牙买加19年儿童心脏手术志愿者计划的经验教训:伙伴关系,团队合作和可持续性
Sanjhai L Ramdeen1, Sherard G H Little2, Sharonne Forrester2
1Departments of Surgery and Pediatrics, Congenital Heart Center, University of Florida, Gainesville, Florida; Cardiac Kids Foundation of Florida, St Petersburg, Florida; Department of Cardiac Surgery, Frankel Cardiovascular Center, University of Michigan, Ann Arbor, Michigan.
The Annals of thoracic surgery
|April 6, 2025
概括
在牙买加,一个长达19年的儿科心脏手术项目成功地将手术领导权转交给了当地团队. 这次合作展示了一种可持续的模式,用于改善资源有限的环境中的儿科心脏护理.
科学领域:
- 心血管外科心血管外科
- 全球健康 全球健康
- 儿科手术 儿科手术
背景情况:
- 在牙买加的儿科心脏手术志愿者计划中拥有19年的经验 (2006-2024年).
- 专注于将手术责任转移到当地团队.
研究的目的:
- 回顾一下牙买加一家小儿心脏手术志愿者计划的19年经验.
- 检查手术责任的过渡,病例复杂性和手术死亡率.
主要方法:
- 具有前性维护数据库的回顾性研究.
- 收集的数据:诊断,手术,外科医生,患者人口统计,并发症和手术死亡率.
主要成果:
- 在137名患者 (平均年龄5.2岁) 进行了142次儿科心脏手术.
- 在18年 (2007-2024年) 的时间里,外科领导从访问到当地外科医生过渡.
- 手术后死亡率为3.5% (142例中的5例).
结论:
- 一个19年的合作促进了可持续的伙伴关系.
- 实现了手术领导的逐步和安全转移到当地牙买加团队.
- 该计划突出了国际医学合作和能力建设的成功模式.
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