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DC Field | Value | Language |
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dc.contributor.author | Ndaro, Daniel Bulenga | - |
dc.contributor.author | Miller, Aaron | - |
dc.contributor.author | Ojakapeli, Ben | - |
dc.contributor.author | Wekesa, Emmanuel W | - |
dc.contributor.author | Mburu, Josephat | - |
dc.contributor.author | Barasa, Ivy | - |
dc.contributor.author | Sims-Williams, Hugh P. | - |
dc.contributor.author | Henderson, Fraser C. | - |
dc.contributor.author | Copeland, William R. | - |
dc.date.accessioned | 2024-06-11T05:26:56Z | - |
dc.date.available | 2024-06-11T05:26:56Z | - |
dc.date.issued | 2024 | - |
dc.identifier.uri | https://doi.org/10.1016/j.wneu.2024.05.119 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9247 | - |
dc.description.abstract | Background One strategy to increase the availability of neurosurgical services in underserved regions within Sub-Saharan African countries is to create new residency training programs outside of cosmopolitan cities where programs may already exist. In 2016 Tenwek Hospital in rural western Kenya began offering full-time neurosurgical services and in 2020 inaugurated a residency training program. This review highlights the operative epidemiology of the first 5 years of the hospital's neurosurgical department. Methods A retrospective review of all cases performed by a neurosurgeon at Tenwek Hospital between September 2016 and February 2022 was performed. Patient demographics, surgical indications, length of stay, and in-hospital mortality rates were collected. Results A total of 1756 cases were retrievable. Of these, 1006 (57.3%) were male and mean age was 30 years (range 1 day to 97 years). Mean length of stay was 11 ± 2 days and in-hospital mortality rate was 4.4% (77 patients). The most common pathologies in children comprised hydrocephalus and spina bifida (42.5% and 21.1%, respectively); in adults, cranial trauma (28.2%), oncology (25.2%), and degenerative spine (18.5%) were most common. Trauma was the leading cause of death. Conclusions The neurosurgical caseload of a rural hospital in an underserved area can provide not only an adequate neurosurgical volume, but a robust and varied exposure that is necessary for training safe and competent surgeons who are willing to remain in their countries of origin. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.subject | Epidemiology | en_US |
dc.subject | Neurosurgery | en_US |
dc.title | Operative epidemiology of the first five years in a New African Neurosurgery Training Center: The experience in Rural Kenya at Tenwek Hospital 2016 to 2021 | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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