Experience of an orthoplastic limb salvage team after the Haiti earthquake: analysis of caseload and early outcomes.

Hdl Handle:
http://hdl.handle.net/10147/139822
Title:
Experience of an orthoplastic limb salvage team after the Haiti earthquake: analysis of caseload and early outcomes.
Authors:
Clover, A James P; Rannan-Eliya, Sahan; Saeed, Waseem; Buxton, Richard; Majumder, Sanjib; Hettiaratchy, Shehan P; Jemec, Barbara
Affiliation:
Department of Plastic Surgery, Cork University Hospital, Cork, Ireland. j.clover@ucc.ie
Citation:
Experience of an orthoplastic limb salvage team after the Haiti earthquake: analysis of caseload and early outcomes. 2011, 127 (6):2373-80 Plast. Reconstr. Surg.
Journal:
Plastic and reconstructive surgery
Issue Date:
Jun-2011
URI:
http://hdl.handle.net/10147/139822
DOI:
10.1097/PRS.0b013e3182131cde
PubMed ID:
21617470
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21617470
Abstract:
After the devastating earthquake in Haiti on January 12, 2010, a British orthoplastic limb salvage team was mobilized. The team operated in a suburb of Port-au-Prince from January 20, 2010. This analysis gives an overview of the caseload and early outcomes.; A retrospective analysis of operative data from the log book was performed from the opening of the facility on January 20, 2010, until March 12, 2010.; In total, 348 operations were carried out on 158 patients, at an average of 47 cases per week. Seventy-three percent of the cases were soft-tissue cases and 25 percent were bony or combined soft-tissue and bony cases. The majority of bony procedures (n = 26; 16 percent) and flap procedures (n = 16; 10 percent) took place in the early weeks (weeks 1 through 4). Combined orthoplastic cases accounted for 37 percent of cases (16 of 44) in week 2 but only 7 percent (three of 43) in week 7. General anesthetic cases accounted for 89 percent of cases (39 of 44) in week 2 but only 40 percent (17 of 43) in week 7. Only six patients (4 percent) underwent amputation, but 36 operations (10 percent) dealt with the sequelae of amputation. Sixteen patients (10 percent) suffered complications, including two amputations for failed limb salvage.; This article reports the outcomes of a limb salvage team in the acute response after an earthquake disaster with a favorable amputation rate and highlights the potential benefit of mobilizing this type of team. Detailing the changing caseload over time will allow for more efficient planning in case of a similar future disaster.
Item Type:
Article
Language:
en
MeSH:
Adult; Amputation; Anesthesiology; Arm Injuries; Child; Earthquakes; Haiti; Humans; Leg; Limb Salvage; Orthopedics; Patient Care Team; Perioperative Nursing; Postoperative Complications; Surgery, Plastic; Treatment Outcome
ISSN:
1529-4242

Full metadata record

DC FieldValue Language
dc.contributor.authorClover, A James Pen
dc.contributor.authorRannan-Eliya, Sahanen
dc.contributor.authorSaeed, Waseemen
dc.contributor.authorBuxton, Richarden
dc.contributor.authorMajumder, Sanjiben
dc.contributor.authorHettiaratchy, Shehan Pen
dc.contributor.authorJemec, Barbaraen
dc.date.accessioned2011-08-16T14:03:31Z-
dc.date.available2011-08-16T14:03:31Z-
dc.date.issued2011-06-
dc.identifier.citationExperience of an orthoplastic limb salvage team after the Haiti earthquake: analysis of caseload and early outcomes. 2011, 127 (6):2373-80 Plast. Reconstr. Surg.en
dc.identifier.issn1529-4242-
dc.identifier.pmid21617470-
dc.identifier.doi10.1097/PRS.0b013e3182131cde-
dc.identifier.urihttp://hdl.handle.net/10147/139822-
dc.description.abstractAfter the devastating earthquake in Haiti on January 12, 2010, a British orthoplastic limb salvage team was mobilized. The team operated in a suburb of Port-au-Prince from January 20, 2010. This analysis gives an overview of the caseload and early outcomes.-
dc.description.abstractA retrospective analysis of operative data from the log book was performed from the opening of the facility on January 20, 2010, until March 12, 2010.-
dc.description.abstractIn total, 348 operations were carried out on 158 patients, at an average of 47 cases per week. Seventy-three percent of the cases were soft-tissue cases and 25 percent were bony or combined soft-tissue and bony cases. The majority of bony procedures (n = 26; 16 percent) and flap procedures (n = 16; 10 percent) took place in the early weeks (weeks 1 through 4). Combined orthoplastic cases accounted for 37 percent of cases (16 of 44) in week 2 but only 7 percent (three of 43) in week 7. General anesthetic cases accounted for 89 percent of cases (39 of 44) in week 2 but only 40 percent (17 of 43) in week 7. Only six patients (4 percent) underwent amputation, but 36 operations (10 percent) dealt with the sequelae of amputation. Sixteen patients (10 percent) suffered complications, including two amputations for failed limb salvage.-
dc.description.abstractThis article reports the outcomes of a limb salvage team in the acute response after an earthquake disaster with a favorable amputation rate and highlights the potential benefit of mobilizing this type of team. Detailing the changing caseload over time will allow for more efficient planning in case of a similar future disaster.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21617470en
dc.subject.meshAdult-
dc.subject.meshAmputation-
dc.subject.meshAnesthesiology-
dc.subject.meshArm Injuries-
dc.subject.meshChild-
dc.subject.meshEarthquakes-
dc.subject.meshHaiti-
dc.subject.meshHumans-
dc.subject.meshLeg-
dc.subject.meshLimb Salvage-
dc.subject.meshOrthopedics-
dc.subject.meshPatient Care Team-
dc.subject.meshPerioperative Nursing-
dc.subject.meshPostoperative Complications-
dc.subject.meshSurgery, Plastic-
dc.subject.meshTreatment Outcome-
dc.titleExperience of an orthoplastic limb salvage team after the Haiti earthquake: analysis of caseload and early outcomes.en
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic Surgery, Cork University Hospital, Cork, Ireland. j.clover@ucc.ieen
dc.identifier.journalPlastic and reconstructive surgeryen
dc.description.provinceMunster-

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