Challenges and possibilities of developing cardiac surgery in a peripheral hospital of low- and middle-income countries
| Autor: | Julia Grapsa, Shankar Laudari, Kaushal K. Tiwari, Michal Pazdernik, Dominique Vervoort |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Heart Defects Congenital Male 2019-20 coronavirus outbreak medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Developing country 030204 cardiovascular system & hematology Young Adult 03 medical and health sciences 0302 clinical medicine Humans Medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine Cardiac Surgical Procedures Socioeconomics Developing Countries Advanced and Specialized Nursing business.industry Thoracic Surgery General Medicine World population Middle Aged Hospitals Cardiac surgery Low and middle income countries Female Cardiology and Cardiovascular Medicine business Safety Research |
| Zdroj: | Perfusion. 36:38-43 |
| ISSN: | 1477-111X 0267-6591 |
| Popis: | Objective: Over a million cardiac surgeries are performed every year around the globe. However, approximately 93% of world population living in low- and middle-income countries have no access to cardiac surgery. The incidence of rheumatic and congenital heart disease is high in Nepal, while only 2,500-3,000 cardiac surgeries are performed annually. The aim of our study is to analyze challenges and opportunities of establishing a cardiac surgery program in a peripheral hospital of Nepal. Methods: We analyzed our effort to establish a cardiac surgery program in a peripheral hospital in Nepal. Results: Out of 2,659 consulted and diagnosed patients, we performed 85 open-heart surgeries in 4 years. Mean age of patients was 38.35 ± 14.13 years. The majority of patients were male (62.4% of patients) with 65.9% suffering from rheumatic heart disease. Average intensive care unit stay and hospital stay were 2.32 ± 1.1 and 8.29 ± 2.75 days, respectively. No in-hospital mortality was observed. Conclusion: We conclude that developing cardiac surgical care in a peripheral hospital of a developing country is feasible with support from government, foreign colleagues, local teams, and non-governmental organizations. The availability of a regular cardiac surgery service in the periphery of the country makes such services more accessible for the patients and helps in reducing the long waiting lists and unmanageable workload in the established cardiac centers in the capital city. |
| Databáze: | OpenAIRE |
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