Evidence map›Paper›PMID 26787775›Full record

ArticleJournal of the Royal Army Medical Corps2016

Surgery in the time of Ebola: how events impacted on a single surgical institution in Sierra Leone.

Ibrahim Bundu, A Patel, A Mansaray, T B Kamara, L M Hunt

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the Royal Army Medical Corps, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Lessons from Epidemics, Pandemics, and Surgery.Journal of the American College of Surgeons · 2020
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  18. The burden of trauma presenting to the government referral hospital in Freetown, Sierra Leone: An observational study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ibrahim BunduDepartment of Surgery, Connaught Hospital, Freetown, Sierra Leone.
A PatelKing's Sierra Leone Partnership, King's Centre for Global Health, London, UK.
A MansarayDepartment of Surgery, Connaught Hospital, Freetown, Sierra Leone.
T B KamaraDepartment of Surgery, Connaught Hospital, Freetown, Sierra Leone.
L M HuntKing's Sierra Leone Partnership, King's Centre for Global Health, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe mortality and morbidity of Ebola extends far wider than those contracting the disease. Surgical activity in Sierra Leone has been severely disrupted by the epidemic.

methodThis is a retrospective study examining the effect of the 2014-2015 Ebola virus epidemic on surgical activity in a Sierra Leone's main teaching hospital.

resultsThe impact of national and local events on surgical provision is illustrated by the experience of Connaught Hospital, Freetown Sierra Leone. Surgical activity fell dramatically in August 2014, the month when the most health care workers died and continued to fall to just 3% of expected activity. Two of eight surgeons at Connaught Hospital died of Ebola. DISCUSSION: The example of Connaught Hospital serves as a graphic and poignant illustration of the difficulties faced by surgeons in low resource settings when dealing with the acute effects of a natural disaster. In any future epidemic, high levels of preparedness, training and protection, in addition to liaison with public health teams early in an epidemic, may allow surgeons to carry out at least some of their duties without the very high levels of personal risk seen here.In a country with so few specialists the loss of 25% is disastrous and will result in long term capacity reduction.

Indexed as

EpidemicsGeneral SurgeryHemorrhagic Fever, EbolaHospitals, TeachingHumansInfectious Disease Transmission, Patient-to-ProfessionalRetrospective StudiesSierra LeoneSurgeonsSurgical Procedures, OperativeTertiary Care CentersWorkforceDelivery of health careHemorrhagic fever, EbolaSierra LeoneSurgeons

Identifiers

PMID26787775
PMCPMC4893089

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.