tailieunhanh - Báo cáo y học: "Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo. | Chu et al. Conflict and Health 2010 4 6 http content 4 1 6 CONFLICT AND HEALTH RESEARCH Open Access Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo Kathryn Chu 1 2 Philippe Havet3 Nathan Ford1 4 and Miguel Trelles5 Abstract Background The provision of surgical assistance in conflict is often associated with care for victims of violence. However there is an increasing appreciation that surgical care is needed for non-traumatic morbidities. In this paper we report on surgical interventions carried out by Médecins sans Frontieres in Masisi North Kivu Democratic Republic of Congo to contribute to the scarce evidence base on surgical needs in conflict. Methods We analysed data on all surgical interventions done at Masisi district hospital between September 2007 and December 2009. Types of interventions are described and logistic regression used to model associations with violence-related injury. Results 2869 operations were performed on 2441 patients. Obstetric emergencies accounted for over half 675 57 of all surgical pathology and infections for another quarter 160 14 . Trauma-related injuries accounted for only one quarter 681 24 of all interventions among these 363 13 were violence-related. Male gender adjusted odds ratio AOR p military status AOR p and age less than 20 years AOR p were associated with violence-related injury. Immediate peri-operative mortality was . Conclusions In this study most surgical interventions were unrelated to violent trauma and rather reflected the general surgical needs of a low-income tropical country. Programs in conflict zones in low-income countries need to be prepared to treat both the war-wounded and non-trauma related life-threatening surgical needs of the general population. Given the limited surgical workforce in these areas training of local staff and task shifting is recommended to support broad availability

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