Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique

Jamie Anderson, Anne Erickson, Carlos Funzamo, Peter Bendix, Americo Assane, John Rose, Fernando Vaz, Emilia Virginia Noormahomed, Stephen W. Bickler

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)823-829
Number of pages7
JournalWorld Journal of Surgery
Volume38
Issue number4
DOIs
StatePublished - Jan 1 2014

Fingerprint

Mozambique
Rural Hospitals
Referral and Consultation
Length of Stay
Pediatrics
Delivery of Health Care
Lacerations
Patient Admission
Health Facilities
Cesarean Section
Inpatients
Medicine

ASJC Scopus subject areas

  • Surgery

Cite this

Anderson, J., Erickson, A., Funzamo, C., Bendix, P., Assane, A., Rose, J., ... Bickler, S. W. (2014). Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique. World Journal of Surgery, 38(4), 823-829. https://doi.org/10.1007/s00268-013-2366-1

Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique. / Anderson, Jamie; Erickson, Anne; Funzamo, Carlos; Bendix, Peter; Assane, Americo; Rose, John; Vaz, Fernando; Noormahomed, Emilia Virginia; Bickler, Stephen W.

In: World Journal of Surgery, Vol. 38, No. 4, 01.01.2014, p. 823-829.

Research output: Contribution to journalArticle

Anderson, J, Erickson, A, Funzamo, C, Bendix, P, Assane, A, Rose, J, Vaz, F, Noormahomed, EV & Bickler, SW 2014, 'Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique', World Journal of Surgery, vol. 38, no. 4, pp. 823-829. https://doi.org/10.1007/s00268-013-2366-1
Anderson, Jamie ; Erickson, Anne ; Funzamo, Carlos ; Bendix, Peter ; Assane, Americo ; Rose, John ; Vaz, Fernando ; Noormahomed, Emilia Virginia ; Bickler, Stephen W. / Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique. In: World Journal of Surgery. 2014 ; Vol. 38, No. 4. pp. 823-829.
@article{c8e322ad013e431293068ba3498d0550,
title = "Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique",
abstract = "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.",
author = "Jamie Anderson and Anne Erickson and Carlos Funzamo and Peter Bendix and Americo Assane and John Rose and Fernando Vaz and Noormahomed, {Emilia Virginia} and Bickler, {Stephen W.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1007/s00268-013-2366-1",
language = "English (US)",
volume = "38",
pages = "823--829",
journal = "Presentations from the 9th Annual Electric Utilities Environmental Conference",
issn = "0364-2313",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Surgical conditions account for the majority of admissions to three primary referral hospitals in rural Mozambique

AU - Anderson, Jamie

AU - Erickson, Anne

AU - Funzamo, Carlos

AU - Bendix, Peter

AU - Assane, Americo

AU - Rose, John

AU - Vaz, Fernando

AU - Noormahomed, Emilia Virginia

AU - Bickler, Stephen W.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84896965350&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84896965350&partnerID=8YFLogxK

U2 - 10.1007/s00268-013-2366-1

DO - 10.1007/s00268-013-2366-1

M3 - Article

C2 - 24346631

AN - SCOPUS:84896965350

VL - 38

SP - 823

EP - 829

JO - Presentations from the 9th Annual Electric Utilities Environmental Conference

JF - Presentations from the 9th Annual Electric Utilities Environmental Conference

SN - 0364-2313

IS - 4

ER -