Distribution and Characteristics of Congenital Cardiac Surgery Centers within Bangladesh.

Mymensingh medical journal : MMJ Pub Date : 2024-07-01
R Hubbard, H Kabir, I Khalilullah, G Saldana, M Delcont, D Martinez, S Bains, A T M Rahman
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Abstract

Congenital heart disease is a leading cause of non-communicable childhood death. This is especially true in nations with limited resources where shortages of skilled workforce, healthcare facilities, and essential equipment limit the ability to provide care. This retrospective study was designed to determine the volume and distribution of surgical care being provided to patients with congenital heart disease in Bangladesh, as well as to characterize the facilities providing such care. Pre-existing survey data of hospitals performing congenital heart surgery in the year 2022 in Bangladesh was obtained. Additional information was gathered on these facilities, including hospital location and type. The distribution of care by geographic location, type of facility, and volume of cases was reported. Overall, a total of 2333 surgeries were performed in 2022 at 28 facilities. The majority of hospitals were performing <50 cases per year, while a small number (5) provided greater than 50.0% of all surgeries. In addition, while the majority of hospitals were private in nature, the majority of surgeries occurred at not-for-profit hospitals. There was a large geographic skew of surgeries and hospitals being located within the city of Dhaka (79.0% of centers and 94.0% of surgeries). The data suggests that, though there has been great progress in increasing the number of surgeries performed in Bangladesh, the vast majority of patients still do not have access to care. In addition, nearly all care is being provided in Dhaka, which presents challenges for patients who come from across the nation seeking care. Finally, there is a great need for further research to fully understand the challenges faced and find workable solutions.

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孟加拉国先天性心脏病手术中心的分布和特点。
先天性心脏病是非传染性儿童死亡的主要原因。在资源有限的国家,由于熟练劳动力、医疗设施和必要设备的短缺,提供医疗服务的能力受到限制,情况尤其如此。这项回顾性研究旨在确定孟加拉国为先天性心脏病患者提供的手术治疗的数量和分布情况,以及提供此类治疗的机构的特点。研究获得了孟加拉国 2022 年进行先天性心脏病手术的医院的现有调查数据。我们还收集了有关这些机构的其他信息,包括医院的位置和类型。报告了按地理位置、设施类型和病例量划分的护理分布情况。总体而言,2022 年 28 家医院共进行了 2333 例手术。大多数医院正在进行
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