由普通神经外科医生管理的小儿神经外科病例的结果:一项来自印度东部的回顾性研究

IF 0.3 Q4 SURGERY Indian Journal of Neurosurgery Pub Date : 2023-06-19 DOI:10.1055/s-0043-1770098
Abhijit Acharya, S. Senapati, Sumirini Puppala, A. Mahapatra
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引用次数: 0

摘要

印度是世界上近19%儿童的家园。儿童年龄组的疾病负担相当高,这只是冰山一角。在印度,很少有神经外科医生处理儿科年龄组的病例。由于对神经外科医生处理儿科病例的专业知识缺乏信心,大多数家长避免对孩子进行手术治疗。许多挑战是遇到在儿科人口在术前,术中和术后时期。目的本研究的目的是研究儿童神经外科病例(18岁以下)的人口统计学特征和各自的结果。方法对苏姆医院医学研究所神经外科1.5年的病例进行回顾性分析。分析的变量包括年龄组、性别、诊断、择期或急诊、神经学检查和结果。数据分析使用版本3.0.2;2013-09-25统计计算(IBM公司的SPSS程序,版本27.0,2020)。文献综述通过NCBI PubMed、Scopus、Embase和谷歌Scholar数据库完成。生活质量通过世界卫生组织批准的残疾调整生命年(DALY)评分进行评估。结果大多数患者在达到里程碑方面有显著改善,发病率降低,死亡率1例。结论:我们在普通神经外科以精湛的技术和细致的手术处理了所有儿童年龄组的病例,死亡率低于0.1%。在资源不足的中心、地区和国家,普通神经外科医生被授权和有义务执行儿科神经外科手术,我们普通神经外科医生应该把它作为一个挑战来管理这些儿科病例,因为我们的研究显示了可观的结果,尽管对专门的儿科神经外科护理的需求怎么强调也不为过。
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Outcomes of Pediatric Neurosurgical Cases Managed by General Neurosurgeons: A Retrospective Study from Eastern India
Abstract Background  India is home to almost 19% of the world's children. The burden of diseases in the pediatric age group is quite high and is just the tip of the iceberg. In India, there are very few neurosurgeons who deal with cases in the pediatric age group. Most parents avoid surgical management for their child due lack of confidence in the expertise of the neurosurgeon in handling pediatric cases. Many challenges are encountered in the pediatric population during the pre-, intra- and post-operative period. Objectives  The aim of this study is to study the demographic profile and respective outcomes of pediatric neurosurgical cases (below 18 years of age). Methods  A retrospective study of cases over a period of 1.5 years in the Department of Neurosurgery, Institute of Medical Sciences and Sum Hospital was done. The variables analyzed were age group, sex, diagnosis, elective or emergency, neurological examination, and outcome. Data analysis was done using Version 3.0.2; 2013-09-25 for Statistical Computing (IBM Corporation's SPSS programme, version 27.0, 2020). Literature review was done through the NCBI PubMed, Scopus, Embase, and Google Scholar databases. Quality of life was assessed by the disability-adjusted life years (DALY) score approved by the World Health Organization. Results  The majority of the patients had significant improvement in achieving milestones with reduced morbidity and one case of mortality. Conclusion  To conclude, we have managed all cases of pediatric age group in a general neurosurgery department with utmost skill and meticulous surgery, with less than 0.1% mortality. In the cases that pertain to low resourced centers, areas, and countries where general neurosurgeons are mandated and obliged to perform pediatric neurosurgical procedures, we general neurosurgeons should take it as a challenge to manage these pediatric cases as our study showed appreciable results although the need for specialized pediatric neurosurgical care cannot be overemphasized.
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0.40
自引率
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发文量
52
审稿时长
12 weeks
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