Neonatal surgical mortality at a low resource setting, HEAL Africa tertiary hospital, Eastern Democratic Republic of the Congo
Topic overview
This retrospective study examines outcomes for 107 neonates requiring surgery at a tertiary hospital in Eastern DRC over 7 years. Overall mortality was 29%, with operated patients showing significantly better survival (16.4% mortality) compared to non-operated cases, while low birth weight (<2500g) was a major risk factor for death.
Key takeaways
- Neonatal surgical mortality was 29% overall at this low-resource DRC center, with operated patients having significantly lower mortality (16.4%).
- Myelomeningocele/meningocele was the most common surgical condition (27.1%), with 81% of patients referred from within 10 km.
- Low birth weight (<2500g) was a strong predictor of mortality (OR 5.3), highlighting vulnerability in resource-limited settings.
- Only 68% of neonates with surgical conditions underwent operation, suggesting resource constraints limited access to definitive care.
- Mean length of stay was 9.9 days, with outcomes heavily influenced by patient selection due to resource limitations.
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How to cite: GlobalCastMD. Neonatal surgical mortality at a low resource setting, HEAL Africa tertiary hospital, Eastern Democratic Republic of the Congo. GlobalCastMD Medical Library. 2024-08-27. https://dev.library.globalcastmd.com/article/9076?via_space=staycurrentmd
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