National Priorities for Perioperative Research in South Africa
S. Afr. med. j. (Online)
;
106(5): 485-488, 2016.
Article
in English
| AIM
| ID: biblio-1271094
ABSTRACT
BACKGROUND:
Perioperative research is currently unco-ordinated in South Africa (SA); with no clear research agenda.OBJECTIVE:
To determine the top ten national research priorities for perioperative research in SA.METHODS:
A Delphi technique was used to establish consensus on the top ten research priorities.RESULTS:
The top ten research priorities were as follows (i) establishment of a national database of (a) critical care outcomes; and (b) critical care resources; (ii) a randomised controlled trial of preoperative B-type natriuretic peptide-guided medical therapy to decrease major adverse cardiac events following non-cardiac surgery; (iii) a national prospective observational study of the outcomes associated with paediatric surgical cases; (iv) a national observational study of maternal and fetal outcomes following operative delivery in SA; (v) a stepped-wedge trial of an enhanced recovery after surgery programme for (a) surgery; (b) obstetrics; (c) emergency surgery; and (d) trauma surgery; (vi) a stepped-wedge trial of a surgical safety checklist on patient outcomes in SA; (vii) a prospective observational study of perioperative outcomes after surgery in district general hospitals in SA; (viii) short-course interventions to improve anaesthetic skills in rural doctors; (ix) studies of the efficacy of simulation training to improve (a) patient outcomes; (b) team dynamics; and (c) leadership; and (x) development and validation of a risk stratification tool for SA surgery based on the South African Surgical Outcomes Study (SASOS) data.CONCLUSIONS:
These research priorities provide the structure for an intermediate-term research agenda
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Index:
AIM (Africa)
Main subject:
South Africa
/
Surgical Procedures, Operative
/
Perioperative Care
Type of study:
Controlled clinical trial
/
Observational study
Country/Region as subject:
Africa
Language:
English
Journal:
S. Afr. med. j. (Online)
Year:
2016
Type:
Article
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