Disparity in access and Outcomes for Emergency Neonatal Surgery: Intestinal Atresia in Kampala, Uganda

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dc.contributor.authorCairo, Sarah
dc.contributor.authorKakembo, Nasser
dc.contributor.authorKisa, Phyllis
dc.contributor.authorMuzira, Arlene
dc.contributor.authorCheung, Maija
dc.contributor.authorHealy, James
dc.contributor.authorOzgediz, Doruk
dc.contributor.authorSekabira, John
dc.date.accessioned2022-03-13T15:34:37Z
dc.date.available2022-03-13T15:34:37Z
dc.date.issued2017
dc.description.abstractIntestinal atresia is one of the leading causes of neonatal intestinal obstruction (NIO). The purpose of this study was to analyze the presentation and outcome of IA and compare with those from both similar and high-income country settings.A retrospective review of prospectively collected data from patient charts and pediatric surgical database for 2012–2015 was performed. Epidemiological data and patient characteristics were analyzed and outcomes were compared with those reported in other LMICs and high-income countries (HICs). Unmet need was calculated along with economic valuation or economic burden of surgical disease.Of 98 patients, 42.9% were male. 35 patients had duodenal atresia (DA), 60 had jejunio-ileal atresia (JIA), and 3 had colonic atresia. The mean age at presentation was 7.14 days for DA and 6.7 days for JIA. Average weight for DA and JIA was 2.2 and 2.12 kg, respectively. All patients with DA and colonic atresia underwent surgery, and 88.3% of patients with JIA had surgery. Overall mortality was 43% with the majority of deaths attributable to aspiration, anastomotic leak, and sepsis. 3304 DALYs were calculated as met compared to 25,577 DALYs’ unmet.Patients with IA in Uganda present late in the clinical course with high morbidity and mortality attributable to a combination of late presentation, poor nutrition status, surgical complications, and likely underreporting of associated anomalies rather than surgical morbidity alone.en_US
dc.identifier.citationCairo, S., Kakembo, N., Kisa, P., Muzira, A., Cheung, M., Healy, J., ... & Sekabira, J. (2017). Disparity in access and outcomes for emergency neonatal surgery: intestinal atresia in Kampala, Uganda. Pediatric Surgery International, 33(8), 907-915.https://doi.org/10.1007/s00383-017-4120-5en_US
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2791
dc.language.isoenen_US
dc.publisherPediatric Surgery Internationalen_US
dc.subjectNeonatal surgery Pediatric surgery Uganda Low- and middle-income countries Disparities Intestinal atresiaen_US
dc.titleDisparity in access and Outcomes for Emergency Neonatal Surgery: Intestinal Atresia in Kampala, Ugandaen_US
dc.typeArticleen_US
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