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Pediatric Otolaryngology Short-Term Mission Outcomes at a Surgical Mission Hospital in Guatemala

Kelsey Richard1, Rosangela Sanchez2, Barbara Amado2

  • 1Medical Doctorate Program, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|July 19, 2023
PubMed

Insights

Humanitarian surgical missions can provide effective care in low-resource settings. Patient outcomes, including follow-up rates and complications, vary by surgical procedure and distance to the center.

Area of Science:

  • Global Health
  • Surgical Outcomes
  • Low-Resource Healthcare

Background:

  • Humanitarian surgical mission trips are increasing globally.
  • Research on patient outcomes from these missions has not kept pace.
  • Effective models for surgical care in low- and middle-income countries are needed.

Purpose of the Study:

  • To analyze the safety and efficacy of surgeries at a mission-based center in Guatemala.
  • To identify factors influencing surgical outcomes and follow-up adherence.
  • To evaluate pediatric otolaryngology surgical care in a low-resource environment.

Main Methods:

  • Retrospective cohort study of 1094 pediatric otolaryngologic surgeries (2017-2019).
  • Analysis of patient, surgical, and geographic factors affecting follow-up and complications.
  • Univariate and multivariate statistical analyses were employed.

Main Results:

  • Adenotonsillectomies (37.4%) and cleft lip/palate repairs (26.8%) were common procedures.
  • 89% attended the first follow-up, but only 55% attended the second.
  • Complications occurred in 6.3% of patients, with higher rates for cleft lip/palate repairs.

Conclusions:

  • The Moore Center demonstrates effective surgical care delivery in a low-resource setting.
  • Surgical complications and follow-up adherence are diagnosis-dependent.
  • Improving follow-up retention for complex cases and reducing cleft repair complications are key areas for enhancement.
Abstract

Keywords:
global surgerymissionoutcomespediatric otolaryngology

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