Provision of general paediatric surgical services in a regional hospital.

Hdl Handle:
http://hdl.handle.net/10147/206311
Title:
Provision of general paediatric surgical services in a regional hospital.
Authors:
Zgraj, O; Clarke Moloney, M; Motherway, C; Grace, P A
Affiliation:
Departments of Surgery and Anaesthesia, Mid-Western Regional Hospital, Limerick, , Ireland.
Citation:
Ir J Med Sci. 2010 Mar;179(1):29-33. Epub 2009 Sep 11.
Journal:
Irish journal of medical science
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206311
DOI:
10.1007/s11845-009-0412-7
PubMed ID:
19756839
Abstract:
BACKGROUND: In Ireland, specialist paediatric surgery is carried out in paediatric hospitals in Dublin. General surgeons/consultants in other surgical specialities provide paediatric surgical care in regional centres. There has been a failure to train general surgeons with paediatric skills to replace these surgeons upon retirement. AIM: To assess paediatric surgical workload in one regional centre to focus the debate regarding the future provision of general paediatric surgery in Ireland. METHODS: Hospital in-patient enquiry (HIPE) system was used to identify total number of paediatric surgical admissions and procedures. Cases assessed requiring hospital transfer. RESULTS: Of 17,478 surgical patients treated, 2,584 (14.8%) were under 14 years. A total of 2,154 procedures were performed. CONCLUSION: Regional centres without dedicated paediatric surgeons deliver care to large numbers of paediatric patients. The demand for care highlights the need for formal paediatric services/appropriate surgical training for general surgical trainees.
Language:
eng
MeSH:
Adolescent; Child; Child, Preschool; Female; General Surgery/*statistics & numerical data; Geography; Health Services Accessibility/*statistics & numerical data; Health Services Needs and Demand/*statistics & numerical data; Hospitalization/statistics & numerical data; Humans; Infant; Infant, Newborn; Ireland; Male; Pediatrics/*statistics & numerical data; Surgery Department, Hospital/*statistics & numerical data
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorZgraj, Oen_GB
dc.contributor.authorClarke Moloney, Men_GB
dc.contributor.authorMotherway, Cen_GB
dc.contributor.authorGrace, P Aen_GB
dc.date.accessioned2012-01-31T16:48:02Z-
dc.date.available2012-01-31T16:48:02Z-
dc.date.issued2012-01-31T16:48:02Z-
dc.identifier.citationIr J Med Sci. 2010 Mar;179(1):29-33. Epub 2009 Sep 11.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19756839en_GB
dc.identifier.doi10.1007/s11845-009-0412-7en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206311-
dc.description.abstractBACKGROUND: In Ireland, specialist paediatric surgery is carried out in paediatric hospitals in Dublin. General surgeons/consultants in other surgical specialities provide paediatric surgical care in regional centres. There has been a failure to train general surgeons with paediatric skills to replace these surgeons upon retirement. AIM: To assess paediatric surgical workload in one regional centre to focus the debate regarding the future provision of general paediatric surgery in Ireland. METHODS: Hospital in-patient enquiry (HIPE) system was used to identify total number of paediatric surgical admissions and procedures. Cases assessed requiring hospital transfer. RESULTS: Of 17,478 surgical patients treated, 2,584 (14.8%) were under 14 years. A total of 2,154 procedures were performed. CONCLUSION: Regional centres without dedicated paediatric surgeons deliver care to large numbers of paediatric patients. The demand for care highlights the need for formal paediatric services/appropriate surgical training for general surgical trainees.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshGeneral Surgery/*statistics & numerical dataen_GB
dc.subject.meshGeographyen_GB
dc.subject.meshHealth Services Accessibility/*statistics & numerical dataen_GB
dc.subject.meshHealth Services Needs and Demand/*statistics & numerical dataen_GB
dc.subject.meshHospitalization/statistics & numerical dataen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshPediatrics/*statistics & numerical dataen_GB
dc.subject.meshSurgery Department, Hospital/*statistics & numerical dataen_GB
dc.titleProvision of general paediatric surgical services in a regional hospital.en_GB
dc.contributor.departmentDepartments of Surgery and Anaesthesia, Mid-Western Regional Hospital, Limerick, , Ireland.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

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