ArticleWorld journal of surgery2020
Reducing Gastroschisis Mortality: A Quality Improvement Initiative at a Ugandan Pediatric Surgery Unit.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Pooled it
- Trends in Gastroschisis in the State of Paraná, Brazil: A Study of Incidence, Mortality, and Associated Factors (2013-2024).International journal of environmental research and public health · 2026Article
- A survey of Ugandan skilled birth attendants regarding beliefs and management of gastroschisis.BMJ global health · 2026Article
- A Pilot Study to Advance Task-Sharing of Gastroschisis Management in Uganda.Annals of global health · 2026Article
- Feasibility of neonatal intravenous nutrition for the management of gastroschisis in sub-Saharan Africa.World journal of pediatric surgery · 2026Article
- Improved mortality in gastroschisis patients after implementation of a standardized management bundle in central Malawi: A single-center follow-up at four years.Journal of pediatric surgery · 2026Article
- Assessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review.Pediatric surgery international · 2024Article
- Evaluation of the Management of Gastroschisis in Aristide Le Dantec University Hospital Center in Dakar: A Cross Sectional Study.African journal of paediatric surgery : AJPS · 2024Article
- A review of twenty-first century developments in paediatric surgery in Africa.Pediatric surgery international · 2024Review
- DETERMINANTS OF OUTCOME OF NEONATAL SURGICAL EMERGENCIES IN GOMBE: A 3-YEAR RETROSPECTIVE REVIEW.Annals of Ibadan postgraduate medicine · 2024Article
- Gastroschisis in Sub-Saharan Africa: a scoping review of the prevalence, management practices, and associated outcomes.Pediatric surgery international · 2023Article
- Predictors of mortality for perforated peptic ulcer disease in Malawi.American journal of surgery · 2023Article
- The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review.PLOS global public health · 2023Article
- Ten Global Surgical Care Statements for Children: examining our commitment to the future.Pediatric surgery international · 2021Review
- Gastroschisis annual incidence, mortality, and trends in extreme Southern Brazil.Jornal de pediatriaArticle
- Influence of birthplace on gastroschisis outcomes in a state in the southeastern region of Brazil.Jornal de pediatriaArticle
- Simplified preformed silo bag crafted from standard equipment in African Hospitals.African journal of paediatric surgery : AJPSArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWith modern treatment, survival of gastroschisis exceeds 90% in high-income countries. Survival in these countries has been largely attributed to prenatal diagnosis, delivery at tertiary facilities with timely resuscitation, timely intervention, parenteral nutrition and intensive care facilities. In sub-Saharan Africa, due to lack of these facilities, mortality rates are still alarmingly high ranging from 75 to 100%. In Uganda the mortality is 98%.
aimThe aim of this study was to reduce gastroschisis mortality in a feasible, sustainable way using a locally derived gastroschisis care protocol at a referring hospital in Western Uganda.
methodsData collection was performed from January to October 2018. Nursing staff were interviewed regarding the survival and management of gastroschisis babies. A locally derived protocol was created with staff input and commitment from all the team members.
resultsFour mothers absconded and 17 babies were cared for using the newly designed protocol. Seven survived and were well at one month post discharge follow-up, reducing the mortality for this condition from 98 to 59%.
conclusionA dedicated team with minimal resources can significantly reduce the mortality in gastroschisis by almost 40% using a locally derived protocol.
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Registered trials
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.