Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study
Background: The impact of the corona virus disease 2019 (COVID-19) pandemic on global health, has reached far beyond that caused by the disease itself. With ongoing mutations and the emergence of new strains of the virus alongside repeated waves of the pandemic, the full impact of the pandemic is st...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Nigerian Postgraduate Medical Journal |
| Subjects: | |
| Online Access: | http://www.npmj.org/article.asp?issn=1117-1936;year=2022;volume=29;issue=2;spage=102;epage=109;aulast=Seyi-Olajide |
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| author | Justina O Seyi-Olajide Christopher O Bode George C Ihediwa Olumide A Elebute Felix M Alakaloko Oluwaseun A Ladipo-Ajayi Adesoji O Ademuyiwa |
| author_facet | Justina O Seyi-Olajide Christopher O Bode George C Ihediwa Olumide A Elebute Felix M Alakaloko Oluwaseun A Ladipo-Ajayi Adesoji O Ademuyiwa |
| author_sort | Justina O Seyi-Olajide |
| collection | DOAJ |
| description | Background: The impact of the corona virus disease 2019 (COVID-19) pandemic on global health, has reached far beyond that caused by the disease itself. With ongoing mutations and the emergence of new strains of the virus alongside repeated waves of the pandemic, the full impact of the pandemic is still evolving and remains difficult to predict or evaluate. In paediatric surgery, it has led to significant disruptions in patient care, the extent and consequence of which are not fully documented in Nigeria. Aim: This study aims to evaluate the impact of COVID-19 on services, training and research in a busy paediatric surgery unit during the initial 3-month period of the COVID-19 pandemic lockdown. Methods: This study was an ambispective evaluation of the preceding 3 months before lockdown and the initial 3 months of lockdown. Clinic cancellations, elective and emergency surgeries, delays in access, extra cost of care to patients, impact on training and research, and the psychologic impact of the pandemic on staff and guardians were evaluated. Results: During the 3-month lockdown period, an estimated 78 new cases and 637 follow-up cases could not access care. Ninety-seven elective surgeries in 91 patients were postponed. Two (2.2%) patients' symptoms progressed. All emergency patients received care. Out-of-pocket expenditure increased averagely by $124. The pandemic contributed to delays in seeking (13%), reaching (20%) and receiving care (6%). Trainee participation in surgeries was reduced and academic programmes were suspended. Five staff were exposed to the virus and 3 infected. Conclusion: Paediatric surgery has been negatively impacted by COVID-19. Efforts must focus on planning and implementing interventions to mitigate the long-term impact. |
| first_indexed | 2024-04-13T09:03:23Z |
| format | Article |
| id | doaj.art-8e15b6fef8bf4c8e9defdd52111e611d |
| institution | Directory Open Access Journal |
| issn | 1117-1936 2468-6875 |
| language | English |
| last_indexed | 2024-04-13T09:03:23Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Postgraduate Medical Journal |
| spelling | doaj.art-8e15b6fef8bf4c8e9defdd52111e611d2022-12-22T02:53:04ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752022-01-0129210210910.4103/npmj.npmj_761_21Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational studyJustina O Seyi-OlajideChristopher O BodeGeorge C IhediwaOlumide A ElebuteFelix M AlakalokoOluwaseun A Ladipo-AjayiAdesoji O AdemuyiwaBackground: The impact of the corona virus disease 2019 (COVID-19) pandemic on global health, has reached far beyond that caused by the disease itself. With ongoing mutations and the emergence of new strains of the virus alongside repeated waves of the pandemic, the full impact of the pandemic is still evolving and remains difficult to predict or evaluate. In paediatric surgery, it has led to significant disruptions in patient care, the extent and consequence of which are not fully documented in Nigeria. Aim: This study aims to evaluate the impact of COVID-19 on services, training and research in a busy paediatric surgery unit during the initial 3-month period of the COVID-19 pandemic lockdown. Methods: This study was an ambispective evaluation of the preceding 3 months before lockdown and the initial 3 months of lockdown. Clinic cancellations, elective and emergency surgeries, delays in access, extra cost of care to patients, impact on training and research, and the psychologic impact of the pandemic on staff and guardians were evaluated. Results: During the 3-month lockdown period, an estimated 78 new cases and 637 follow-up cases could not access care. Ninety-seven elective surgeries in 91 patients were postponed. Two (2.2%) patients' symptoms progressed. All emergency patients received care. Out-of-pocket expenditure increased averagely by $124. The pandemic contributed to delays in seeking (13%), reaching (20%) and receiving care (6%). Trainee participation in surgeries was reduced and academic programmes were suspended. Five staff were exposed to the virus and 3 infected. Conclusion: Paediatric surgery has been negatively impacted by COVID-19. Efforts must focus on planning and implementing interventions to mitigate the long-term impact.http://www.npmj.org/article.asp?issn=1117-1936;year=2022;volume=29;issue=2;spage=102;epage=109;aulast=Seyi-Olajideaccesscorona virus disease 2019impactpaediatric surgery |
| spellingShingle | Justina O Seyi-Olajide Christopher O Bode George C Ihediwa Olumide A Elebute Felix M Alakaloko Oluwaseun A Ladipo-Ajayi Adesoji O Ademuyiwa Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study Nigerian Postgraduate Medical Journal access corona virus disease 2019 impact paediatric surgery |
| title | Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study |
| title_full | Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study |
| title_fullStr | Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study |
| title_full_unstemmed | Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study |
| title_short | Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study |
| title_sort | impact of corona virus disease 2019 pandemic on paediatric surgery in a sub saharan tertiary hospital an observational study |
| topic | access corona virus disease 2019 impact paediatric surgery |
| url | http://www.npmj.org/article.asp?issn=1117-1936;year=2022;volume=29;issue=2;spage=102;epage=109;aulast=Seyi-Olajide |
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