First Malian series of surgery for rheumatic valve disease: opening of the centre, clinical features and peri-operative realities

Coulibaly, Moctar; Koita, Siriman; Doumbia, Modibo; Diallo, Binta; Traore, Salia I; I, Diarra B; Coulibaly, B; Daffé, S; Maiga, Asmaou; Toure, Mamadou; Zongo, Rakiswendé A; Fofana, Gaoussou; Beye, Seydina Alioune; Diallo, Boubacar; Diarra, Modibo; Diango, Djibo M.; Coulibaly, Y.

doi:10.5830/cvja-2021-042

Cited by 1 publication

(1 citation statement)

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“…Title and abstract screening of the remaining 756 papers led to further exclusion of 675 papers that did not meet our eligibility criteria. Subsequently following full text screening of the 81 papers, only 31 papers were included in the study that met our eligibility criteria 16–46 . The screening process is shown in the PRISMA flow chart in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta‐analysis on outcomes of valvular heart surgery in Africa

Akintoye,

Musa,

Gyau‐Ampong

et al. 2023

World j. surg.

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IntroductionThe prevalence of valvular heart diseases remain considerably high in Africa, largely but not solely due to rheumatic heart disease. Valvular heart surgeries have emerged as the cornerstone in their management. While several studies have reported data on outcomes following heart valve surgery in many developed countries, there is a staggering paucity of data and evidence reporting the outcomes in the Africa population. The aim of this study is to report the perioperative outcomes following valvular heart surgery in Africa.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta‐analysis guideline was utilized. Electronic searches were performed using PubMed, African journal online, and Research gate from inception to June 2023. The primary endpoints were overall mortality and 30‐day mortality, and secondary endpoints included postoperative complications, length of hospital, and intensive care stays. The outcome data were pooled together and analyzed with the random effect model for proportions and mean for meta‐analysis using the R software.ResultsThis systematic review identified 31 studies that fulfilled the study eligibility criteria and all were observational studies. The countries in which these studies were carried out include South Africa, Ethiopia, Egypt, Mali, Rwanda, Nigeria, Cameroon, Ghana, Senegal, Tanzania, and Kenya. Statistical analysis reported a pooled overall mortality of 10.48% and a pooled 30‐day mortality of 4.59%.ConclusionSeveral obstacles, such as lack of financial resources and inadequate infrastructure, continue to impede valvular heart surgery practice in many parts of Africa. Future studies need to focus on identifying factors associated with this poor early mortality.

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Section: Resultsmentioning

confidence: 99%