medigraphic.com
ISSN 1560-4381 (Print)

2014, Number 2

<< Back Next >>

Correo Científico Médico 2014; 18 (2)

Regional Center results of Holguín in care of newborn with surgical treatment

Velázquez RG, Trinchet SRM, Hidalgo MY, Figueredo BRJ, Céspedes GMP

Language: Spanish
References: 16
Page: 1-12
PDF size: 270.73 Kb.


ABSTRACT

Introduction: the surgical treatment in the newborn is complex because this kind of patient needs of highly specialized institutions for the medical care.
Objective: to show the results, in the surgical newborn, in Holguin.
Method: a retrospective study was conducted in infants, at Octavio de la Conception y de la Pedraja University Pediatric Hospital, in the period from July 1th, 1994 to December 31st, 2012. A descriptive study was done at first and the second part was a quasi-experimental one in the four years 2004-2007 and 2009-2012 in newborns with surgical treatment of Santiago de Cuba. The first of January 2009 began the care from the Regional Center of Neonatal Surgery of the five eastern provinces in Holguín.
Results: in the period 2004-2008 in Holguín, a survival of 91.9 % was obtained. In the four-year period 2009-2012, this result was maintained, despite addressing children with complex malformations from the rest of the eastern provinces and 97.2 % of survival was obtained regarding esophageal atresia anomaly. Mortality in complex conditions is a specific indicator to assess the degree of development of a Neonatal Surgery service. In surgical infants of Santiago de Cuba, when they were assisted in their province, obtained a mortality of 53.6 % and in the Regional Center of Holguín was of 10.7 %; to apply a measure of potential impact mortality in 48 % of these children is reduced as a result of the treatment in Holguín.
Conclusion: in Holguín, in the period 2004-2008 actions leading up to a higher survival outcome were developed. In the four years of attention from the Regional Center was maintained that achievement and reduced the mortality of patients treated in Santiago de Cuba in comparison to those that were attended in the hospital of their province of origin.


REFERENCES

  1. Valdés Armenteros R, Ruiz Tellechea Y, Morilla Guzmán A, Domínguez Dieppa F. et al. Cirugía en el Recién Nacido. En: Neonatología Diagnóstico y Tratamiento. La Habana: Editorial Ciencias Médicas; 2012.p. 343-357.

  2. Grosfeld Jay L, O NeillJr James A. History of Pediatric Surgery: A Brief Overview. En: Coran Arnold G. Pediatric Surgery.7.ed.Philadelphia: Elsevier; 2012.p.3-35

  3. Rickham PP. Organization of regional surgical service. En: Neonatal Surgery. London: Butterworth; 1978.p. 11-18.

  4. Trinchet Soler R, Ochoa Alonso A, Cárdenas González F, Nodarse Fernández G, Fernández de la Vara L, Tarragó A. Apreciación actual y perspectivas de la Cirugía Neonatal en la provincia Holguín, Las Tunas y Granma. Rev Correo Cient Méd Holguín. 1984; 3 (1): 1-13.

  5. Sólomon Santibañez GA, Ramírez Mayan J, Gutiérrez Castrellón D, Reynes Manzur JN. Manual de referencia y contra referencia de pacientes del Instituto Nacional de Pediatría. Miexico: Inst Nac Pediat; 2011 [citado 4 feb 2014].Disponible en: http://www.pediatria.gob.mx/ manu_refcont.pdf

  6. Does extracorporeal membrane oxygenation improves survival in neonates with congenital diaphragmatic hernia? The congenital diaphragmatic hernia study group. J Pediatr Surg. 1999[citado 2 feb 2013]; 34(5): 720-724. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/ ?term=Does+extracorporeal+membrane+oxygenation+improve+survival+in+neonates+with+congenital+diaphragmatic+hernia%3F.The+congenital+diaphragmatic+hernia+study+group

  7. Hirschl RB, Parent A, Tooley R, McCracken M, Johnson K, Shaffer TH, et al. Liquid ventilation improves pulmonary function, gas exchange and lung injury in a model of respiratory failure. Ann Surg. 2001[citado 2 feb 2013]; 221(1): 79-88. Disponible en: http://www.ncbi.nlm.nih.gov/ pmc/articles/PMC1234498/

  8. Hernández Amador G. Encuesta Nacional de Recién Nacidos Quirúrgicos. Primer Congreso de Cirugía Pediátrica. La Habana: Palacio de las Convenciones; 1999.

  9. Organización Panamericana de la Salud. Medidas de impacto potencial. En: Módulo de principios de epidemiología para el control de enfermedades.2 ed. Washington: OPS; 2001.p.73-74.

  10. Martínez Ferro M. Atresia y Estenosis del Esófago. En: Martínez Ferro M, Cannizzaro C, Rodríguez S, Rabasa C. Neonatología quirúrgica. Buenos Aires: Grupo Guía; 2004.p.316 – 340.

  11. Rodríguez S. Patología diafragmática. En: Martínez Ferro M, Cannizzaro C, Rodríguez S, Rabasa C. Neonatología quirúrgica. Buenos Aires: Grupo Guía; 2004.p.341 – 355.

  12. Martínez Ferro M. Defectos de la pared abdominal. En: Martínez Ferro M, Cannizzaro C, Rodríguez S, Rabasa C. Neonatología quirúrgica. Buenos Aires: Grupo Guía; 2004.p. 363 – 399.

  13. Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA. Intestinal atresia and stenosis: a year experience with 277 cases. Arch Surg. 2002[citado 2 feb 2013]; 133(5):490-496. http://www.ncbi.nlm.nih.gov/pubmed/9605910

  14. Flores JM, Llanes R. Atresias Intestinales: 15 años de experiencia. Hospital Pediátrico Universitario William Soler. La Habana: Congreso de Cirugía Pediátrica Ciudad de La Habana, 2001.

  15. Veitía L, Muñiz J, Blázquez M, Hernández N. Morbimortalidad Neonatal Quirúrgica Toraco Abdominal. Estudio del período 1993-2000.Hospital Pediátrico Provincial Docente José Luis Miranda. Villa Clara. Congreso de Cirugía Pediátrica. La Habana: Palacio de las Convenciones; 2001.

  16. Araluce J. Cirugía Neonatal. Hospital Universitario “Carlos Manuel de Céspedes”. Bayamo, Granma. Congreso de Cirugía Pediátrica. La Habana: Palacio de las Convenciones; 2001.




2020     |     www.medigraphic.com