Abstract:
:Paediatric surgical disease is a neglected health problem. Patients travel great distances to tertiary level care for management. This study aimed at analysing referral patterns to design an outreach programme for paediatric surgery in KwaZulu Natal. Data forms of patients referred to the service between January and July 2016 were correlated with the clinical record. Delays in management were compared to morbidity and mortality. Out of 781, 158 referrals were accepted as emergencies. The majority (62%) were children aged < 1 year. Gastro-intestinal problems (38.4%) and congenital anomalies (26.9%) formed the majority. Patients who died had a significantly longer delay in transfer. Longer total delay was associated with statistically significant greater morbidity. In a setting where a large rural population is served by single-centre tertiary care, delays exist and contribute to morbidity. The authors advocate the establishment of an outreach programme to address these issues.
journal_name
Trop Doctjournal_title
Tropical doctorauthors
Manickchund Y,Hadley GPdoi
10.1177/0049475517718103subject
Has Abstractpub_date
2017-10-01 00:00:00pages
305-311issue
4eissn
0049-4755issn
1758-1133journal_volume
47pub_type
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