The impact of natural disaster on pediatric surgical delivery: a review of Haiti six months before and after the 2010 earthquake.
Hughes, CD ; Nash, KA ; Alkire, BC ; McClain, CD ; Hagander, Lars LU
; Smithers, CJ
; Raymonville, M
; Sullivan, SR
; Riviello, R
and Rogers, SO
, et al.
(2012)
In Journal of Health Care for the Poor and Underserved
23(2).
p.523-533
- Abstract
- Little is known about pediatric surgical disease in resource-poor countries. This
study documents the surgical care of children in central Haiti and demonstrates
the influence of the 2010 earthquake on pediatric surgical delivery. METHODS: We
conducted a retrospective review of operations performed at Partners in
Health/Zanmi Lasante hospitals in central Haiti. RESULTS: Of 2,057 operations
performed prior to the earthquake, 423 were pediatric (20.6%). Congenital
anomalies were the most common operative indication (159/423 operations; 33.5%).
Pediatric surgical volume increased significantly after the earthquake, with 670
operations performed (23.0%... (More) - Little is known about pediatric surgical disease in resource-poor countries. This
study documents the surgical care of children in central Haiti and demonstrates
the influence of the 2010 earthquake on pediatric surgical delivery. METHODS: We
conducted a retrospective review of operations performed at Partners in
Health/Zanmi Lasante hospitals in central Haiti. RESULTS: Of 2,057 operations
performed prior to the earthquake, 423 were pediatric (20.6%). Congenital
anomalies were the most common operative indication (159/423 operations; 33.5%).
Pediatric surgical volume increased significantly after the earthquake, with 670
operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=.03).
Trauma and burns became the most common surgical diagnoses after the disaster,
and operations for non-traumatic conditions decreased significantly (p<.01).
CONCLUSION: Congenital anomalies represent a significant proportion of baseline
surgical need in Haiti. A natural disaster can change the nature of pediatric
surgical practice by significantly increasing demand for operative trauma care
for months afterward. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4249506
- author
- Hughes, CD
; Nash, KA
; Alkire, BC
; McClain, CD
; Hagander, Lars
LU
; Smithers, CJ
; Raymonville, M
; Sullivan, SR
; Riviello, R
and Rogers, SO
, et al. (More)
- Hughes, CD
; Nash, KA
; Alkire, BC
; McClain, CD
; Hagander, Lars
LU
; Smithers, CJ
; Raymonville, M
; Sullivan, SR
; Riviello, R
; Rogers, SO
and Meara, JG
(Less)
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent Child, Child, Preschool, Earthquakes, Female, Haiti, Health Services Accessibility, Hospitals, Pediatric, Humans, Male, Retrospective Studies: Surgery Department, Hospital/*utilization
- in
- Journal of Health Care for the Poor and Underserved
- volume
- 23
- issue
- 2
- pages
- 523 - 533
- publisher
- Johns Hopkins University Press
- external identifiers
-
- scopus:84860494378
- ISSN
- 1049-2089
- DOI
- 10.1353/hpu.2012.0067
- language
- English
- LU publication?
- no
- id
- 026904fc-f5cc-4962-8e83-6dad6e6c8197 (old id 4249506)
- date added to LUP
- 2016-04-04 13:47:37
- date last changed
- 2022-01-30 00:56:32
@article{026904fc-f5cc-4962-8e83-6dad6e6c8197,
abstract = {{Little is known about pediatric surgical disease in resource-poor countries. This<br/><br>
study documents the surgical care of children in central Haiti and demonstrates<br/><br>
the influence of the 2010 earthquake on pediatric surgical delivery. METHODS: We <br/><br>
conducted a retrospective review of operations performed at Partners in<br/><br>
Health/Zanmi Lasante hospitals in central Haiti. RESULTS: Of 2,057 operations<br/><br>
performed prior to the earthquake, 423 were pediatric (20.6%). Congenital<br/><br>
anomalies were the most common operative indication (159/423 operations; 33.5%). <br/><br>
Pediatric surgical volume increased significantly after the earthquake, with 670 <br/><br>
operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=.03).<br/><br>
Trauma and burns became the most common surgical diagnoses after the disaster,<br/><br>
and operations for non-traumatic conditions decreased significantly (p<.01).<br/><br>
CONCLUSION: Congenital anomalies represent a significant proportion of baseline<br/><br>
surgical need in Haiti. A natural disaster can change the nature of pediatric<br/><br>
surgical practice by significantly increasing demand for operative trauma care<br/><br>
for months afterward.}},
author = {{Hughes, CD and Nash, KA and Alkire, BC and McClain, CD and Hagander, Lars and Smithers, CJ and Raymonville, M and Sullivan, SR and Riviello, R and Rogers, SO and Meara, JG}},
issn = {{1049-2089}},
keywords = {{Adolescent Child; Child; Preschool; Earthquakes; Female; Haiti; Health Services Accessibility; Hospitals; Pediatric; Humans; Male; Retrospective Studies: Surgery Department; Hospital/*utilization}},
language = {{eng}},
number = {{2}},
pages = {{523--533}},
publisher = {{Johns Hopkins University Press}},
series = {{Journal of Health Care for the Poor and Underserved}},
title = {{The impact of natural disaster on pediatric surgical delivery: a review of Haiti six months before and after the 2010 earthquake.}},
url = {{http://dx.doi.org/10.1353/hpu.2012.0067}},
doi = {{10.1353/hpu.2012.0067}},
volume = {{23}},
year = {{2012}},
}