Impact of a visiting consultant neurosurgeon: The Nigerian experience
Objective: To study the impact of a visiting consultant neurosurgeon on the management and outcome of neurosurgical patients in a hospital with no resident neurosurgeon. Methods: This is a 5-year retrospective study of neurosurgical conditions and their management outcomes by a visiting consultant n...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | World Neurosurgery: X |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590139723000108 |
| _version_ | 1797850251678187520 |
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| author | B. Usman A. Ajulo A.M. Abubakar |
| author_facet | B. Usman A. Ajulo A.M. Abubakar |
| author_sort | B. Usman |
| collection | DOAJ |
| description | Objective: To study the impact of a visiting consultant neurosurgeon on the management and outcome of neurosurgical patients in a hospital with no resident neurosurgeon. Methods: This is a 5-year retrospective study of neurosurgical conditions and their management outcomes by a visiting consultant neurosurgeon in a Nigerian Tertiary institution from January 2016 to December 2020. Results: Thousand two hundred and four (1,204) patients were reviewed. Patients' ages were between 1 h and to 86-year-olds, with a mean of 23 years and a mode of 32 ± 4 years. Children were 423 (35.1%), with 781(64.9%) adults. Males were 862 (71.6%), and Females were 342 (28.4%), with a Male to Female ratio of 5:2. Congenital problems were 170 (14.1% of 1204): meningocoeles (38, 22.4%), myelomeningocoeles (61, 35.9%), encephalocoeles (24, 14.1%), anencephaly (6, 3.5%), and hydrocephalus (41, 24.1%). Acquired conditions were 1034 (85.9% of 1204): Head injuries (486, 47%), spinal cord injuries (51, 5%), Pyogenic brain Abscess (3, 0.3%), Pott's disease (2, 0.2%), Hydrocephalus (63, 6.1%), brain tumour (5, 0.5%), degenerative spine (421, 40.7%), vascular (3, 0.3%). Surgery was indicated in 348(28.9%) patients. Two hundred and twenty-six (18.8% of 1204) had surgeries, while 978 (81.2% of 1204) had no surgeries. Referred to other facilities were 122 (10.1%). Overall, surgical intervention was 64.9% (226 of 348), with mortality of 13.5% (18 patients) among those who had surgical interventions. Conclusions: In countries with very few medical specialists, particularly neurosurgeons, such a regular visit can impact the care of neurosurgical patients in their environment. |
| first_indexed | 2024-04-09T18:58:27Z |
| format | Article |
| id | doaj.art-adbaa648a1a548e1978955102be77f97 |
| institution | Directory Open Access Journal |
| issn | 2590-1397 |
| language | English |
| last_indexed | 2024-04-09T18:58:27Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Neurosurgery: X |
| spelling | doaj.art-adbaa648a1a548e1978955102be77f972023-04-09T05:49:51ZengElsevierWorld Neurosurgery: X2590-13972023-04-0118100161Impact of a visiting consultant neurosurgeon: The Nigerian experienceB. Usman0A. Ajulo1A.M. Abubakar2Neurosurgery Unit, Surgery Department, University of Maiduguri Teaching Hospital and the University of Maiduguri, Borno State, Nigeria; Visiting Neurosurgeon to the Surgery Department, Federal Medical Centre Yola, Adamawa State, Nigeria; Corresponding author. Neurosurgery unit, surgery department, university of Maiduguri teaching hospital and the University of Maiduguri, Borno State, Nigeria.Surgery Department, Federal Medical Centre Yola, Adamawa State, NigeriaSurgery Department, Federal Medical Centre Yola, Adamawa State, NigeriaObjective: To study the impact of a visiting consultant neurosurgeon on the management and outcome of neurosurgical patients in a hospital with no resident neurosurgeon. Methods: This is a 5-year retrospective study of neurosurgical conditions and their management outcomes by a visiting consultant neurosurgeon in a Nigerian Tertiary institution from January 2016 to December 2020. Results: Thousand two hundred and four (1,204) patients were reviewed. Patients' ages were between 1 h and to 86-year-olds, with a mean of 23 years and a mode of 32 ± 4 years. Children were 423 (35.1%), with 781(64.9%) adults. Males were 862 (71.6%), and Females were 342 (28.4%), with a Male to Female ratio of 5:2. Congenital problems were 170 (14.1% of 1204): meningocoeles (38, 22.4%), myelomeningocoeles (61, 35.9%), encephalocoeles (24, 14.1%), anencephaly (6, 3.5%), and hydrocephalus (41, 24.1%). Acquired conditions were 1034 (85.9% of 1204): Head injuries (486, 47%), spinal cord injuries (51, 5%), Pyogenic brain Abscess (3, 0.3%), Pott's disease (2, 0.2%), Hydrocephalus (63, 6.1%), brain tumour (5, 0.5%), degenerative spine (421, 40.7%), vascular (3, 0.3%). Surgery was indicated in 348(28.9%) patients. Two hundred and twenty-six (18.8% of 1204) had surgeries, while 978 (81.2% of 1204) had no surgeries. Referred to other facilities were 122 (10.1%). Overall, surgical intervention was 64.9% (226 of 348), with mortality of 13.5% (18 patients) among those who had surgical interventions. Conclusions: In countries with very few medical specialists, particularly neurosurgeons, such a regular visit can impact the care of neurosurgical patients in their environment.http://www.sciencedirect.com/science/article/pii/S2590139723000108ConsultantImpactNeurosurgeonNigeriaVisiting |
| spellingShingle | B. Usman A. Ajulo A.M. Abubakar Impact of a visiting consultant neurosurgeon: The Nigerian experience World Neurosurgery: X Consultant Impact Neurosurgeon Nigeria Visiting |
| title | Impact of a visiting consultant neurosurgeon: The Nigerian experience |
| title_full | Impact of a visiting consultant neurosurgeon: The Nigerian experience |
| title_fullStr | Impact of a visiting consultant neurosurgeon: The Nigerian experience |
| title_full_unstemmed | Impact of a visiting consultant neurosurgeon: The Nigerian experience |
| title_short | Impact of a visiting consultant neurosurgeon: The Nigerian experience |
| title_sort | impact of a visiting consultant neurosurgeon the nigerian experience |
| topic | Consultant Impact Neurosurgeon Nigeria Visiting |
| url | http://www.sciencedirect.com/science/article/pii/S2590139723000108 |
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