Evidence map›Paper›PMID 36795244›Full record

ArticlePediatric surgery international2023

Assessment of the neonatal referral and transport system for patients with gastroschisis in Kenya.

Hetal Rajnikant Gohil, Timothy Mwai Jumbi, David Kihiko Kuria, Francis Osawa

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Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Hetal Rajnikant GohilDepartment of Pediatric Surgery, University of Nairobi, Nairobi, Kenya. hetalchiragpatel04@gmail.com.
Timothy Mwai JumbiDepartment of Paediatric Surgery, Kenyatta National Hospital, Nairobi, Kenya.
David Kihiko KuriaDepartment of Pediatric Surgery, University of Nairobi, Nairobi, Kenya.
Francis OsawaDepartment of Pediatric Surgery, University of Nairobi, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the neonatal referral and transport system for gastroschisis patients referred to a tertiary level hospital in Kenya.

methodsThis was a prospective cross-sectional study carried out at Kenyatta National Hospital (KNH) which recruited patients with gastroschisis using consecutive sampling approach. Data were collected on pre-, intra-transit factors, time and distance covered. Assessment was done using pre and intra transit factors as per the standard transport protocols in literature.

resultsTwenty-nine patients presented with gastroschisis during the eight month study period. Mean age was 7.07 h. There were 16 (55.2%) males and 13 (44.8%) females. Mean birthweight was 2020 g, and a mean gestational age of 36.5 weeks. Mean duration of transit was 5 h. Mean distance from referring facility was 153.1 km. Most affected factors in the pre-transit protocol were lack of monitoring chart (0%), comment on blood investigations (0%), gastric decompression (3.4%), and prenatal obstetric scan (44.8%). For intra-transit scores, most affected were incubator use (0%), bowel monitoring (0%), functioning nasogastric tube (13.8%), and adequate bowel cover (34.5%).

conclusionThis study demonstrates that pre-transit and transit care of neonates with gastroschisis is inadequate in Kenya. Interventions needed, as identified by this study, to promote care of neonates with gastroschisis are advised.

Indexed as

GastroschisisChildCross-Sectional StudiesFemaleHumansInfantInfant, NewbornKenyaMalePregnancyProspective StudiesReferral and ConsultationRetrospective StudiesTertiary Care CentersGastroschisisKenyaNeonatalPaediatric surgeryReferral systemTransport system

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