Outcomes and Unmet Need for Neonatal Surgery in a Resource-Limited Environment: Estimates of Global Health Disparities from Kampala, Uganda

Simple item page
dc.contributor.authorBadrinath, Raghav
dc.contributor.authorKakembo, Nasser
dc.contributor.authorKisa, Phyllis
dc.contributor.authorLanger, Monica
dc.contributor.authorOzgediz, Doruk
dc.contributor.authorSekabira, John
dc.date.accessioned2022-03-13T14:19:02Z
dc.date.available2022-03-13T14:19:02Z
dc.date.issued2014
dc.description.abstractReported outcomes of neonatal surgery in low-income countries (LICs) are poor. We examined epidemiology, outcomes, and met and unmet need of neonatal surgical diseases in Uganda. Pediatric general surgical admissions and consults from January 1, 2012, to December 31, 2012, at a national referral center in Uganda were analyzed using a prospective database. Outcomes were compared with high-income countries (HICs), and met and unmet need was estimated using burden of disease metrics (disability-adjusted life years or DALYs).23% (167/724) of patients were neonates, and 68% of these survived. Median age of presentation was 5days, and 53% underwent surgery. 88% survived postoperatively, while 55% died without surgery (p<0.001). Gastroschisis carried the highest mortality (100%) and the greatest mortality disparity with HICs. An estimated 5072 DALYs were averted by neonatal surgery in Uganda (met need), with 140,154 potentially avertable (unmet need). Approximately 3.5% of the need for neonatal surgery is met by the health system.More than two thirds of surgical neonates survived despite late presentation and lack of critical care. Epidemiology and outcomes differ greatly with HICs. A high burden of hidden mortality exists, and only a negligible fraction of the population need for neonatal surgery is met by health services.en_US
dc.identifier.citationBadrinath, R., Kakembo, N., Kisa, P., Langer, M., Ozgediz, D., & Sekabira, J. (2014). Outcomes and unmet need for neonatal surgery in a resource-limited environment: estimates of global health disparities from Kampala, Uganda. Journal of pediatric surgery, 49(12), 1825-1830.https://doi.org/10.1016/j.jpedsurg.2014.09.031en_US
dc.identifier.issn0022-3468
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2788
dc.language.isoenen_US
dc.publisherJournal of pediatric surgeryen_US
dc.subjectNeonatal surgery; Pediatric surgery; Mortality; Sub-Saharan Africa; Uganda; Low and middle-income countries; Burden of disease; Effective coverage; Access to care; Disparities; Congenital anomaliesen_US
dc.titleOutcomes and Unmet Need for Neonatal Surgery in a Resource-Limited Environment: Estimates of Global Health Disparities from Kampala, Ugandaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Outcomes and Unmet Need for Neonatal Surgery in a Resource-Limited.pdf
Size:
303.03 KB
Format:
Adobe Portable Document Format
Description:
Outcomes and Unmet Need for Neonatal Surgery in a Resource-Limited Environment: Estimates of Global Health Disparities from Kampala, Uganda
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences