Routine Pediatric Surgical Emergencies: Incidence, Morbidity, and Mortality During the 1st 8000 Days of Life-A Narrative Review.
Routine Pediatric Surgical Emergencies: Incidence, Morbidity, and Mortality During the 1st 8000 Days of Life-A Narrative Review.
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常规的小儿外科紧急情况：生命的第8000天期间的发病率，发病率和死亡率 - 叙事评论。
DOI：
10.1007/s00268-023-07097-z
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发表时间：
2023-12
影响因子：
2.6
通讯作者：
GICS
中科院分区：
文献类型：
--
作者：
Abbas, Alizeh;Laverde, Ruth;Yap, Ava Q.;Stephens, Caroline;Samad, Lubna O.;Seyi-Olajide, Justina A.;Ameh, Emmanuel;Ozgediz, Doruk;Lakhoo, Kokila W.;Bickler, Stephen G.;Meara, John;Bundy, Donald T.;Jamison, Dean;Klazura, Greg;Sykes, Alicia;Philipo, Godfrey Sama;GICS
许多潜在的可治疗的非先天性和非创伤性外科疾病可能发生在生命的前8000天，估计低收入和中等收入国家（LMIC）85%的儿童将在15岁之前发展。本综述总结了常见的常规手术急诊儿童从中低收入国家和他们的发病率和死亡率的影响。进行了叙述性回顾，以评估流行病学，治疗和结果的常见外科急诊，目前在第一个8000天（或21.9年）的生活中LMIC。对中低收入国家儿科外科急诊护理的现有数据进行了汇总。除了创伤，急性阑尾炎、伤寒继发回肠穿孔、肠套叠和疝引起的肠梗阻仍然是中低收入国家儿童最常见的腹部急症。肌肉骨骼感染也是儿童手术负担的重要原因。这些“被忽视”的情况对中低收入国家的儿童产生了不良影响，原因是寻求护理的延误导致了迟发性症状和可预防的并发症。儿科外科急诊也需要在低收入国家大量使用资源，这些国家的医疗保健系统已经处于紧张状态。LMIC医疗保健系统中的护理延迟和资源限制是儿科外科疾病复杂和紧急表现的关键因素。及时接受手术不仅可以预防长期损伤，还可以保持公共卫生干预措施的影响，并降低整个医疗保健系统的成本。
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. 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. 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. 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.
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影响因子：
8.1
作者：
GlobalSurg Collaborative
通讯作者：
GlobalSurg Collaborative
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：
8
作者：
Chalya, Phillipo L.;Mabula, Joseph B.;Gilyoma, Japhet M.
通讯作者：
Gilyoma, Japhet M.
DOI：
10.34172/ijhpm.2020.140
发表时间：
2022-09-01
影响因子：
3.5
作者：
Henry JA;Volk AS;Kariuki SK;Murungi K;Firmalo T;Masha RL;Henry O;Arimi P;Mwai P;Waiguru E;Mwiti E;Okoro D;Langat A;Mugambi C;Anastasi E;Slinger G;Lavy C;Owen R;Stieber E;Suntay ML;Haddad D;Lane R;Buenaventura J;Parsan N;Abdullah F;Nebeker M;Nebeker L;Mock C;Hollier L;Jani P
通讯作者：
Jani P
影响因子：
0.9
作者：
Abantanga, F. A.;Nimako, B.;Amoah, M.
通讯作者：
Amoah, M.