Zahraa Mohammed Al-Fadhily, Dana Rifat Mohammed, Hala Adana Abdul Hammed, Akram Faisal Al-Huwaizi
The effect of COVID-19 on emergencies and pain among orthodontic patients attending a teaching hospital
Journal of medicine and life
openheart surgery lagos state university teaching hospital commenced 2004 early years based cardiac mission model since 2017 focus transition local team model autonomous openheart surgery aim study describe progress making transition highlight lessons learned detail outstanding challenges overcome study retrospective analysis prospectively maintained data lagos state university teaching hospital cardiothoracic database nigeria openheart surgery registry november 2004 december 2021 data extracted included patient demographics euroscore ii operative procedure operative category lead surgeon complications outcomes study period 100 operations done 2 time periods 51 operations 2004 2011 cardiac mission period 49 operations 2017 2021 transition period cardiac mission period 216 operations done local team transition period increased 857 operations completed overall mortality 14 dropping 176 cardiac mission period 102 transition period local team gradually taking diverse cases striving maintain good outcomes institution successfully made transition cardiac missions autonomous openheart surgery without increase mortality gradual increase surgical volumes lessons learned included strategy focus adult surgery avoidance highrisk cases moving free surgery toward appropriate cost structure program sustainability contributory factors successful transition include active support hospital management provision appropriate infrastructure equipment investment training local team continued humanitarian international collaborations focused skill transfer maintenance local team skills collaborations active cardiac centers nigeria remaining challenges include financing bridge equipment gaps maintenance replacement equipment well evolution national health insurance schema would ideally support openheart surgery nigerian patients time patients programs must rely supplemental funding surgery increase surgical volumes