Evidence map›Paper›PMID 28852474›Full record

ArticlePerioperative medicine (London, England)2017

The prevalence of pulmonary complications after thoracic and abdominal surgery and associated risk factors in patients admitted at a government hospital in Harare, Zimbabwe-a retrospective study.

Cathrine Tadyanemhandu, Rufaro Mukombachoto, Clement Nhunzvi, Farayi Kaseke, Vasco Chikwasha, Samson Chengetanai, Shamila Manie

Open access · goldAbstract read

PubMed Full text at PMC Publisher

In one paragraph

Article in Perioperative medicine (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it

0cells of the map it votes in

6citing papers in PubMed

0.5field-weighted citation impact, top 29% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

A machine learning-based predictive model for postoperative pulmonary complications in lung cancer and its SHAP interpretation.Frontiers in oncology · 2026
Article
Assessing the accuracy of the revised Cardiac Risk Index compared to the American Society of Anaesthesiologists physical status classification in predicting Pulmonary and Cardiac complications among non-cardiothoracic surgery patients at Muhimbili National Hospital: a prospective cohort study.BMC surgery · 2024
Article
Post-operative pulmonary complications after thoracic and upper abdominal procedures at referral hospitals in Amhara region, Ethiopia: a multi-center study.Frontiers in surgery · 2023
Article
Incidence and Associated Factors of Postoperative Pulmonary Complications after Abdominal Surgery in the Public Hospital, Addis Ababa, Ethiopia.Anesthesiology research and practice · 2022
Article
Identification of risk factors for postoperative pulmonary complications in general surgery patients in a low-middle income country.PloS one · 2022
Article
Efficacy of ventilator for patients with atelectasis: A systematic review protocol of randomized controlled trials.Medicine · 2019
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Cathrine TadyanemhanduDepartment of Rehabilitation, College of Health Sciences, University Of Zimbabwe, PO Box AV 178, Avondale, Harare, Zimbabwe.ORCID 0000-0003-1610-3699

Rufaro MukombachotoDepartment of Rehabilitation, College of Health Sciences, University Of Zimbabwe, PO Box AV 178, Avondale, Harare, Zimbabwe.

Clement NhunzviDepartment of Rehabilitation, College of Health Sciences, University Of Zimbabwe, PO Box AV 178, Avondale, Harare, Zimbabwe.

Farayi KasekeDepartment of Rehabilitation, College of Health Sciences, University Of Zimbabwe, PO Box AV 178, Avondale, Harare, Zimbabwe.

Vasco ChikwashaDepartment of Community Medicine, College of Health Sciences, University Of Zimbabwe, PO Box AV 178, Avondale, Harare, Zimbabwe.

Samson ChengetanaiDivision of Basic Medical Sciences, Faculty of Medicine, National University of Science and Technology, PO Box AC 939, Ascot, Bulawayo, Zimbabwe.

Shamila ManieDivision of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of CapeTown, Anzio Road, Observatory, CapeTown, South Africa.

University of Zimbabwe · ZWNational University of Science and Technology · ZWUniversity of Cape Town · ZA

Funding

Training for Research Excellence and MeNtorship in Tuberculosis (TRENT)D43TW009539 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI METCALFE, JOHN ZAPATA · 2013 to 2022

$2.9M

FIC NIH HHS D43 TW009539

6 · The paper itself

Abstract

backgroundThe burden of HIV/AIDS in Sub-Saharan Africa has presented unusual and challenging acute surgical problems across all specialties. Thoraco-abdominal surgery cuts through muscle and thereby disrupts the normal anatomy and activity of the respiratory muscles leading to reduced lung volumes and putting the patients at greater risk of developing post-operative pulmonary complications (PPCs). PPCs remain an important cause of post-operative morbidity, mortality, and impacts on the long-term outcomes of patients post hospital discharge. The objective of the study was to determine the pulmonary complications developing after abdominal and thoracic surgery and the associated risks factors.

methodsA retrospective records review of all abdominal and thoracic surgery patients admitted at a central hospital from January 2014 to October 2014 was done. Data collected included demographic data, surgical history, comorbidities and the PPCs present.

resultsOut of the 92 patients whose records were reviewed, 55 (59.8%) were males and 84 (91.3%) had abdominal surgery. The mean age of the patients was 42.6 years (SD = 18.4). The common comorbidities were HIV infection noted in 14(15.2%) of the patients and hypertension in 10 (13.0%). Thirty nine (42.4%) developed PPCs and the most common complications were nosocomial pneumonia in 21 (22.8%) patients, ventilator associated pneumonia in 11 (12.0%), and atelectasis in 6 (6.5%) patients. Logistic regression showed that a history of alcohol consumption, prolonged surgery, prolonged stay in hospital or critical care unit, incision type, and comorbidities were significant risk factors for PPCs (

conclusionPPCs like nosocomial and ventilator associated pneumonia were common and were associated with increased morbidity and adversely affected clinical outcomes of patients. HIV and hypertension presented significant comorbidities which the health team needed to recognize and address. Strategies to reduce the occurrence of PPCs have to be implemented through coordinated efforts by the health practitioners as a team during the entire perioperative period.

Indexed as

Abdominal surgeryComorbiditiesHIV infectionPost-operative complicationsPulmonary complicationsThoracic surgery

Identifiers

PMID28852474

DOI10.1186/s13741-017-0066-3

PMCPMC5567626

OpenAlexW2748781888

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.