Publications by authors named "E A Bryce"
Introduction: A significant burden of unmet pediatric surgical disease exists in low- and middle-income countries. We sought to assess the associations between the installation of a pediatric operating room (OR) and clinical and economic outcomes for families with children in Ethiopia.
Methods: A retrospective cohort study was performed of children who underwent elective surgery in a tertiary-level Ethiopian public hospital, comparing patient outcomes before and after OR installation in August 2019.
Article Synopsis
- The study aimed to create and validate a mortality risk prediction algorithm for pediatric surgery patients in 14 low- and middle-income countries using data from KidsOR sites.
- Using a SuperLearner machine learning model, the algorithm successfully analyzed data from over 21,000 patients, achieving a post-operative mortality rate of 3.1% and demonstrating excellent predictive accuracy with a cross-validated AUC of 0.945.
- The findings suggest that while the algorithm performs well across different sites, it may require re-calibration when used in new locations, potentially benefiting clinical practices and resource management in pediatric surgical care globally.
Background: Improving the quality of breastfeeding counselling delivered by primary care providers can improve breastfeeding outcomes and ultimately reduce mortality and morbidity of children and mothers. Accurate data on coverage and quality of primary care breastfeeding counselling is essential for monitoring progress; however, global and national indicators are limited. To help address this gap, this study validated indicators of receipt and quality of breastfeeding counselling during routine consultations for infant care at seven primary health facilities across Kosovo.
View Article and Find Full Text PDFBackground: The effective management of surgical and anesthesia care relies on quality data and its readily availability for both patient-centered decision-making and facility-level improvement efforts. Recognizing this critical need, the Strengthening Systems for Improved Surgical Outcomes (SSISO) project addressed surgical care data management and information use practices across 23 health facilities from October 2019 to September 2022. This study aimed to evaluate the effectiveness of SSISO interventions in enhancing practices related to surgical data capture, reporting, analysis, and visualization.
View Article and Find Full Text PDFBackground: The SARS-CoV-2 pandemic stimulated the advancement and research in the field of canine scent detection of COVID-19 and volatile organic compound (VOC) breath sampling. It remains unclear which VOCs are associated with positive canine alerts. This study aimed to confirm that the training aids used for COVID-19 canine scent detection were indeed releasing discriminant COVID-19 VOCs detectable and identifiable by gas chromatography (GC-MS).
View Article and Find Full Text PDF