Surgical care and trauma patients capacity in Perú - Cross-sectional study

  • Roxanna M. Garcia Department of Neurosurgery, Northwestern University. https://orcid.org/0000-0002-4083-9893
  • Carlos Javier Shiraishi-Zapata Surgery and Anesthesiology Service, Hospital II Integrado Talara EsSalud. Talara, Perú. Second Specialization Unit, School of Health Sciences, Universidad Nacional de Piura, Perú. https://orcid.org/0000-0003-4020-7172
  • Ricardo César Zúñiga Vallejos Surgery Service, Hospital II Integrado Talara EsSalud. Talara, Perú.
  • Dante Pool Gil Chiroque Surgery Service, Hospital de Apoyo II-2 Sullana. Sullana, Perú.
  • Mario Alejandro Oyanguren Maldonado Surgery Service, Hospital de Apoyo II-2 Sullana. Sullana, Perú. https://orcid.org/0000-0003-3841-5773
  • Juan Carlos Paico Palacios Surgery and Anesthesiology Service, Hospital II-1 “Manuel Javier Nomberto”. Chulucanas, Perú.
  • Ebella Estela Romero Nursing Service, Hospital II-1 “Manuel Javier Nomberto”. Chulucanas, Perú.
  • Aldo Humberto Villarreal Álamo Surgery and Anesthesiology Service, Hospital II “Jorge Reátegui Delgado” EsSalud. Piura, Perú.
  • Jaime Sergio Castillo Tovar Surgery and Anesthesiology Service, Hospital II Integrado Talara EsSalud. Talara, Perú. Second Specialization Unit, School of Health Sciences, Universidad Nacional de Piura, Perú.
  • Salomón Jesús Aguirre Uribe Surgery and Anesthesiology Service, Hospital II-1 “Nuestra Señora de las Mercedes”. Paita, Perú.
  • Renato Díaz Ruiz Pediatrics Service, Hospital III “José Cayetano Heredia” EsSalud. Piura, Perú. https://orcid.org/0000-0002-3369-3881
  • Yovanky Miluska More Vilela Anesthesiology Service and Surgical Center “Telésforo León Velasco”, Hospital III “José Cayetano Heredia” EsSalud. Piura, Perú.
Keywords: Surgery, Anesthesia, Health Status Disparities, Public Health Systems Research, Perú

Abstract

Introduction: Low and medium income countries face challenges in access to, and delivery of, surgical care, resulting in a high number of deaths and disabled individuals.

Objective: To estimate the capacity to provide surgical and trauma patients care in public hospitals in the Piura region,   Perú, a middle income country.

Methods: A survey was administered in public hospitals in the Peruvian region of Piura, which combined the Spanish versions of the PIPES and INTACT surveys, and the WHO situational analysis tool. The extent of the event was assessed based in the absolute differences between the medians of the scores estimated, and the Mann-Whitney bilateral tests, according to the geographical location and the level of hospital complexity.

Results: Seven public hospitals that perform surgeries in the Piura region were assessed. Three provinces (3/8) did not have any complexity healthcare institutions. The average hospital in the peripheral provinces tended to be smaller than in the capital province in INTACT (8.25 vs. 9.5, = 0.04). Additionally, water supply issues were identified (2/7), lack of incinerator (3/7), lack of uninterrupted availability of a CT-scanner (5/7) and blood bank working hours (2/7); in other words, the blood banks in two hospitals were not open 24 hours.

Conclusions: There is a significant inequality among the provinces in the region in terms of their trauma care capacities and several shortfalls in the public sector healthcare infrastructure. This information is required to conduct future research on capacity measurements in every public and private institution in Perú.

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How to Cite
1.
Garcia RM, Shiraishi-Zapata CJ, Zúñiga Vallejos RC, Gil Chiroque DP, Oyanguren Maldonado MA, Paico Palacios JC, et al. Surgical care and trauma patients capacity in Perú - Cross-sectional study. Colomb. J. Anesthesiol. [Internet]. 2022 Dec. 16 [cited 2024 Jul. 25];51(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1058

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Published
2022-12-16
How to Cite
1.
Garcia RM, Shiraishi-Zapata CJ, Zúñiga Vallejos RC, Gil Chiroque DP, Oyanguren Maldonado MA, Paico Palacios JC, et al. Surgical care and trauma patients capacity in Perú - Cross-sectional study. Colomb. J. Anesthesiol. [Internet]. 2022 Dec. 16 [cited 2024 Jul. 25];51(1). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1058
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