Hyla‐Louise Kluyts
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health and Surgery
- Enhanced Recovery After Surgery
- Delphi Technique in Research
- Hip and Femur Fractures
- Health Systems, Economic Evaluations, Quality of Life
- Anesthesia and Sedative Agents
- Global Maternal and Child Health
- Healthcare professionals’ stress and burnout
- Airway Management and Intubation Techniques
- Global Health Workforce Issues
- Anesthesia and Neurotoxicity Research
- Cardiac Valve Diseases and Treatments
- Maternal and Perinatal Health Interventions
- Trauma and Emergency Care Studies
- Sepsis Diagnosis and Treatment
- Medical Education and Admissions
- COVID-19 Clinical Research Studies
- Intensive Care Unit Cognitive Disorders
- Healthcare Quality and Management
- Nursing education and management
- Economic Development and Regional Competitiveness
- COVID-19 Impact on Reproduction
- COVID-19 diagnosis using AI
- Congenital Anomalies and Fetal Surgery
Sefako Makgatho Health Sciences University
2017-2024
Dr George Mukhari Hospital
2020-2022
University of Pretoria
2011-2021
Stellenbosch University
2020
Steve Biko Hospital
2018
Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal outcomes.A 7-day, international, prospective, observational cohort study was patients having caesarean delivery 183 hospitals across 22 countries Africa. The inclusion criteria were all consecutive (aged ≥18 years) admitted participating centres elective non-elective during 7-day period. To ensure a representative sample,...
Critical illness represents a major global health-care burden and critical care is an essential component of hospital care. There are few data describing the prevalence, treatment, outcomes critically ill patients in African hospitals. This was international, prospective, point prevalence study acute hospitals across Africa. Investigators examined all inpatients aged 18 years or older, regardless location, to assess coprimary 7-day mortality. Patients were classified as if at least one vital...
Appropriate critical care admissions are an important component of surgical care. However, there few data describing postoperative admission in resource-limited low- and middle-income countries.To describe the demographics, organ failures, support outcomes non-cardiac patients admitted to units South Africa (SA).The SA Surgical Outcomes Study (SASOS) was a 7-day national, multicentre, prospective, observational cohort study all ≥16 years age undergoing inpatient surgery between 19 26 May...
Abstract Background The prevalence of anemia in the South African pediatric surgical population is unknown. Anemia may be associated with increased postoperative complications. We are unaware studies documenting these findings patients low‐ and middle‐income countries (LMICs). Aim primary aim this study was to describe association between preoperative 26 defined complications, noncardiac patients. Secondary aims included describing risk factors for intraoperative blood transfusion. Method...
Perioperative research is currently unco-ordinated in South Africa (SA), with no clear agenda.To determine the top ten national priorities for perioperative SA.A Delphi technique was used to establish consensus on priorities.The were as follows: (i) establishment of a database (a) critical care outcomes, and (b) resources; (ii) randomised controlled trial preoperative B-type natriuretic peptide-guided medical therapy decrease major adverse cardiac events following non-cardiac surgery; (iii)...
Background: Burnout is a psychological syndrome that develops in response to chronic job-related stressors.Its three predominant manifestations are emotional exhaustion, cynicism, and feelings of ineffectiveness unfulfillment (low efficacy).Our study objectives were establish the prevalence severity burnout among South African anaesthetists compare results with previous studies.We also identified areas work-life predispose we report these separate paper (Part 2). 1 Methods: We e-mailed...
BACKGROUND: Severe anesthetic-related critical incident (SARCI) monitoring is an essential component of safe, quality anesthetic care. Predominantly retrospective data from low- and middle-income countries (LMICs) report higher incidence but similar types SARCI compared to high-income (HIC). The aim our study was describe the baseline in a country (MIC) identify associated risk for SARCI. We hypothesized risks HICs. METHODS: performed 14-day, prospective multicenter observational cohort...
BACKGROUND: There is an unmet need for essential surgical services in Africa. Limited anesthesia are a contributing factor. Nonphysician providers utilized to assist with providing and procedural sedation make surgeries available. paucity of data on outcomes following surgery We investigated the postoperative by nonphysicians physicians hypothesized that level training provider may be associated incidence severe complications death. METHODS: A secondary analysis prospective cohort inhospital...
Background: Job satisfaction is a vital contributor to occupational well-being and may be instrumental in mitigating stress the adverse effects thereof. This particularly pertinent anaesthesiology, which an inherently stressful field. There are myriad factors, including personality traits, shown influence job satisfaction. Personality testing conducted many industries prior recruitment; however, this not case medicine. Currently prevailing tool for aforementioned purpose Big Five Inventory...
Background: There is little data on critically ill COVID-19 patients in under-resourced environments, and none from Africa. The objectives of this study were to determine resources, patient comorbidities critical care interventions associated with mortality African patients. Methods: multicentre, prospective observational cohort adult referred intensive or high-care units suspected known infection. Patient follow up was until hospital discharge, censored at 30 days. recruited March September...
The patient's experience of their postoperative recovery is an important perioperative outcome, with the 15-item quality scale (QoR-15) recommended as a standardised outcomes measure. Desflurane has faster emergence from anaesthesia compared other volatile anaesthetics, but it uncertain whether this translates to better subjective recovery. hypothesis for study that patients receiving desflurane maintenance would have than isoflurane.
Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. working hypothesis is die as result of failure to rescue following complications postoperative period. OutcomeS-2 (ASOS-2) Trial plans test efficacy increased surveillance high risk for decreasing perioperative morbidity and mortality. This pilot trial aimed i) evaluate adequacy data produced by collection strategies ASOS-2 Trial, ii) fidelity...
3. Identify which AWLs among SASA members are the strongest contributors to burnout syndrome.Our hypotheses were that with regard respondents:1. Areas of Worklife Scale scores would be more adverse than normative values. Introduction:The purpose this two-part study was determine prevalence and severity syndrome South African anaesthetists working in public private sectors, identify areas work-life (AWLs) predispose burnout.We reported our findings Part 1. 1 In paper (Part 2) we report on...
This discussion will focus on the perioperative anaesthetic considerations for patients undergoing bariatric surgery. The preoperative workup of these be covered separately. However, one needs to emphasise that evaluation plays a huge role in risk stratification and therefore referred again where it impacts management.