Trinchet SRM, Velázquez RG

Language: Spanish
References: 10
Page: 6-13
PDF size: 117.66 Kb.

ABSTRACT

Introduction: the surgical newborn is a complex patient who needs interdisciplinary teams and highly specialized centers for medical care.
Objective: to present the results of the implementation of a set of actions to improve the outcomes of the surgical newborn with high mortality conditions in the Regional Center of Neonatal Surgery.
Methods: quasi-experimental study of surgical newborns from Holguin and Santiago de Cuba provinces in the period of January 1st through December 31st, 2013. For validating the regionalization, the results were compared in the high mortality diseases.
Results: at the theoretical level, the concept of regionalization was devised. A set of actions were prepared and substantiated to achieve better survival rates. The three comparisons showed the validity of this concept. Despite the care to a higher number of complex cases in the 2009-2013 period, the survival rate was kept (92 %).
Conclusions: regionalization of neonatal surgery has favorable effect on survival of surgical neonates in the eastern region of Cuba and allowed the foundation of the first regional center in the country.

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