2019
Burden and Outcomes of Neonatal Surgery in Uganda: Results of a Five-Year Prospective Study
Ullrich SJ, Kakembo N, Grabski DF, Cheung M, Kisa P, Nabukenya M, Tumukunde J, Fitzgerald TN, Langer M, Situma M, Sekabira J, Ozgediz D. Burden and Outcomes of Neonatal Surgery in Uganda: Results of a Five-Year Prospective Study. Journal Of Surgical Research 2019, 246: 93-99. PMID: 31562991, DOI: 10.1016/j.jss.2019.08.015.Peer-Reviewed Original ResearchMeSH KeywordsCost of IllnessCost-Benefit AnalysisFemaleHealth Services AccessibilityHealth Services Needs and DemandHealth WorkforceHospital MortalityHospitals, PediatricHumansInfant, NewbornInfant, Newborn, DiseasesMaleProspective StudiesQuality-Adjusted Life YearsSurgical Procedures, OperativeSurvival RateUgandaConceptsDisability-adjusted life yearsNeonatal surgeryUnmet needLife yearsFive-year prospective studyNeonatal surgical conditionsNeonatal surgical admissionsHealth care systemPotential additional benefitNeonatal admissionsPostoperative mortalitySurgical admissionsSurgical coverageImproved survivalMedian ageMiddle-income countriesOverall mortalityProspective studySurgical interventionAnorectal malformationsSurgical conditionsCongenital anomaliesHigh-income countriesPediatric anesthesiologistsSurgical careEpidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda
Cheung M, Kakembo N, Rizgar N, Grabski D, Ullrich S, Muzira A, Kisa P, Sekabira J, Ozgediz D. Epidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda. Pediatric Surgery International 2019, 35: 1279-1289. PMID: 31324976, DOI: 10.1007/s00383-019-04520-2.Peer-Reviewed Original ResearchConceptsMortality rateTertiary centerCongenital anomaliesHigh-income countriesChild underwent surgeryCongenital anomaly groupsPediatric surgical admissionsPost-operative mortalityTertiary referral hospitalPediatric surgical conditionsPediatric surgical diseasesHigh mortality rateInfant congenital anomaliesSurgical admissionsUnderwent surgeryIntestinal atresiaMiddle-income countriesReferral hospitalCommon diagnosisAnorectal malformationsSurgical conditionsSurgical diseaseHigh burdenAnomaly groupOngoing quality improvementPediatric intussusception in Uganda: differences in management and outcomes with high-income countries
Akello VV, Cheung M, Kurigamba G, Semakula D, Healy JM, Grabski D, Kakembo N, Ozgediz D, Sekabira J. Pediatric intussusception in Uganda: differences in management and outcomes with high-income countries. Journal Of Pediatric Surgery 2019, 55: 530-534. PMID: 31351705, DOI: 10.1016/j.jpedsurg.2019.07.003.Peer-Reviewed Original ResearchConceptsNon-referred patientsPediatric intussusceptionPrimary anastomosisHigh-income countriesTertiary referral hospitalProspective case seriesTreatment of intussusceptionGlobal pediatric surgeryIntussusception casesMedian durationFebrile patientsReferral hospitalSurgical treatmentCase seriesSurgical interventionManual reductionFemale ratioHealth facilitiesPediatric surgeryMortality ratePatientsHigh operativeIntussusceptionResectionAverage duration
2017
Disparity in access and outcomes for emergency neonatal surgery: intestinal atresia in Kampala, Uganda
Cairo S, Kakembo N, Kisa P, Muzira A, Cheung M, Healy J, Ozgediz D, Sekabira J. Disparity in access and outcomes for emergency neonatal surgery: intestinal atresia in Kampala, Uganda. Pediatric Surgery International 2017, 33: 907-915. PMID: 28677072, DOI: 10.1007/s00383-017-4120-5.Peer-Reviewed Original ResearchConceptsNeonatal intestinal obstructionDuodenal atresiaHigh-income countriesEmergency neonatal surgeryMethodsA retrospective reviewPoor nutrition statusMajority of deathsHigh-income country settingsUnderwent surgeryAnastomotic leakIntestinal obstructionPatient characteristicsSurgical complicationsClinical courseColonic atresiaIntestinal atresiaOverall mortalityRetrospective reviewSurgical morbidityCase seriesNeonatal surgeryPatient chartsSurgical databaseHigh morbidityLate presentation