Estimates of Treatable Deaths Within the First 20 Years of Life from Scaling Up Surgical Care at First-Level Hospitals in Low- and Middle-Income Countries.
Estimates of Treatable Deaths Within the First 20 Years of Life from Scaling Up Surgical Care at First-Level Hospitals in Low- and Middle-Income Countries.
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在低收入国家和中等收入国家的第一级医院扩大外科手术护理，可治疗死亡的估计。
DOI：
10.1007/s00268-022-06622-w
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发表时间：
2022-09
影响因子：
2.6
通讯作者：
Bickler, Stephen W.
中科院分区：
文献类型：
--
作者：
Sykes, Alicia G.;Seyi-Olajide, Justina;Ameh, Emmanuel A.;Ozgediz, Doruk;Abbas, Alizeh;Abib, Simone;Ademuyiwa, Adesoji;Ali, Abdelbasit;Aziz, Tasmiah Tahera;Chowdhury, Tanvir Kabir;Abdelhafeez, Hafeez;Ignacio, Romeo C.;Keller, Benjamin;Klazura, Greg;Kling, Karen;Martin, Benjamin;Philipo, Godfrey Sama;Thangarajah, Hariharan;Yap, Ava;Meara, John G.;Bundy, Donald A. P.;Jamison, Dean T.;Mock, Charles N.;Bickler, Stephen W.
手术护理是低收入和中等收入国家 (LMIC) 儿童健康的一个重要组成部分，但常常被忽视。本研究探讨了中低收入国家在生命最初 20 年内扩大一级医院外科护理的潜在影响。 2019 年全球疾病负担研究的流行病学数据以及为疾病控制优先事项制定的反事实方法；第三版用于估计如果一级医院能够扩大外科护理规模的话，20 岁以下年龄组中可治疗的死亡人数。我们的模型包括三种消化系统疾病、四种孕产妇和新生儿疾病以及七种常见的外伤。 如果在中低收入国家的一级医院扩大外科护理规模，预计每年 20 岁以下人群中有 314,609 人（95% UI，239,619-402,005 人）死亡是可以避免的。大多数可治疗的死亡发生在 5 岁以下年龄组（80.9%），与产科护理的改善及其对减少出生窒息和创伤引起的新生儿脑病的影响有关。受伤是 5 岁以后可治疗死亡的主要原因。百分之六十一的可治疗死亡发生在中低收入国家。总体而言，扩大一级医院的外科护理规模每年可以避免中低收入国家 20 岁以下儿童和青少年死亡总数的 5·1%。提高中低收入国家一级医院的外科服务能力有可能避免许多生命前 20 年内的死亡。在线版本包含可在 10.1007/s00268-022-06622-w 获取的补充材料。
Surgical care is an important, yet often neglected component of child health in low- and middle-income countries (LMICs). This study examines the potential impact of scaling up surgical care at first-level hospitals in LMICs within the first 20 years of life. Epidemiological data from the global burden of disease 2019 Study and a counterfactual method developed for the disease control priorities; 3rd Edition were used to estimate the number of treatable deaths in the under 20 year age group if surgical care could be scaled up at first-level hospitals. Our model included three digestive diseases, four maternal and neonatal conditions, and seven common traumatic injuries. An estimated 314,609 (95% UI, 239,619–402,005) deaths per year in the under 20 year age group could be averted if surgical care were scaled up at first-level hospitals in LMICs. Most of the treatable deaths are in the under-5 year age group (80.9%) and relates to improved obstetrical care and its effect on reducing neonatal encephalopathy due to birth asphyxia and trauma. Injuries are the leading cause of treatable deaths after age 5 years. Sixty-one percent of the treatable deaths occur in lower middle-income countries. Overall, scaling up surgical care at first-level hospitals could avert 5·1% of the total deaths in children and adolescents under 20 years of age in LMICs per year. Improving the capacity of surgical services at first-level hospitals in LMICs has the potential to avert many deaths within the first 20 years of life. The online version contains supplementary material available at 10.1007/s00268-022-06622-w.
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影响因子：
0.6
作者：
Bickler, SW;Telfer, ML;Sanno-Duanda, B
通讯作者：
Sanno-Duanda, B
影响因子：
3.8
作者：
Higashi, Hideki;Barendregt, Jan J.;Vos, Theo
通讯作者：
Vos, Theo
影响因子：
2.6
作者：
Higashi, Hideki;Barendregt, Jan J.;Vos, Theo
通讯作者：
Vos, Theo
影响因子：
11.1
作者：
Mullapudi, Bhargava;Grabski, David;Bickler, Stephen
通讯作者：
Bickler, Stephen
影响因子：
105.7
作者：
Adam, T;Lim, SS;Darmstadt, GL
通讯作者：
Darmstadt, GL