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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)
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publishing date
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
2014-01-16 13:33:53
date last changed
2017-01-01 08:14:19
@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&lt;.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},
  keyword      = {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},
  volume       = {23},
  year         = {2012},
}