The impact of natural disaster on pediatric surgical delivery: A review of Haiti six months before and after the 2010 earthquake

Christopher D. Hughes, Katherine A. Nash, Blake C. Alkire, Craig D. McClain, Lars E. Hagander, C. Jason Smithers, Maxi Raymonville, Stephen R. Sullivan, Robert Riviello, Selwyn O. Rogers, John G. Meara

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods. We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results. Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 operations; 33.5%). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<01). Conclusion. Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.

Original languageEnglish (US)
Pages (from-to)523-533
Number of pages11
JournalJournal of Health Care for the Poor and Underserved
Volume23
Issue number2
DOIs
StatePublished - May 2012
Externally publishedYes

Fingerprint

Haiti
Earthquakes
Disasters
Pediatrics
Wounds and Injuries
Child Care
Burns
Health

Keywords

  • Burden of surgical disease
  • Natural disaster
  • Pediatrics
  • Resource-poor settings
  • Surgery

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The impact of natural disaster on pediatric surgical delivery : A review of Haiti six months before and after the 2010 earthquake. / Hughes, Christopher D.; Nash, Katherine A.; Alkire, Blake C.; McClain, Craig D.; Hagander, Lars E.; Jason Smithers, C.; Raymonville, Maxi; Sullivan, Stephen R.; Riviello, Robert; Rogers, Selwyn O.; Meara, John G.

In: Journal of Health Care for the Poor and Underserved, Vol. 23, No. 2, 05.2012, p. 523-533.

Research output: Contribution to journalArticle

Hughes, CD, Nash, KA, Alkire, BC, McClain, CD, Hagander, LE, Jason Smithers, C, Raymonville, M, Sullivan, SR, Riviello, R, Rogers, SO & Meara, JG 2012, 'The impact of natural disaster on pediatric surgical delivery: A review of Haiti six months before and after the 2010 earthquake', Journal of Health Care for the Poor and Underserved, vol. 23, no. 2, pp. 523-533. https://doi.org/10.1353/hpu.2012.0067
Hughes, Christopher D. ; Nash, Katherine A. ; Alkire, Blake C. ; McClain, Craig D. ; Hagander, Lars E. ; Jason Smithers, C. ; Raymonville, Maxi ; Sullivan, Stephen R. ; Riviello, Robert ; Rogers, Selwyn O. ; Meara, John G. / The impact of natural disaster on pediatric surgical delivery : A review of Haiti six months before and after the 2010 earthquake. In: Journal of Health Care for the Poor and Underserved. 2012 ; Vol. 23, No. 2. pp. 523-533.
@article{b8efa00f806a48f492a56b2f7466e66e,
title = "The impact of natural disaster on pediatric surgical delivery: A review of Haiti six months before and after the 2010 earthquake",
abstract = "Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods. We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results. Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6{\%}). Congenital anomalies were the most common operative indication (159/423 operations; 33.5{\%}). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0{\%} post-earthquake v. 20.6{\%} pre-earthquake, p=03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<01). Conclusion. Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.",
keywords = "Burden of surgical disease, Natural disaster, Pediatrics, Resource-poor settings, Surgery",
author = "Hughes, {Christopher D.} and Nash, {Katherine A.} and Alkire, {Blake C.} and McClain, {Craig D.} and Hagander, {Lars E.} and {Jason Smithers}, C. and Maxi Raymonville and Sullivan, {Stephen R.} and Robert Riviello and Rogers, {Selwyn O.} and Meara, {John G.}",
year = "2012",
month = "5",
doi = "10.1353/hpu.2012.0067",
language = "English (US)",
volume = "23",
pages = "523--533",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "2",

}

TY - JOUR

T1 - The impact of natural disaster on pediatric surgical delivery

T2 - A review of Haiti six months before and after the 2010 earthquake

AU - Hughes, Christopher D.

AU - Nash, Katherine A.

AU - Alkire, Blake C.

AU - McClain, Craig D.

AU - Hagander, Lars E.

AU - Jason Smithers, C.

AU - Raymonville, Maxi

AU - Sullivan, Stephen R.

AU - Riviello, Robert

AU - Rogers, Selwyn O.

AU - Meara, John G.

PY - 2012/5

Y1 - 2012/5

N2 - Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods. We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results. Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 operations; 33.5%). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<01). Conclusion. Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.

AB - Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods. We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results. Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 operations; 33.5%). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<01). Conclusion. Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.

KW - Burden of surgical disease

KW - Natural disaster

KW - Pediatrics

KW - Resource-poor settings

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=84860494378&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860494378&partnerID=8YFLogxK

U2 - 10.1353/hpu.2012.0067

DO - 10.1353/hpu.2012.0067

M3 - Article

C2 - 22643604

AN - SCOPUS:84860494378

VL - 23

SP - 523

EP - 533

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 2

ER -