4 research outputs found
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The impact of trisomy 21 on epidemiology, management, and outcomes of congenital duodenal obstruction: a population-based study
Abstract: Purpose: Congenital duodenal obstruction (CDO) is associated with trisomy 21 (T21), or Down’s syndrome, in around a third of infants. The aim of this study was to explore the impact of T21 on the epidemiology, management, and outcomes of infants with CDO. Methods: Data were prospectively collected from specialist neonatal surgical centres in the United Kingdom over a 12 month period from March 2016 using established population-based methodology for all babies with CDO. Infants with T21 were compared to those without any chromosomal anomaly. Results: Of 102 infants with CDO that underwent operative repair, T21 was present in 33 [32% (95% CI 23–41%)] babies. Cardiac anomalies were more common in those with T21 compared to those without a chromosomal anomaly (91 vs 17%, p < 0.001), whereas associated gastrointestinal anomalies were less common in infants with T21 (3 vs 12%, p = 0.03). Surgical management was not influenced by T21. Time to achieve full enteral feed, need for repeat related surgery, and mortality were similar between groups. Infants with T21 had a longer median initial inpatient stay (23 vs 16.5 days, p = 0.02). Conclusions: Infants with T21 have a higher incidence of cardiac anomalies and a longer initial inpatient stay; however, it does not change CDO management or outcomes. This information is important for prenatal and postnatal counselling of parents of infants with CDO and T21
Recommended from our members
The impact of trisomy 21 on epidemiology, management, and outcomes of congenital duodenal obstruction: a population-based study
Abstract: Purpose: Congenital duodenal obstruction (CDO) is associated with trisomy 21 (T21), or Down’s syndrome, in around a third of infants. The aim of this study was to explore the impact of T21 on the epidemiology, management, and outcomes of infants with CDO. Methods: Data were prospectively collected from specialist neonatal surgical centres in the United Kingdom over a 12 month period from March 2016 using established population-based methodology for all babies with CDO. Infants with T21 were compared to those without any chromosomal anomaly. Results: Of 102 infants with CDO that underwent operative repair, T21 was present in 33 [32% (95% CI 23–41%)] babies. Cardiac anomalies were more common in those with T21 compared to those without a chromosomal anomaly (91 vs 17%, p < 0.001), whereas associated gastrointestinal anomalies were less common in infants with T21 (3 vs 12%, p = 0.03). Surgical management was not influenced by T21. Time to achieve full enteral feed, need for repeat related surgery, and mortality were similar between groups. Infants with T21 had a longer median initial inpatient stay (23 vs 16.5 days, p = 0.02). Conclusions: Infants with T21 have a higher incidence of cardiac anomalies and a longer initial inpatient stay; however, it does not change CDO management or outcomes. This information is important for prenatal and postnatal counselling of parents of infants with CDO and T21
Patients Attitude towards Surgeons Attire in Our Lady of Lourdes Hospital Drogheda
Background: A doctor’s competence and professionalism is often judged on the basis of attire. Our Lady of
Lourdes (OLOL) is a leading Irish hospital in the implementation of Bare Below the Elbows (BBTE) policy,
however surgical attire is not standardised and there is great variability in attire worn on wards. We aimed to
evaluate patients attitude towards surgeons attire in OLOL.
Methods:A prospective survey of adult surgical in-patients was conducted from October 2013 to February
2014. A twelve-question questionnaire was used as data collection tool, using a five point Likert scale to assess
patients response to each question. Data were collected on patient demographics, patients level of trust and
confidence based on different surgical attire, and patients perception of different attire worn by surgical teams.
Results:There were 150 completed surveys during the study period with a male to female ratio of 44% to
56% respectively. The mean patient length of in-hospital stay (LOS) was 4.7 days (range 1–22). The most
commonly represented age group was 30–40 years (18%), with a comparable spread among all age groups.
The majority of patients found the attire worn by surgeons on the ward to be very appropriate (93%). Majority
of responders believed scrubs to be the most appropriate attire for surgeons on wards (39%), followed by shirt
and tie with white coat (38%) followed by short sleeved shirt and no tie (18%). Shirt and tie with white coat
had a positive effect on patients trust in 63% of responders, a negative effect in 10% and no effect in 26%.
Scrubs had a positive effect on patients trust in 63%, negative effect in 11% and no effect in 25%. Short sleeved
shirt and no tie had a positive effect in 44%, negative effect in 25% and no effect in 30% of patients.
Conclusion:Patients in OLOL find attire worn by surgeons to be appropriate. Shirt and tie with white coat
or scrubs remains the patient’s choice attire for surgeons. Shirt and tie with white coat or scrubs has a more
positive effect on trust of patients compared to short sleeved shirt and no tie
Patients attitude towards surgeons attire in Our Lady of Lourdes Hospital Drogheda
Background:
A doctor’s competence and professionalism is often judged on the basis of attire. Our Lady of
Lourdes (OLOL) is a leading Irish hospital in the implementation of Bare Below the Elbows (BBTE) policy,
however surgical attire is not standardised and there is great variability in attire worn on wards. We aimed to
evaluate patients attitude towards surgeons attire in OLOL.
Methods:
A prospective survey of adult surgical in-patients was conducted from October 2013 to February
2014. A twelve-question questionnaire was used as data collection tool, using a five point Likert scale to assess
patients response to each question. Data were collected on patient demographics, patients level of trust and
confidence based on different surgical attire, and patients perception of different attire worn by surgical teams.
Results:
There were 150 completed surveys during the study period with a male to female ratio of 44% to
56% respectively. The mean patient length of in-hospital stay (LOS) was 4.7 days (range 1–22). The most
commonly represented age group was 30–40 years (18%), with a comparable spread among all age groups.
The majority of patients found the attire worn by surgeons on the ward to be very appropriate (93%). Majority
of responders believed scrubs to be the most appropriate attire for surgeons on wards (39%), followed by shirt
and tie with white coat (38%) followed by short sleeved shirt and no tie (18%). Shirt and tie with white coat
had a positive effect on patients trust in 63% of responders, a negative effect in 10% and no effect in 26%.
Scrubs had a positive effect on patients trust in 63%, negative effect in 11% and no effect in 25%. Short sleeved
shirt and no tie had a positive effect in 44%, negative effect in 25% and no effect in 30% of patients.
Conclusion:
Patients in OLOL find attire worn by surgeons to be appropriate. Shirt and tie with white coat
or scrubs remains the patient’s choice attire for surgeons. Shirt and tie with white coat or scrubs has a more
positive effect on trust of patients compared to short sleeved shirt and no ti