Department of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital, University of Witwatersrand, Johannesburg, South Africa.
World J Surg. 2021 Aug;45(8):2378-2385. doi: 10.1007/s00268-021-06144-x. Epub 2021 May 5.
The precise burden of paediatric surgical care in South Africa is unknown. In the absence of epidemiological data, hospital-based study is a first step to gauge the burden and profile of paediatric surgical disease. We aim to describe the profile of pathology, pattern of referrals, and complications of paediatric surgical care at Chris Hani Baragwanath Academic Hospital (CHBAH).
A 1-year retrospective record review for the period 3/1/2019 to 1/1/2020 was conducted by evaluation of the morbidity and mortality databases of the Department of Paediatric Surgery (DPS). Number of admissions, consultations, complications, and surgeries performed were analysed and classified.
A total of 11,932 unique patient encounters occurred. Emergencies (79%, 1841/2329) accounted for the majority of admissions. Trauma accounted for 49% (896/1841) of emergency admissions. Elective surgery constituted 52% (1202/2316) and emergency surgery 48% (1114/2316) of all procedures performed. The emergency department (55%, 1271/2329), outpatients department (19%, 447/2329), and peripheral hospitals (16%, 378/2329) were the source of the majority of admissions. A complication rate of 9% (208/2316) was observed.
The high-volume subspecialist environment at CHBAH presents the ideal environment for delivery of specialist paediatric surgical services and training. Injury prevention, optimal use of existing resources, and additional physical, human and financial resources are required to meet the existing and predicted future burden of paediatric surgical disease.
南非儿科外科护理的具体负担尚不清楚。在缺乏流行病学数据的情况下，基于医院的研究是评估儿科外科疾病负担和特征的第一步。我们旨在描述克里斯·哈尼·巴哈纳特学术医院（CHBAH）儿科外科护理的病理特征、转诊模式和并发症。
通过对儿科外科（DPS）的发病率和死亡率数据库进行评估，对 2019 年 3 月 1 日至 2020 年 1 月 1 日期间的 1 年回顾性记录进行了研究。分析并分类了入院人数、会诊次数、并发症和手术次数。
共有 11932 名患者就诊。急症（79%，1841/2329）占大多数入院人数。创伤占急症入院人数的 49%（896/1841）。择期手术占所有手术的 52%（1202/2316），急症手术占 48%（1114/2316）。大多数患者来源于急诊部（55%，1271/2329）、门诊部（19%，447/2329）和外围医院（16%，378/2329）。观察到并发症发生率为 9%（208/2316）。
CHBAH 的高容量专科环境为提供专科儿科外科服务和培训提供了理想的环境。需要预防伤害、优化现有资源的利用，并提供额外的物力、人力和财力资源，以满足现有的和预计未来的儿科外科疾病负担。
