Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique

World Journal of Surgery
Jamie E AndersonStephen W Bickler

Abstract

The World Health Organization has identified the primary referral hospital as its priority site for improving surgical care in low- and middle-income countries. Little is known about the relative burden surgical patients place on health care facilities at this level. This research estimates the fraction of admissions due to surgical conditions at three hospitals in rural Mozambique. Prospective data were collected on all inpatients at three primary referral hospitals in Mozambique during a 12-day period. We compared the number of surgical patients and their length of stay (LOS) to the patients admitted to the medicine, pediatric, and maternity wards. These findings were validated using retrospective data collected from one hospital from January to May 2012. Patients with surgical conditions (i.e., patients admitted to the surgical or maternity ward) accounted for 57.5 % of admissions and 48.0 % of patient-days. The majority of patients were admitted to the maternity ward (32.3 %). The other admissions were evenly distributed to the pediatric (22.5 %), medical (20.0 %), and surgical (25.2 %) wards. Compared to patients from the three other wards, surgical patients had longer average LOS (8.7 vs. 1.9-7.7 days) and a higher number...Continue Reading

References

Jul 6, 2006·JAMA : the Journal of the American Medical Association·Bridget M Kuehn
Jul 11, 2006·PLoS Medicine·Brian G WilliamsBertran Auvert
Nov 30, 2006·PLoS Medicine·Colin D Mathers, Dejan Loncar
Mar 4, 2008·World Journal of Surgery·Paul E Farmer, Jim Y Kim
Sep 18, 2008·Bulletin of the World Health Organization·Doruk OzgedizKelly McQueen
Oct 29, 2009·World Journal of Surgery·Stephen BicklerDean Jamison
Jul 28, 2010·International Journal of Surgery·Bishara S AtiyehShady N Hayek
May 13, 2011·World Journal of Surgery·Michelle R NotricaK A Kelly McQueen

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Citations

Feb 13, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M M AjikoR A Dicker
May 1, 2015·The Lancet Global Health·Mark G ShrimeCharlie Mock
Oct 14, 2017·Tropical Medicine & International Health : TM & IH·Jakub GajewskiRuairi Brugha
Sep 22, 2017·World Journal of Surgery·Carmen Mesas BurgosJohan von Schreeb

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