Obstetric brachial plexus injury. Knowledge among health care providers in Saudi Arabia
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Published on: December 19, 2019
Rakan S Al-Essa1, Rakan M Al-Khilaiwi, Ali A Al-Qahtani
1Division of Plastic Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail. alessa015@ksau-hs.edu.sa.
Insights
Healthcare professionals in Riyadh demonstrate inadequate knowledge regarding obstetric brachial plexus injury. This knowledge gap appears to contribute to delayed referrals to specialized Hand Clinics for affected infants.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Physical Therapy
- Occupational Therapy
- Neurology
Background:
- Obstetric brachial plexus injury (OBPI) is a significant concern affecting newborns.
- Timely diagnosis and referral are crucial for optimal management of OBPI.
- Understanding healthcare professionals' knowledge is key to improving referral pathways.
Purpose of the Study:
- To evaluate the baseline knowledge of OBPI among obstetricians, pediatricians, and therapists in Riyadh.
- To determine if insufficient knowledge leads to delayed referrals to Hand Clinics.
Main Methods:
- Cross-sectional questionnaire-based study conducted in 5 major Riyadh hospitals (June-August 2015).
- A 6-question multiple-choice survey assessed knowledge among 323 participants.
- Knowledge levels were categorized as good (5-6), adequate (3-4), or inadequate (<3).
Main Results:
- The overall mean knowledge score was low (2.95/6), even among consultants.
- No significant differences in mean scores were observed across different medical specialties.
- Hospital IV achieved the highest mean score (2.99/6).
Conclusions:
- Inadequate knowledge regarding OBPI is prevalent among healthcare professionals in Riyadh.
- This knowledge deficit is a likely factor contributing to delayed referrals to Hand Clinics.
- Educational interventions may be necessary to improve OBPI management and referral timeliness.
Objectives:
To assess the basic knowledge on obstetric brachial plexus injury among obstetricians, pediatricians, and physio-/occupational therapists in major hospitals in Riyadh. We aimed to identify if inadequate knowledge is the reason behind delayed referrals to the Hand Clinic. Methods: This is a cross-sectional questionnaire-based study conducted at 5 major hospitals in Riyadh, Saudi Arabia between June 2015 and August 2015. A questionnaire of 6 questions (multiple choice closed-ended questions) was given to obstetricians, pediatricians, and physio-/occupational therapists' in these selected hospitals. The total score out of 6 was categorized as good, adequate, and inadequate knowledge if the score is 5-6, 3-4, and less than 3; respectively. The data were analyzed with Chi-square, fisher exact, Analysis of Variance, and Post-hoc tests where appropriate. Results: A total of 323 subjects participated in the study. For positions, the best mean score (for all 6 questions) was scored by consultants and the score was only 2.95 out of 6. For hospitals, Hospital IV scored the best mean score (2.99). The mean scores were not significantly different between different specialties. Conclusion: Inadequate knowledge seems to be a reason for delayed referrals of cases of obstetric brachial plexus injury to Hand Clinics in Riyadh, Saudi Arabia.
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