Meta-Analysis.BioMed research international · 2017Pooled it
- The Mission-to-System Continuum: international partnerships for sustainable paediatric cardiac programme development in low- and middle-income countries.European journal of pediatrics · 2026Review
- Pediatric cardiac surgery in Sudan before the 2023 armed conflict: patterns, outcomes, and quality indicators from a single-center experience in a low-resource setting.BMC pediatrics · 2025Observational
- Short term outcomes of the first pediatric cardiac surgery program in Rwanda.Journal of cardiothoracic surgery · 2024Article
- A reflection of Africa's cardiac surgery capacity to manage congenital heart defects: a perspective.Annals of medicine and surgery (2012) · 2023Article
- Clinical Profile and Outcomes of Rheumatic Heart Disease Patients Undergoing Surgical Valve Procedures in Uganda.Global heart · 2023Article
- Pediatric Cardiac Surgery in Ethiopia: A Single Center Experience in a Developing Country.Ethiopian journal of health sciences · 2023Article
- Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward.Frontiers in cardiovascular medicine · 2022Review
- Cardiac Surgery: Increasing Access in Low- and Middle-Income Countries.Current cardiology reports · 2020Review
- Congenital Heart Disease in East Africa.Frontiers in pediatrics · 2019Article
- Cardiac surgery in Africa: a thirty-five year experience on open heart surgery in Cote d'Ivoire.Cardiovascular diagnosis and therapy · 2016Article
- Open heart surgery in sub-Saharan Africa: challenges and promise.Cardiovascular diagnosis and therapy · 2016Article
- Proportion of patients in the Uganda rheumatic heart disease registry with advanced disease requiring urgent surgical interventions.African health sciences · 2015Article
- Editorial.African health sciences · 2014Article
- Pediatric cardiovascular care in Uganda: Current status, challenges, and opportunities for the future.Annals of pediatric cardiologyArticle
- Barriers to Healthcare Access for Children With Congenital Heart Disease in Low- and Middle-Income Countries: A Systematic Review Using the SHEL Framework.Sage open pediatricsReview
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHeart disease is a disabling condition and necessary surgical intervention is often lacking in many developing countries. Training of the superspecialties abroad is largely limited to observation with little or no opportunity for hands on experience. An approach in which open heart surgeries are conducted locally by visiting teams enabling skills transfer to the local team and helps build to build capacity has been adopted at the Uganda Heart Institute (UHI).
objectivesWe reviewed the progress of open heart surgery at the UHI and evaluated the postoperative outcomes and challenges faced in conducting open heart surgery in a developing country.
methodsMedical records of patients undergoing open heart surgery at the UHI from October 2007 to June 2012 were reviewed.
resultsA total of 124 patients underwent open heart surgery during the study period. The commonest conditions were: venticular septal defects (VSDs) 34.7% (43/124), Atrial septal defects (ASDs) 34.7% (43/124) and tetralogy of fallot (TOF) in 10.5% (13/124). Non governmental organizations (NGOs) funded 96.8% (120/124) of the operations, and in only 4 patients (3.2%) families paid for the surgeries. There was increasing complexity in cases operated upon from predominantly ASDs and VSDs at the beginning to more complex cases like TOFs and TAPVR. The local team independently operated 19 patients (15.3%). Postoperative morbidity was low with arrhythmias, left ventricular dysfunction and re-operations being the commonest seen. Post operative sepsis occurred in only 2 cases (1.6%). The overall mortality rate was 3.2.
conclusionOpen heart surgery though expensive is feasible in a developing country. With increased direct funding from governments and local charities to support open heart surgeries, more cardiac patients access surgical treatment locally.
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