Mortality of pediatric surgical conditions in low and middle income countries in Africa

Journal of Pediatric Surgery
Michael H LivingstonDan Poenaru

Abstract

There are ongoing efforts to improve the quality of surgical care for children in low and middle-income countries (LMICs) in Africa. The purpose of this study was to review the recent literature and estimate the mortality associated with pediatric surgical conditions in this setting. We completed a comprehensive search for studies that: (1) reported outcomes associated with pediatric surgical conditions; (2) were conducted in LMICs in Africa; and (3) were published between 2007 and 2012. Abstract screening, full-text review, and data abstraction were completed in duplicate. Mortality rates were pooled using a random effects model. Out of 2085 abstracts, 292 were selected for textual review, and 107 underwent complete data abstraction. Only 74 (68%) of these reported mortality explicitly. The highest pooled mortality rates were seen with esophageal atresia (72%), midgut volvulus (36%), and jejunoileal atresia (35%). Pooled mortality was 17% for congenital conditions and 9% for acquired disease. The overall mortality rate for all conditions was 12%. Mortality following pediatric surgical conditions in LMICs in Africa remains high, especially for congenital conditions in neonates. Future studies should report mortality explicitly ...Continue Reading

References

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Apr 6, 2012·Seminars in Pediatric Surgery·Lohfa B ChirdanEssam A Elhalaby
Dec 12, 2012·Journal of Pediatric Surgery·Doruk Ozgediz, Dan Poenaru

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Citations

Jan 20, 2016·Pediatric Surgery International·Sebastian O EkenzeBenedict C Nwomeh
Feb 3, 2016·Seminars in Pediatric Surgery·Doruk OzgedizDan Poenaru
Feb 3, 2016·Seminars in Pediatric Surgery·Nicole A Sitkin, Diana L Farmer
Feb 3, 2016·Seminars in Pediatric Surgery·Sarah L M GreenbergStephen W Bickler
Jun 11, 2017·Journal of Paediatrics and Child Health·Sebastian O EkenzeJubril Sanusi
Dec 19, 2017·Journal of Tropical Pediatrics·Sebastian O EkenzeElochukwu P Nwankwo
Jul 22, 2019·Pediatric Surgery International·Maija CheungDoruk Ozgediz
Dec 1, 2018·World Journal of Surgery·Dan Poenaru, Justina Onyioza Seyi-Olajide
Jan 7, 2020·Anaesthesia·V SanthirapalaC D McClain

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