Yoshiko Ohno, Makiko Sampei, Ayaka Hasegawa, Seiya Matsukuma, Mayumi Hangai, Naho Morisaki
[Text-mining of children's answers to national web-survey questions on parental status during COVID-19]
[Nihon koshu eisei zasshi] Japanese journal of public health
postoperative complications remain significant challenge especially settings healthcare access infrastructure disparities exacerbate systematic review metaanalysis aimed determine pooled incidence risk factors postoperative complications among patients undergoing essential surgery subsaharan africa ssa pubmedmedline embase cinahl web science google scholar searched january 2010 november 2022 completed studies reporting incidence risk factors associated postoperative complications among patients undergoing essential surgery ssa severity postoperative complications ranked based claviendindo classification system risk factors classified three groups based donabedian structureprocessoutcome quality evaluation framework studies quality appraised using jbi metaanalysis statistics assessment review instrument jbimastari data analyzed using comprehensive metaanalysis cma software study protocol adhered prisma guidelines registered prospero crd42023414342 metaanalysis included 19 studies 10 cohort 9 crosssectional comprising total 24136 patients pooled incidence postoperative complications ssa 202 95 ci 187218 substantial heterogeneity incidence observed incidence varied 146 275 based claviendindo classification randomeffects model indicated significant heterogeneity among studies q 54202 66791 p 0001 contributing factors postoperative complications structurerelated factors included availability accessibility resources well quality surgical facility hospital processrelated factors encompassed surgical skills adherence protocols evidencebased practices quality postoperative care patient outcomerelated factors age comorbidities alcohol use overall patient health status metaanalysis reveals high frequency postoperative complications ssa noticeable discrepancies among studies analysis highlights range factors encompassing structural procedural patient outcomerelated aspects contribute complications findings underscore necessity targeted interventions aimed reducing complications improving overall quality surgical care region httpswwwcrdyorkacukprospero identifier crd42023414342