PDF(Pubmed)
Abstract：
UNASSIGNED: Sub-Saharan Africa experiences a disproportionate amount of pediatric surgical disease, with 80% of children lacking access to timely, affordable, and safe surgical care. This study aims to characterize the burden of disease and outcomes of pediatric surgical conditions at Connaught Hospital, the main pediatric referral hospital in Sierra Leone.
UNASSIGNED: This retrospective and hospital-based study included children up to 15 years old who were operated on between 2015 and June 2016 at Connaught Hospital in Freetown, Sierra Leone. Descriptive and inferential statistics were used to characterize the distribution of disease and compare all variables against age category and mortality.
UNASSIGNED: A total of 215 patients were included in this study of which 72.5% (n=132) were male and 27.5% (n=50) were female. Most of the patients were diagnosed with congenital anomalies (60.9%; n=131). However, infection was the leading diagnosis (60.5%; n=23) among patients aged 5-10 years (n=38). Inguinal hernia was the leading condition (65.0%; n=85) among patients presenting with a congenital anomaly. The condition with the highest mortality was infections (17.0%; n=8), followed by other conditions (9.1%; n=2) and congenital anomalies (3.1%; n=4). Based on the results of this study, over 7000 children with inguinal hernias remain untreated annually in Freetown, Sierra Leone.
UNASSIGNED: This study quantifies the burden of surgical disease among children, a foundational step toward the prioritization of pediatric surgical care in national health agendas, the development of evidence-based interventions, and the strategic allocation of resources in Sierra Leone.
UNASSIGNED: This retrospective and hospital-based study included children up to 15 years old who were operated on between 2015 and June 2016 at Connaught Hospital in Freetown, Sierra Leone. Descriptive and inferential statistics were used to characterize the distribution of disease and compare all variables against age category and mortality.
UNASSIGNED: A total of 215 patients were included in this study of which 72.5% (n=132) were male and 27.5% (n=50) were female. Most of the patients were diagnosed with congenital anomalies (60.9%; n=131). However, infection was the leading diagnosis (60.5%; n=23) among patients aged 5-10 years (n=38). Inguinal hernia was the leading condition (65.0%; n=85) among patients presenting with a congenital anomaly. The condition with the highest mortality was infections (17.0%; n=8), followed by other conditions (9.1%; n=2) and congenital anomalies (3.1%; n=4). Based on the results of this study, over 7000 children with inguinal hernias remain untreated annually in Freetown, Sierra Leone.
UNASSIGNED: This study quantifies the burden of surgical disease among children, a foundational step toward the prioritization of pediatric surgical care in national health agendas, the development of evidence-based interventions, and the strategic allocation of resources in Sierra Leone.
摘要：
■撒哈拉以南非洲经历了不成比例的儿科外科疾病，80%的儿童缺乏及时的机会，负担得起的,和安全的手术护理。本研究旨在描述康诺特医院儿科外科疾病的负担和结果，塞拉利昂主要的儿科转诊医院。
这项回顾性和基于医院的研究包括2015年至2016年6月在弗里敦的康诺特医院接受手术的15岁以下儿童，塞拉利昂。描述性和推断性统计数据用于表征疾病的分布，并将所有变量与年龄类别和死亡率进行比较。
■本研究共纳入215例患者，其中72.5%（n=132）为男性，27.5%（n=50）为女性。大多数患者被诊断为先天性异常（60.9％；n=131）。然而,在5-10岁(n=38)的患者中,感染是主要诊断(60.5%;n=23).腹股沟疝是先天性异常患者的主要疾病（65.0％；n=85）。死亡率最高的情况是感染(17.0%;n=8)，其次是其他疾病(9.1%;n=2)和先天性异常(3.1%;n=4)。根据这项研究的结果，在弗里敦，每年有超过7000名腹股沟疝儿童得不到治疗，塞拉利昂。
■这项研究量化了儿童外科疾病的负担，在国家卫生议程中优先考虑儿科外科护理的基础步骤，基于证据的干预措施的发展，以及塞拉利昂资源的战略分配。
这项回顾性和基于医院的研究包括2015年至2016年6月在弗里敦的康诺特医院接受手术的15岁以下儿童，塞拉利昂。描述性和推断性统计数据用于表征疾病的分布，并将所有变量与年龄类别和死亡率进行比较。
■本研究共纳入215例患者，其中72.5%（n=132）为男性，27.5%（n=50）为女性。大多数患者被诊断为先天性异常（60.9％；n=131）。然而,在5-10岁(n=38)的患者中,感染是主要诊断(60.5%;n=23).腹股沟疝是先天性异常患者的主要疾病（65.0％；n=85）。死亡率最高的情况是感染(17.0%;n=8)，其次是其他疾病(9.1%;n=2)和先天性异常(3.1%;n=4)。根据这项研究的结果，在弗里敦，每年有超过7000名腹股沟疝儿童得不到治疗，塞拉利昂。
■这项研究量化了儿童外科疾病的负担，在国家卫生议程中优先考虑儿科外科护理的基础步骤，基于证据的干预措施的发展，以及塞拉利昂资源的战略分配。
