World journal of surgery
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World journal of surgery · Dec 2014
Preventable and potentially preventable deaths in severely injured elderly patients: a single-center retrospective data analysis of a German trauma center.
Due to widespread demographic changes, populations in industrial countries are ageing. A common tool for quality improvement of trauma care is the analysis of deaths in trauma patients. This study focuses on preventable or potentially preventable deaths, and on patterns of errors in severely injured elderly patients, a group that is under-represented in the literature. ⋯ The rate of preventable or potentially preventable deaths in severely injured elderly patients is similar to that reported for other age groups. Thus, most errors were human judgment errors or human treatment errors; therefore, education and training in the treatment of severely injured patients is extremely important.
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World journal of surgery · Dec 2014
Surgical needs of Nepal: pilot study of population based survey in Pokhara, Nepal.
The Surgeons OverSeas assessment of surgical need (SOSAS) tool, a population-based survey on surgical conditions in low- and middle-income countries (LMICs), was performed in Sierra Leone and Rwanda. This pilot study in Nepal is the initial implementation of the SOSAS survey in South Asia. ⋯ The SOSAS pilot study in Nepal was successfully conducted, demonstrating the feasibility of performing SOSAS in South Asia. The estimated 5 % current unmet surgical need will be used for sample size calculation for the full country survey. Utilizing and improving on the SOSAS tool to measure the prevalence of surgical conditions in Nepal will help enumerate the global surgical burden of disease.
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World journal of surgery · Dec 2014
EditorialA proposed matrix for planning global surgery interventions.
The concept of surgery and global health is gaining acceptance; however, a great deal of confusion still exists as to what constitutes global surgery. To facilitate the overall view of how surgical care in a low resource setting can be integrated into a health system, a matrix for planning global surgery interventions has been developed. ⋯ The matrix also allows for the inclusion of information on surgical capacity for personnel, infrastructure, procedure, equipment, and supplies. This simple tool can assist researchers, program implementers, policy makers, and donors understand how to improve the delivery of surgical care to the billions of people around the world in need.