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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique
World Journal of Surgery, Volume 38, No. 4, Year 2014
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Description
Background: The World Health Organization has identified the primary referral hospital as its priority site for improving surgical care in low- and middle-income countries. Little is known about the relative burden surgical patients place on health care facilities at this level. This research estimates the fraction of admissions due to surgical conditions at three hospitals in rural Mozambique. Methods: Prospective data were collected on all inpatients at three primary referral hospitals in Mozambique during a 12-day period. We compared the number of surgical patients and their length of stay (LOS) to the patients admitted to the medicine, pediatric, and maternity wards. These findings were validated using retrospective data collected from one hospital from January to May 2012. Results: Patients with surgical conditions (i.e., patients admitted to the surgical or maternity ward) accounted for 57.5 % of admissions and 48.0 % of patient-days. The majority of patients were admitted to the maternity ward (32.3 %). The other admissions were evenly distributed to the pediatric (22.5 %), medical (20.0 %), and surgical (25.2 %) wards. Compared to patients from the three other wards, surgical patients had longer average LOS (8.7 vs. 1.9-7.7 days) and a higher number of total patient-days (891 vs. 252-703 days). The most prevalent procedures were cesarean section (33.3 %) and laceration repair/wound care (11.8 %). Conclusions: Surgical conditions are the most common reason for admissions at three primary referral hospitals in rural Mozambique. These data suggest that surgical care is a major component of health care delivered at primary referral hospitals in Mozambique and likely other sub-Saharan African countries. © 2013 Société Internationale de Chirurgie.
Authors & Co-Authors
Anderson, Jamie E.
United States, La Jolla
University of California, San Diego
Erickson, Anne K.
United States, Stanford
Stanford University School of Medicine
Funzamo, Carlos Abel
Mozambique, Maputo
Universidad Eduardo Mondlane
Bendix, Peter G.
United States, Lebanon
Mary Hitchcock Memorial Hospital
Assane, Americo
Mozambique, Maputo
Universidad Eduardo Mondlane
Rose, John A.
United States, La Jolla
University of California, San Diego
Vaz, Fernando
Mozambique, Maputo
Universidad Eduardo Mondlane
Noormahomed, Emília Virginia
United States, La Jolla
University of California, San Diego
Mozambique, Maputo
Universidad Eduardo Mondlane
Bickler, Stephen W.
United States, La Jolla
University of California, San Diego
Statistics
Citations: 16
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1007/s00268-013-2366-1
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Locations
Mozambique