Provision of general paediatric surgical services in a regional hospital

O. Zgraj, M. Clarke Moloney, C. Motherway, P. A. Grace

Research output: Contribution to journalArticlepeer-review

Abstract

Background: In Ireland, specialist paediatric surgery is carried out in paediatric hospitals in Dublin. General surgeons/consultants in other surgical specialities provide paediatric surgical care in regional centres. There has been a failure to train general surgeons with paediatric skills to replace these surgeons upon retirement. Aim: To assess paediatric surgical workload in one regional centre to focus the debate regarding the future provision of general paediatric surgery in Ireland. Methods: Hospital in-patient enquiry (HIPE) system was used to identify total number of paediatric surgical admissions and procedures. Cases assessed requiring hospital transfer. Results: Of 17,478 surgical patients treated, 2,584 (14.8%) were under 14 years. A total of 2,154 procedures were performed. Conclusion: Regional centres without dedicated paediatric surgeons deliver care to large numbers of paediatric patients. The demand for care highlights the need for formal paediatric services/appropriate surgical training for general surgical trainees.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalIrish Journal of Medical Science
Volume179
Issue number1
DOIs
Publication statusPublished - Mar 2010
Externally publishedYes

Keywords

  • Hospital in-patient enquiry (HIPE)
  • Paediatric admissions
  • Paediatric surgery
  • Regional surgical services
  • Surgical admissions

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