dc.contributor.author | Gohil, Hetal R | |
dc.contributor.author | Jumbi, Timothy M | |
dc.contributor.author | Kuria, David K | |
dc.contributor.author | Osawa, Francis | |
dc.date.accessioned | 2023-11-10T09:30:49Z | |
dc.date.available | 2023-11-10T09:30:49Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Gohil HR, Jumbi TM, Kuria DK, Osawa F. Assessment of the neonatal referral and transport system for patients with gastroschisis in Kenya. Pediatr Surg Int. 2023 Feb 16;39(1):130. doi: 10.1007/s00383-023-05386-1. PMID: 36795244. | en_US |
dc.identifier.uri | https://pubmed.ncbi.nlm.nih.gov/36795244/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/163944 | |
dc.description.abstract | Purpose: To assess the neonatal referral and transport system for gastroschisis patients referred to a tertiary level hospital in Kenya.
Methods: This 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.
Results: Twenty-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%).
Conclusion: This 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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Gastroschisis; Kenya; Neonatal; Paediatric surgery; Referral system; Transport system. | en_US |
dc.title | Assessment of the neonatal referral and transport system for patients with gastroschisis in Kenya | en_US |
dc.type | Article | en_US |