2021
Access to pediatric surgery delivered by general surgeons and anesthesia providers in Uganda: Results from 2 rural regional hospitals
Grabski DF, Ajiko M, Kayima P, Ruzgar N, Nyeko D, Fitzgerald TN, Langer M, Cheung M, Cigliano B, D'Agostino S, Baird R, Duffy D, Tumukunde J, Nabukenya M, Ogwang M, Kisa P, Sekabira J, Kakembo N, Ozgediz D. Access to pediatric surgery delivered by general surgeons and anesthesia providers in Uganda: Results from 2 rural regional hospitals. Surgery 2021, 170: 1397-1404. PMID: 34130809, DOI: 10.1016/j.surg.2021.05.007.Peer-Reviewed Original ResearchConceptsPediatric surgical capacityRural regional hospitalGeneral surgeonsSurgical capacitySurgery admissionsMiddle-income countriesSurgical guidelinesRegional hospitalPediatric surgeryAnesthesia providersRegional Referral HospitalProspective clinical databasePediatric surgical servicesPediatric surgical careGeneral surgery casesMajority of casesHospital mortalityPrimary outcomeReferral hospitalSurgical infectionsClinical outcomesSurgery casesHernia repairSurgical careSurgical procedures
2020
Burden of emergency pediatric surgical procedures on surgical capacity in Uganda: a new metric for health system performance
Grabski D, Kakembo N, Situma M, Cheung M, Shikanda A, Okello I, Kisa P, Muzira A, Sekabira J, Ozgediz D. Burden of emergency pediatric surgical procedures on surgical capacity in Uganda: a new metric for health system performance. Surgery 2020, 167: 668-674. PMID: 31973913, DOI: 10.1016/j.surg.2019.12.002.Peer-Reviewed Original ResearchMeSH KeywordsBenchmarkingChild, PreschoolDatabases, FactualDigestive System AbnormalitiesEmergency Service, HospitalEmergency TreatmentFemaleHealth ResourcesHernia, InguinalHospital MortalityHumansInfantInfant, NewbornMaleProspective StudiesQuality Indicators, Health CareSurgical Procedures, OperativeUgandaConceptsMiddle-income countriesSurgical capacitySurgical acuityReferral hospitalElective casesInguinal herniaSurgical diseaseSurgical proceduresCongenital malformationsMulago National Referral HospitalMbarara Regional Referral HospitalPediatric surgical admissionsRatio of emergencyHealth metricsNational Referral HospitalRegional Referral HospitalPediatric surgical patientsPediatric surgical proceduresPediatric surgical capacityElective surgical casesTime of repairHealth system performanceSurgery groupSurgical admissionsDefinitive repair
2019
Burden of Surgical Infections in a Tertiary-Care Pediatric Surgery Service in Uganda
Kakembo N, Grabski DF, Fitzgerald TN, Muzira A, Cheung M, Kisa P, Sekabira J, Ozgediz D. Burden of Surgical Infections in a Tertiary-Care Pediatric Surgery Service in Uganda. Surgical Infections 2019, 21: 130-135. PMID: 31560249, DOI: 10.1089/sur.2019.045.Peer-Reviewed Original ResearchConceptsHospital mortality rateMortality rateSurgical interventionSurgery departmentSurgical careChildren’s Surgery DepartmentProspective surgical databaseTyphoid intestinal perforationTertiary referral hospitalPediatric surgery serviceBurden of infectionChildren's surgical careHigh mortality rateAbdominal sepsisIntestinal perforationAspiration pneumoniaOperative interventionMiddle-income countriesReferral hospitalSurgical infectionsSurgery serviceSurgical databaseIleocolic intussusceptionPrimary infectionSurgical diseaseBurden 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 improvement