Clinical Profile and Outcomes of Rheumatic Heart Disease Patients Undergoing Surgical Valve Procedures in Uganda.
Joselyn RwebemberaAndrew Y ChangSamalie M KitoolekoGloria KaudhaSarah de LoizagaMiriam NaluleKenneth AhabweWanzhu ZhangEmmy OkelloPranava SinhaTom MwambuCraig SableAndrea BeatonChris T LongeneckerPublished in: Global heart (2023)
There has been increasing access to valve surgery among Ugandan patients with RHD. Post-operative survival is similar to regionally reported rates. The growing cohort of patients living with prosthetic valves necessitates national expansion and decentralization of post-operative care services. Major reliance on charity funding of surgery is unsustainable, thus calling for locally generated and controlled support mechanisms such as a national health insurance scheme. The central illustration (Figure 1) provides a summary of our findings and recommendations.
Keyphrases
- health insurance
- aortic valve
- affordable care act
- minimally invasive
- quality improvement
- patients undergoing
- healthcare
- coronary artery bypass
- ejection fraction
- end stage renal disease
- mitral valve
- aortic stenosis
- primary care
- aortic valve replacement
- rheumatoid arthritis
- peritoneal dialysis
- surgical site infection
- palliative care
- pulmonary hypertension
- type diabetes
- heart failure
- transcatheter aortic valve implantation
- adipose tissue
- skeletal muscle
- insulin resistance
- free survival
- pain management
- weight loss
- acute coronary syndrome
- atrial fibrillation
- glycemic control