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首页> 外文期刊>Surgery Research and Practice >Surgical Task Shifting Helps Reduce Neonatal Mortality in Ethiopia: A Retrospective Cohort Study
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Surgical Task Shifting Helps Reduce Neonatal Mortality in Ethiopia: A Retrospective Cohort Study

机译：手术任务转移有助于减少埃塞俄比亚的新生儿死亡率：回顾性队列研究

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Background. To improve access to surgical service and to reduce neonatal mortality Ethiopia implemented surgical task shifting to nonphysician surgeons (NPSs). We aim at assessing surgical outcomes between NPSs and physician surgeons working in two hospitals. Methods. We collected data from two hospitals on 474 maternal medical records. Completed maternal medical records were included in this study. Data were entered into Epi Info version 7 and analyzed by SPSS version 20 software. Both descriptive and inferential statistics were done. If the 95% confidence interval values exclude the null value, the factor was considered as a significant factor. Result. Totally, 3429 mothers delivered in two hospitals. Of them, 840 (24.5%) delivered by caesarian section (CS), but 474 mothers’ records meet the inclusion criteria included in this study. Of 474 CS deliveries, the majority (82%) of them were performed by NPS. Maternal or fetal emergency conditions were the main reasons (92.0%, n=436) for CS. Task shifting does not affect immediate newborn outcomes (ARR, 1.24 (0.55, 2.78)), but duration of hospitalization (ARR: 4 (2.3, 7.5)), condition of the fetus during admission (ARR: 5.22 (2.9, 9.2)), and type of anesthesia used (ARR: 0.2 (0.1, 0.4)) significantly determine the outcome. Conclusion. Surgical task shifting to NPS does not affect the immediate newborn outcome. But general anesthesia is one of the major factors that affects the outcome.
机译：背景。为了改善手术服务的进入，减少新生儿死亡率埃塞俄比亚实施的手术任务转移到非心理外科医生（NPSS）。我们的目标是评估在两家医院工作的NPSS和医师外科医生之间的手术成果。方法。我们在474名医疗记录中收集了两家医院的数据。完成了孕产妇医疗记录。数据被输入到EPI Info版本7中，并由SPSS版本20软件分析。描述性和推理统计数据都完成了。如果95％置信区间值排除空值，则该因素被视为一个重要因素。结果。完全，3429名母亲送入两家医院。其中，840（24.5％）由凯瑟尼亚（CS）交付，但474名母亲的记录符合本研究中包含的纳入标准。在474CS交付中，其中大多数（82％）由NPS进行。母体或胎儿应急状况是CS的主要原因（92.0％，n = 436）。任务转移不会影响即时新生儿结果（ARR，1.24（0.55,2.78）），但住院期间的持续时间（ARR：4（2.3,7.5）），入学期间胎儿的状况（ARR：5.22（2.9,9.2））和使用的麻醉类型（ARR：0.2（0.1,0.4））显着确定结果。结论。移向NPS的手术任务不会影响直接新生儿结果。但是全身麻醉是影响结果的主要因素之一。

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