ArticleTrauma surgery & acute care open2019
Development of an acute care surgery service in Rwanda.
Article in Trauma surgery & acute care open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Sexual function and wellbeing of women using modern contraceptive methods in Rwanda: a multicenter cross-sectional study.Frontiers in global women's health · 2026Article
- Use of modern family planning methods and its association with quality of life among Rwandan women: a multi-center cross-sectional study.Contraception and reproductive medicine · 2025Article
- Outcomes in emergency surgery following the implementation of an acute care surgery model: a retrospective observational study.Annals of surgical treatment and research · 2024Article
- Comparison of Outcomes of Emergency Laparotomies Performed During Daytime Versus Nights and Weekends in Rwandan University Teaching Hospitals.World journal of surgery · 2022Article
- Community- and Hospital-Acquired Infections in Surgical patients at a Tertiary Referral Hospital in Rwanda.World journal of surgery · 2020Observational
- Prehabilitation program for African sub-Saharan surgical patients is an unmet need.The Pan African medical journal · 2020Article
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Abstract
backgroundAcute care surgery (ACS) encompasses trauma, critical care, and emergency general surgery. Due to high volumes of emergency surgery, an ACS service was developed at a referral hospital in Rwanda. The aim of this study was to evaluate the epidemiology of ACS and understand the impact of an ACS service on patient outcomes.
methodsThis is a retrospective observational study of ACS patients before and after introduction of an ACS service. χ
resultsData were available for 120 patients before ACS and 102 patients after ACS. Diagnoses included: intestinal obstruction (n=80, 36%), trauma (n=38, 17%), appendicitis (n=31, 14%), and soft tissue infection (n=17, 8%) with no difference between groups. The most common operation was midline laparotomy (n=138, 62%) with no difference between groups (p=0.910). High American Society of Anesthesiologists (ASA) score (ASA ≥3) (11% vs. 40%, p<0.001) was more common after ACS. There was no difference in intensive care unit admission (8% vs. 8%, p=0.894), unplanned reoperation (22% vs. 13%, p=0.082), or mortality (10% vs. 11%, p=0.848). The median length of hospital stay was longer (11 days vs. 7 days, p<0.001) before ACS.
conclusionsAn ACS service can be implemented in a low-resource setting. In Rwanda, ACS patients are young with few comorbidities, but high rates of mortality and morbidity. In spite of more patients who are critically ill in the post-ACS period, implementation of an ACS service resulted in decreased length of hospital stay with no difference in morbidity and mortality. LEVEL OF EVIDENCE: Prognostic and epidemiologic study type, level III.
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