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Routine Pediatric Surgical Emergencies: Incidence, Morbidity, and Mortality During the 1st 8000 Days of Life-A Narrative Review.
Abbas, Alizeh; Laverde, Ruth; Yap, Ava; Stephens, Caroline Q; Samad, Lubna; Seyi-Olajide, Justina O; Ameh, Emmanuel A; Ozgediz, Doruk; Lakhoo, Kokila; Bickler, Stephen W; Meara, John G; Bundy, Donald; Jamison, Dean T; Klazura, Greg; Sykes, Alicia; Philipo, Godfrey Sama.
Afiliación
  • Abbas A; Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Laverde R; Department of Surgery, University of California San Francisco, San Francisco, CA, USA.
  • Yap A; Department of Surgery, University of California San Francisco, San Francisco, CA, USA. ava.yap@ucsf.edu.
  • Stephens CQ; Department of Surgery, University of California San Francisco, San Francisco, CA, USA.
  • Samad L; Global Surgery Programs, Interactive Research & Development, Karachi, Pakistan.
  • Seyi-Olajide JO; Pediatric Surgical Unit, Lagos University Teaching Hospital, Lagos, Nigeria.
  • Ameh EA; Division of Pediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria.
  • Ozgediz D; Department of Surgery, University of California San Francisco, San Francisco, CA, USA.
  • Lakhoo K; Department of Pediatric Surgery, University of Oxford and Oxford University Hospitals, Oxford, UK.
  • Bickler SW; Division of Pediatric Surgery, Department of Surgery, University of California San Diego School of Medicine, 9500 Gilman Drive #0739, La Jolla, San Diego, CA, 92093-0739, USA.
  • Meara JG; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
  • Bundy D; Global Research Consortium for School Health and Nutrition, London School of Hygiene and Tropical Medicine, London, UK.
  • Jamison DT; Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
  • Klazura G; Loyola University Medical Center, Chicago, IL, USA.
  • Sykes A; Naval Medical Center San Diego, San Diego, CA, USA.
  • Philipo GS; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
World J Surg ; 47(12): 3419-3428, 2023 Dec.
Article en En | MEDLINE | ID: mdl-37341797
BACKGROUND: Many potentially treatable non-congenital and non-traumatic surgical conditions can occur during the first 8000 days of life and an estimated 85% of children in low- and middle-income countries (LMICs) will develop one before 15 years old. This review summarizes the common routine surgical emergencies in children from LMICs and their effects on morbidity and mortality. METHODS: A narrative review was undertaken to assess the epidemiology, treatment, and outcomes of common surgical emergencies that present within the first 8000 days (or 21.9 years) of life in LMICs. Available data on pediatric surgical emergency care in LMICs were aggregated. RESULTS: Outside of trauma, acute appendicitis, ileal perforation secondary to typhoid fever, and intestinal obstruction from intussusception and hernias continue to be the most common abdominal emergencies among children in LMICs. Musculoskeletal infections also contribute significantly to the surgical burden in children. These "neglected" conditions disproportionally affect children in LMICs and are due to delays in seeking care leading to late presentation and preventable complications. Pediatric surgical emergencies also necessitate heavy resource utilization in LMICs, where healthcare systems are already under strain. CONCLUSIONS: Delays in care and resource limitations in LMIC healthcare systems are key contributors to the complicated and emergent presentation of pediatric surgical disease. Timely access to surgery can not only prevent long-term impairments but also preserve the impact of public health interventions and decrease costs in the overall healthcare system.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urgencias Médicas / Servicios Médicos de Urgencia Tipo de estudio: Incidence_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: World J Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urgencias Médicas / Servicios Médicos de Urgencia Tipo de estudio: Incidence_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: World J Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos