Acute Bowel Obstructions of the Elderly in a Low African Country

Kouakou, Kouamé Bernadin; Anzoua, Kouakou Ibrahim; Traoré, Mamadou; Bi, Ismael Kalou Leh; N’Dri, Ahou Bernadette; Kakou, Aka Gerard; Ekra, Serge Amos; Kouakou, Blaise Amos; Bamba, Inza; Akowendo, Djahou Ezechiel; Lebeau, R; Diané, Bamourou

doi:10.4236/ss.2022.133021

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…A clinical audit conducted in Nigeria found a crude mortality rate of 18.9% in people aged 65 years and above in the general surgery unit [ 43 ]. In Cote d’Ivoire, post-operative morbidity and mortality among older people undergoing emergency surgery for acute bowel obstructions were 32.2% and 16.9%, respectively [ 44 ]. In a follow-up study including 2530 participants, the hazard of postoperative mortality among older people was three-folds higher than among their younger counterparts in Ethiopia [ 45 ].…”

Section: Surgical Conditions In Older People In Ssamentioning

confidence: 99%

Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

Ntsama Essomba,

Esson Mapoko,

Metogo Mbengono

et al. 2024

JCM

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Objectives: With the ongoing epidemiological transition in sub-Saharan Africa (SSA), conditions that require invasive treatment (surgery, cancer, and anaesthesia, etc.) will become increasingly common. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic process aimed at identifying older people at risk of negative outcomes. It is important to know whether this approach integrates care management strategies for older people in a context where health services for older people are scarce, and staff members have little training in geriatrics. The current work is a situational analysis on the use of CGA on invasive care (cancer, surgery, etc.) among older people in SSA. Methods: We searched PubMed-MEDLINE and other sources for studies reporting on CGA and conditions requiring invasive treatment in older patients in SSA. Results/Conclusions: We found no study that had comprehensively examined CGA and invasive care in SSA. There is, however, evidence that the offer of invasive care to older people has improved in SSA. Further research is needed to explore the applicability of CGA in SSA. Similarly, more investigations are needed on the role of CGA in the care trajectories of older people in SSA, in terms of outcomes and affordability.

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Section: Surgical Conditions In Older People In Ssamentioning

confidence: 99%

Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

Ntsama Essomba,

Esson Mapoko,

Metogo Mbengono

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…A clinical audit conducted in Nigeria has reported a crude mortality rate of 18.9% in people aged 65 years and above in general surgery unit [40]. In Cote d'Ivoire, post-operative morbidity and mortality among older people undergoing emergency surgery for acute bowel obstructions were 32.2% and 16.9% respectively [41]. In a followup study including 2530 participants, the hazard of postoperative mortality among elderly was 3folds higher than among their younger counterparts in Ethiopia [42].…”

Section: Surgical Conditions In Older People In Ssamentioning

confidence: 99%

Pre-therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

Ntsama-Essomba,

Esson-Mapoko,

Metogo-Mbengono

et al. 2023

Preprint

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Objectives As the epidemiological transition continues in sub-Saharan Africa, we will see in future more conditions that require invasive treatment (surgery, cancer and anaesthesia, ie..). Olders patients are vulnerable to complications such as functional decline, increased length of stay and mortality as a result of this type of treatment. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic process aimed at identifying older people at risk of negative outcome. It is delivered by a multidisciplinary team and its benefits in reducing functional disability, incidence of mortality and other adverse health outcomes are well established. It is important to know whether this approach integrates care management strategies for older people in a context where health services for older people are scarce and staff have little training in geriatrics. The objective of this work was to review the literature on the use of CGA on invasive care (cancer, surgery, etc.) among older people in SSA. Methods A MEDLINE/PubMed database search was conducted to identify articles reporting CGA and conditions requiring invasive treatment in older patients in SSA. Results/Conclusion Taken together, the studies examined in this review show that little work has been done on the impact of CGA in older people invasive care in SSA. This review can help to assess the role of CGA in the care trajectories of older people in terms of prognosis, and thus encourage more in-depth research on this topic.

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Acute Bowel Obstructions of the Elderly in a Low African Country

Cited by 2 publications

References 18 publications

Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

Pre-therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment

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