29 Mar 2023
Really enjoyed hearing from @BruceBiccard and Nicola Vickery at the @GASOC_2015 journal club this evening. They covered design of meaningful context-specific interventions when undertaking research (with specific look @ #ASOS2 trial)
#journalclub #globalsurgery
2
2
834
20 Nov 2021
Great insights on implementation and quality improvement at APORG2021 from Thomas Weiser #Lifebox @SaferSurgery #Asos2 #ContextSpecificSolutions
3
8
5 Sep 2021
@alex_torborg will be presenting the #WFSAFellowship for #ASOS2 at 12.50pm CEST in the @wfsawca #WCA2021 WFSA Fellowship track. This work provided the qualitative foundation for the #ASOS2 process evaluation bjanaesthesia.org/article/S0…
1
6
31 Aug 2021
#ASOS1 and #ASOS2 are two of the most impactful studies ever done to inform postoperative mortality #POMR and #periop care across Africa.
So fortunate to have @BruceBiccard speaking TOMORROW at #WCA2021 to discuss #ASOS1 and #ASOS2 @AfricanSOS.
Join us virtually @wfsawca
31 Aug 2021
A lot of admiration for the work this group is doing. And although I’d hoped to see a “positive” outcome here, by publishing and analyzing their process for us they demonstrate that this is definitely not a “negative” study. We can all learn from this one
4
17
24 Aug 2021
Hi, Your thread is ready to read. #ASOS2 trial process evaluation was published in @BJAJournals. This linked tweetorial explains the i rattibha.com/thread/14300715…
Have a good day!
1
24 Aug 2021
Thread describing the process evaluation of the #ASOS2 trial from @BruceBiccard.
Changing and measuring care stressed the limited resources of surgical teams in Africa. Co-design of interventions and support of team members key to successful practice change.
24 Aug 2021
#ASOS2 trial process evaluation was published in @BJAJournals. This linked tweetorial explains the implementation lessons of these findings. Understanding the performance of a pan-African intervention to reduce postoperative mortality bjanaesthesia.org/article/S0…
2
2
24 Aug 2021
6. Implementation fidelity was only achieved in 57% of #ASOS2 intervention hospitals. The intervention (although considered simple and feasible through piloting sajaa.co.za/index.php/sajaa/…) was complex and outstripped the limited resources at the sites. @LeonALIVE
1
1
3
24 Aug 2021
2. In #ASOS2 we identified the patients at greatest risk of death, in order to focus the limited available care to these high-risk patients. It was a hospital cluster randomised trial to provide either enhanced postoperative surveillance to high-risk patients or standard of care.
1
1
3
24 Aug 2021
#ASOS2 trial process evaluation was published in @BJAJournals. This linked tweetorial explains the implementation lessons of these findings. Understanding the performance of a pan-African intervention to reduce postoperative mortality bjanaesthesia.org/article/S0…
1
11
20
21 Aug 2021
ÚLTIMA HORA: Estudio #ASOS2 un "parteaguas" en la atención perioperaroria y la evidencia de mundo real aún a pesar de su resultado negativo.
Mucho por aprender. Felicidades @BruceBiccard, @rupert_pearse, et al. Será base de investigación futura en cirugía global.
19 Aug 2021
#ASOS2 trial published today. This is a linked tweetorial of the findings. Enhanced postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS-2): cluster-randomised controlled trial @rupert_pearse thelancet.com/journals/langl…
2
20 Aug 2021
The high #perioperative #mortality in Africa in #ASOS prompted #ASOS2 to study whether increased surveillance would decrease deaths. It didn’t, but we now have much more data and insight on how to move forward towards saving lives.
15
20
20 Aug 2021
Enhanced postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS-2): a cluster-randomised controlled trial thelancet.com/journals/langl… Impressive! ASOS2 investigators find it hard to prevent death. @BruceBiccard @LeonALIVE
5
6
19 Aug 2021
I think you will find the #ASOS2 process evaluation paper very informative, which speaks to this point about implementation. It will be online soon in @BJAJournals
19 Aug 2021
Congratulations for such an Effort! Incredible!
160 172 hospitals designating a Regional Research Infrastructure in🌍
> It'd be interesting to see how the research implementation has impacted on the quality of healthcare and, the pt's outcomes. An operational model, indeed.
1
1
4
19 Aug 2021
Amazing new #ASOS2 cluster-randomized trial of enhanced postoperative care in over 300 African hospitals. Congratulations to @BruceBiccard @LeonALIVE and team.
19 Aug 2021
#ASOS2 trial published today. This is a linked tweetorial of the findings. Enhanced postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS-2): cluster-randomised controlled trial @rupert_pearse thelancet.com/journals/langl…
2
19 Aug 2021
Compelling trial with important findings - essential read for any clinicians/researchers interested in global health/global surgery - congrats to @AfricanSOS #ASOS2 collaborators
19 Aug 2021
#ASOS2 trial published today. This is a linked tweetorial of the findings. Enhanced postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS-2): cluster-randomised controlled trial @rupert_pearse thelancet.com/journals/langl…
1
9
19 Aug 2021
#ASOS2 has been published!! An important human story that deserves attention. Vital work @BruceBiccard @AfricanSOS thelancet.com/journals/langl…
1
4
19 Aug 2021
9. The #ASOS2 process evaluation led by @_tim_stephens and @VickeryNiki will be published in a few days time in @BJAJournals. It highlights important points/ strategies necessary for successful implementation of interventions in low resource environments @WFSA_ASOS2 @LeonALIVE
1
3
14
19 Aug 2021
6. However the #ASOS2 intervention of increased postoperative surveillance did not decrease overall in hospital mortality. (Relative risk 0·96, 95% confidence interval 0·69–1·33; p=0·79)
2
9
16
19 Aug 2021
4. #ASOS2 included 332 hospitals from 28 African countries between May 2019 and July 2020. 160 hospitals (13 275 patients) were randomised to the enhanced postoperative surveillance arm and 172 hospitals (15 617 patients) to the standard care arm.
2
3
10