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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Partnership for sustainability in cardiac surgery to address critical rheumatic heart disease in sub-Saharan Africa: The experience from Rwanda
World Journal of Surgery, Volume 38, No. 9, Year 2014
Notification
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Description
Importance: Rheumatic heart disease (RHD) in the developing world results in critical disability among children, adolescents, and young adults - marginalizing a key population at its peak age of productivity. Few regions in sub-Saharan Africa have independently created an effective strategy to detect and treat streptococcal infection and mitigate its progression to RHD. Objective: We describe a unique collaboration, where the Rwanda Ministry of Health, the Rwanda Heart Foundation, and an expatriate humanitarian cardiac surgery program have together leveraged an innovative partnership as a means to expand Rwanda's current capacity to address screening and primary prevention, as well as provide life-saving cardiac surgery for patients with critical RHD. Evidence review: Interviews with key personnel and review of administrative records were conducted to obtain qualitative and quantitative data on the recruitment of clinical personnel, procurement of equipment, and program finances. The number of surgical cases completed and the resultant clinical outcomes are reviewed. Findings: From 2008 to 2013, six annual visits were completed. A total of 128 prosthetic valves have been implanted in 86 complex patients in New York Heart Association (NYHA) class III or IV heart failure, with excellent clinical outcomes (5 % 30-day mortality). Postoperative complications included a cerebrovascular accident (n = 1) and hemorrhage, requiring reoperation (n = 2). All procedures were performed with participation of local personnel. Conclusions and relevance: This strategy provides a reliable and consistent model of sophisticated specialty care delivery; inclusive of patient-centered cardiac surgery, mentorship, didactics, skill transfer, and investment in a sustainable cardiac program to address critical RHD in sub-Saharan Africa. © 2014 Société Internationale de Chirurgie.
Authors & Co-Authors
Swain, Jabaris D.
United States, Boston
Brigham and Women's Hospital
United States, Boston
Team Heart, Inc.
Pugliese, Daniel N.
United States, Boston
Brigham and Women's Hospital
United States, Boston
Team Heart, Inc.
Mucumbitsi, Joseph
Rwanda, Kigali
Rwanda Heart Foundation
Rwanda, Kigali
King Faisal Hospital
Rusingiza, Emmanuel Kamanzi
Rwanda, Kigali
Rwanda Heart Foundation
Rwanda, Kigali
Centre Hospitalier Universitaire de Kigali
Ruhamya, Nathan
Rwanda, Kigali
Rwanda Heart Foundation
Rwanda, Kigali
King Faisal Hospital
Kagame, Abel
Rwanda, Kigali
Rwanda Heart Foundation
Rwanda, Kigali
Centre Hospitalier Universitaire de Kigali
Ganza, Gapira
Rwanda, Kigali
Rwanda Heart Foundation
Rwanda, Kigali
Kanombe Military Hospital
Come, Patricia Challender
United States, Boston
Team Heart, Inc.
United States, Boston
Harvard Vanguard Medical Associates
Breakey, Suellen
United States, Boston
Team Heart, Inc.
United States, Boston
Mgh Institute of Health Professions
Greenwood, Bonnie
United States, Boston
Team Heart, Inc.
United States, Boston
Brigham and Women's Hospital
Muehlschlegel, Jochen D.
United States, Boston
Team Heart, Inc.
United States, Boston
Brigham and Women's Hospital
Patton-Bolman, Ceeya
United States, Boston
Team Heart, Inc.
Binagwaho, Agnès
Rwanda, Kigali
Rwanda Ministry of Health
Bolman, Ralph Morton I.
United States, Boston
Brigham and Women's Hospital
United States, Boston
Team Heart, Inc.
Statistics
Citations: 19
Authors: 14
Affiliations: 9
Identifiers
Doi:
10.1007/s00268-014-2559-2
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Disability
Health System And Policy
Maternal And Child Health
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Qualitative
Quantitative
Study Locations
Rwanda