Delays in care for hydrocephalus and spina bifida at a tertiary hospital in Somaliland

作     者：Shukri Dahir Cesia Cotache-Condor Andie Grimm Mubarak Mohamed Henry Rice Smith Edna Adan Ismail Shukri Dahir;Cesia Cotache-Condor;Andie Grimm;Mubarak Mohamed;Henry Rice;Emily Smith;Edna Adan Ismail

作者机构：Edna Adan University HospitalHargeisaSomaliland Department of Public HealthBaylor UniversityWacoTXUSA Duke Global Health InstituteDuke UniversityDurhamNCUSA Department of SurgeryDuke School of MedicineDurhamNorth CarolinaUSA 

出 版 物：《World Journal of Pediatric Surgery》 (世界小儿外科杂志（英文）)

年 卷 期：2023年第6卷第1期

页      面：17-23页

核心收录：

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：delay tertiary traveling 

摘      要：Background Childhood neurosurgical conditions such as hydrocephalus and spina bifida represent a significant burden of death and disability worldwide,particularly in low and middle-income ***,there are limited data on the disease prevalence and delays in care for pediatric neurosurgical conditions in very low-resource *** study aims to characterize the delays in access to care for pediatric neurosurgical conditions in *** We performed a retrospective review of all children with congenital hydrocephalus and spina bifida admitted to the Edna University Hospital(EAUH)in Somaliland between 2011 and *** demographics were analyzed with descriptive statistics and χ^(2) test *** defined delays in care for each condition based on standard care in high-income *** and multivariate logistic regression were performed to evaluate predictors of delay in *** significance was set at p*** A total of 344 children were admitted to EAUH with neurosurgical conditions from 2011 to *** most common condition was congenital hydrocephalus(62%).Delays in care were found for 90%of patients and were associated with the type of diagnosis and *** longest delay among children with spina bifida was 60 months,while the longest delay for children with congenital hydrocephalus was 36 *** with congenital hydrocephalus or spina bifida traveling from foreign countries had the highest waiting time to receive care,with a median delay of 8 months(IQR:5–11 months)and 4 months(IQR:3–7 months),*** We found significant delays in care for children with neurosurgical conditions in *** country has an urgent need to scale up its surgical infrastructure,workforce,and referral pathways to address the needs of children with hydrocephalus and spina bifida.