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Publications


2017

Isabella Epiu, Jossy Verel Bahe Tindimwebwa, Cephas Mijumbi, Chokwe TM, Edwin Lugazia, Francois Ndarugirire, Tw T.  2017.  Challenges of Anesthesia in Low-and Middle-Income Countries: A Cross-Sectional Survey of Access to Safe Obstetric Anesthesia in East Africa . Anesthesia & Analgesia. 124(1):290-299.

2016

Isabella Epiu, Jossy Verel Bahe Tindimwebwa, Cephas Mijumbi, Francois Ndarugirire, Theogene Twagirumugabe, Lugaz ER, Chokwe TM.  2016.  Working towards safer surgery in Africa; a survey of utilization of the WHO safe surgical checklist at the main referral hospitals in East Africa . BMC Anesthesiology . 2016 (16)(BMC series – 2016(16):60)
N. Kituu, Chokwe TM, Mbithe H.  2016.  Post mortem practise, and mortality and morbidity meetings among Kenyan anaesthesiologists: a baseline survey ,. EAMJ. Vol. 93(No. 9 September 2016)

2015

Epiu, I, Tindimwebwa JV, Tindimwebwa JV, Mijimbi C, Chokwe T, Lugazia E, Ndarugirire F, Twagirumugabe T, Dubowitz G.  2015.  Anaesthesia in Developing countries . Value in Health . 18(7):A679.
OKETCH, UK, Chokwe T, MUNG'AYI V.  2015.  The operational setup of intensive care units in a low income country in East Africa: a cross sectional survey. . East African Medical Journal. 92(2):72-80.

2014

KAGIMA, JW, DAVID MJ, Otieno F, Chokwe TM.  2014.  Hypomagnesaemia In Critically Ill Patients On Admission To The Critical Care Units At The Kenyatta National Hospital.. American Thoracic Society International Conference. :A6212., San Diego California: American Thoracic Society

2013

MWANGI, CM, Kiptoon D, NABULINDO S, Chokwe T.  2013.  Challenges of Parathyroidectomy in a Patient with Primary Hyperparathyroidism and End Stage Renal Disease- Case Report .. African Journal of Anaesthesia and Intensive Care. 13(2):57-61.
Tshibuyi, PN, Olang POR, Chokwe TM.  2013.  Comparative Study on the Efficacy of Two Regimens of Single-Shot Spinal Block for Pain Relief in Women Presenting in Established Labour. East African Medical Journal. 90(1):12-18.

2011

NGIGI, J, WERE A, MUNENE J, NYARERA D, Chokwe T, MUNGAI P, KANYI S, PALACIO A, MONSALVE C, SAVAL N, CRETIN N, OPPENHEIMER F, ALCARATZ A.  2011.  Restarting a living donor kidney transplant Program in Kenya:24 transplants performed in Less than one year . 15th Congress of the European Society for Organ Transplantation & 22nd Annual Conference of the British Society for Histocompatibility & Immunogenetics,. :S2., GLASGOW UK: EUROPEAN SOCIEITY FOR TRANSPLANTION

2010

Kimani, MM,, J.N Kiiru, Matu MM, Chokwe T, Saidi H.  2010.  Evaluation of POSSUM and P-POSSUM as predictors of mortality and morbidity in patients undergoing laparotomy at a referral hospital in Nairobi, Kenya. Annals of African Surgery. 5(10) Abstract

Background The Physiological and Operative Severity Score for enUmeration of Morbidity and Mortality (POSSUM) and its Portsmouth modification (P-POSSUM) were developed for comparative audit in surgical patients. This study evaluated applicability of these systems in estimating mortality and morbidity risks in a cohort of patients undergoing laparotomy at the national referral hospital in Nairobi, Kenya. Methods Data of 166 patients undergoing laparotomy was subjected to POSSUM and P-POSSUM scoring systems and analyzed using linear and exponential methods. The discrimination power of POSSUM and P-POSSUM as predictors of surgical outcome was measured using the receiver–operating characteristic (ROC) curve. Results The overall observed to expected (O:E) ratio using linear analysis was 0.29:1 (POSSUM) and 0.67:1 (P-POSSUM) while exponential analysis gave an O:E of 0.2:1 (POSSUM) and 0.4:1 (P-POSSUM). The predicted morbidity using POSSUM was 1.09:1 (linear analysis) and 1:1 (exponential analysis). Hosmer–Lemeshow analysis did not show a significant lack of fit with the observed mortality when applied to POSSUM and P-POSSUM. The area under ROC curve was 0.74 (POSSUM) and 0.78 (P-POSSUM). Conclusion Our results support the suitability of P-POSSUM and POSSUM scoring systems to stratify morbidity and mortality risk in our study population

1997

CR, N, T C, JA S, PA W, D F, N P, FJ K, K M.  1997.  .Coma scales for children with severe falciparum malaria.. Trans R Soc Trop Med Hyg. 1997 Mar-Apr;91(2):161-5.. : uon press Abstract

{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55

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