ArticleThe Pan African medical journal2021
Delays in presentation of intussusception and development of gangrene in Zimbabwe.
Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 5 citations in OpenAlex.
- A decade after introduction: survey of training and expansion of ultrasound-guided hydrostatic reduction of intussusception in Ethiopia.Emergency radiology · 2026Article
- Understanding the role of parental decision-making and quality of clinical care in under-5 mortality in Western Kenya: an application of the Three Delays model.BMC health services research · 2026Article
- A REVIEW OF ULTRASOUND-GUIDED PNEUMATIC ENEMA IN THE REDUCTION OF INTUSSUSCEPTION IN CHILDREN: INSIGHTS FROM A TEACHING HOSPITAL IN NIGERIA.Annals of Ibadan postgraduate medicine · 2024Article
- ASSESSING CATASTROPHIC HEALTHCARE EXPENDITURES IN THE EMERGENCY SURGICAL CARE OF CHILDREN WITH INTUSSUSCEPTION: INSIGHTS FROM A TERTIARY HOSPITAL IN NIGERIA.Annals of Ibadan postgraduate medicine · 2024Article
- Trends in childhood intussusception in a Nigerian tertiary hospital.African health sciences · 2024Article
- Identifying delays in healthcare seeking and provision: The Three Delays-in-Healthcare and mortality among infants and children aged 1-59 months.PLOS global public health · 2024Article
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Authors and funding
12 authors at 4 institutions in 3 countries.
Funding
Abstract
introductionprompt diagnosis and treatment are considered key to successful management of intussusception. We examined pre-treatment delay among intussusception cases in Zimbabwe and conducted an exploratory analysis of factors associated with intraoperative finding of gangrene.
methodsdata were prospectively collected as part of the African Intussusception Network using a questionnaire administered on consecutive patients with intussusception managed at Harare Children´s Hospital. Delays were classified using the Three-Delays-Model: care-seeking delay (time from onset of symptoms to first presentation for health care), health-system delay (referral time from presentation to first facility to treatment facility) and treatment delay (time from presentation at treatment facility to treatment).
resultsninety-two patients were enrolled from August 2014 to December 2016. The mean care-seeking interval was 1.9 days, the mean health-system interval was 1.5 days, and the mean treatment interval was 1.1 days. Mean total time from symptom onset to treatment was 4.4 days. Being transferred from another institution added 1.4 days to the patient journey. Gangrene was found in 2 (25%) of children who received treatment within 1 day, 13 (41%) of children who received treatment 2-3 days, and 26 (50%) of children who received treatment more than 3 days after symptom onset (p = 0.34).
conclusionsignificant care-seeking and health-system delays are encountered by intussusception patients in Zimbabwe. Our findings highlight the need to explore approaches to improve the early diagnosis of intussusception and prompt referral of patients for treatment.
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