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手术刀与冲突:评估苏丹持续内战对外科手术实践和医疗保健服务的影响。

Scalpel and strife: Assessing the impact of Sudan's ongoing civil war on surgical practice and healthcare delivery.

机构信息

St Peter's Hospital, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey KT16 0PZ, UK.

Queen Elizabeth Hospital, Queen Elizabeth Ave, Gateshead NE9 6SX, UK.

出版信息

Surgeon. 2024 Oct;22(5):301-306. doi: 10.1016/j.surge.2024.04.015. Epub 2024 May 13.

Abstract

BACKGROUND

This study aims to shed light on the profound ramifications of the military conflict that started in April 2023 on surgical practice in Sudan.

METHODS

This is a survey-based study. The survey link was disseminated to Sudanese medical practitioners via various social media (WhatsApp, Telegram, X (previously twitter) and Facebook) channels. We included only responses from medical practitioners working in the surgical specialities.

RESULTS

A total of 90 responses have been collected. All participants were working in surgical service provision institutes. Sixty per cent of the responses were from the age group 25-35 years old, and two-thirds of the total cohort either left Sudan or was internally displaced because of the conflict. Moreover, 51% are no longer practising because they had to flee the conflict area (75%) or because the hospital is out of service (20%). There was a significant drop in the average number of emergency and elective lists.

CONCLUSION

The military conflict affected Sudan's already strained health system. There was a significant drop in the average number of emergency and elective lists with surgeons out of practice because they had to flee the conflict area and hospitals were out of service.

摘要

背景

本研究旨在阐明 2023 年 4 月开始的军事冲突对苏丹外科实践的深远影响。

方法

这是一项基于调查的研究。调查链接通过各种社交媒体(WhatsApp、Telegram、X(前 Twitter)和 Facebook)渠道分发给苏丹的医疗从业者。我们只纳入了在外科专业工作的医疗从业者的回复。

结果

共收集了 90 份回复。所有参与者都在提供外科服务的机构工作。60%的回复来自 25-35 岁年龄段,三分之二的总队列因冲突而离开苏丹或在国内流离失所。此外,由于冲突,51%的人不再执业(75%)或因为医院停止服务(20%)。急诊和择期手术的数量明显减少。

结论

军事冲突影响了苏丹本已紧张的卫生系统。由于外科医生不得不逃离冲突地区,医院停止服务,急诊和择期手术的数量明显减少,外科医生无法执业。

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