Surgical Treatment of Palestinian Patients With Congenital Heart Disease in a Medical Center in Israel: Challenges and Outcome
| Autor: | Bisher Marzouqa, Ibraheem Mafra, Ely Erez, Julius Golender, Oz M. Shapira, Eldad Erez |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Heart disease Population Time to treatment Patient characteristics 01 natural sciences Medical care 03 medical and health sciences 0302 clinical medicine Health insurance Medicine In patient 030212 general & internal medicine 0101 mathematics Surgical treatment West bank education lcsh:R5-920 education.field_of_study business.industry 010102 general mathematics General Medicine Institutional review board medicine.disease humanities Congenital heart surgery Family medicine lcsh:Medicine (General) business Palestinian patients Research Paper |
| Zdroj: | EClinicalMedicine, Vol 10, Iss, Pp 42-48 (2019) EClinicalMedicine |
| ISSN: | 2589-5370 |
| Popis: | Background: The treatment of congenital heart disease patients in the West Bank and Gaza involves both medical and political challenges. To better understand these challenges' effects on Palestinian patients, we compared surgical results between Israeli and Palestinian patients. Understanding the difficulties faced in treating the Palestinian population is an important step to improving surgical care, better allocating resources and overcoming the region's unique problems. Methods: We retrospectively reviewed the Hadassah Medical Center congenital heart disease database. Between January 2011 and December 2017, there were 872 operations performed in patients with Israeli health insurance and 207 operations in Palestinian patients. Demographics, clinical characteristics, surgical complexities, time to treatment, PICU length of stay, hospital length of stay, mortality and follow-up rates were compared between the two groups using standard statistical practices. Findings: The surgical complexity was significantly higher in the Palestinian patient population (p=0.003) and there were relatively more Palestinian patients with single ventricle anatomy (25.6%, 53/207) than Israeli patients (19.8%, 172/872) p=0.067. Israeli neonates had surgery at an average age of 9.5±7.8 days as compared to Palestinian neonates with an average age of 15.7±8.2 days, p |
| Databáze: | OpenAIRE |
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