Global operating theatre distribution and pulse oximetry supply: an estimation from reported data

Show simple item record Merry, Alan en Weiser, TG en Haynes, AB en Berry, WR en Gawande, AA en 2012-03-07T00:24:45Z en 2009 en
dc.identifier.citation LANCET 376(9746):1055-1061 Sep 2010 en
dc.identifier.issn 0140-6736 en
dc.identifier.uri en
dc.description.abstract Summary Background Surgery is an essential part of health care, but resources to ensure the availability of surgical services are often inadequate. We estimated the global distribution of operating theatres and quantifi ed the availability of pulse oximetry, which is an essential monitoring device during surgery and a potential measure of operating theatre resources. Methods We calculated ratios of the number of operating theatres to hospital beds in seven geographical regions worldwide on the basis of profi les from 769 hospitals in 92 countries that participated in WHO’s safe surgery saves lives initiative. We used hospital bed fi gures from 190 WHO member states to estimate the number of operating theatres per 100 000 people in 21 subregions throughout the world. To estimate availability of pulse oximetry, we sent surveys to anaesthesia providers in 72 countries selected to ensure a geographically and demographically diverse sample. A predictive regression model was used to estimate the pulse oximetry need for countries that did not provide data. Findings The estimated number of operating theatres ranged from 1·0 (95% CI 0·9–1·2) per 100 000 people in west sub-Saharan Africa to 25·1 (20·9–30·1) per 100 000 in eastern Europe. High-income subregions all averaged more than 14 per 100 000 people, whereas all low-income subregions, representing 2·2 billion people, had fewer than two theatres per 100 000. Pulse oximetry data from 54 countries suggested that around 77 700 (63 195–95 533) theatres worldwide (19·2% [15·2–23·9]) were not equipped with pulse oximeters. Interpretation Improvements in public-health strategies and monitoring are needed to reduce disparities for more than 2 billion people without adequate access to surgical care. en
dc.publisher Elsevier Inc en
dc.relation.ispartofseries Lancet en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title Global operating theatre distribution and pulse oximetry supply: an estimation from reported data en
dc.type Journal Article en
dc.identifier.doi 10.1016/S0140-6736(10)60392-3 en
pubs.issue 9746 en
pubs.begin-page 1055 en
pubs.volume 376 en
dc.rights.holder Copyright: Elsevier Inc en
dc.identifier.pmid 20598365 en
pubs.end-page 1061 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 85753 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20598365 en

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