Evaluation of therapeutic procedures provided in the pediatric surgery unit at alexandria university pediatric hospital

ABSTRACT

Objectives: Statistical analysis of the pediatric surgery unit at Alex and ria University Children's Hospital [AUCH] retrospective survey from January 2009 to December 2011 and a prospective survey during the year of 2012, AUCH Pediatric Surgery Unit is a tertiary health care facility that serves four provinces [Alex and ria, Behira, Kafr El Sheikh and Marsa Matrouh], AUCH Pediatric Surgery Unit is the first pediatric surgical center established in Egypt by Professor Doctor El Sayed El Akkary in 1973. AUCH Pediatric Surgery Unit receives an average of 7200 cases in the outpatient clinic per year and its schedule has 4 operating list per week and emergency 24 hours a day seven days a week. The most common cause of neonatal admission to the unit during the year 2012 was anorectal malformations found in 68 cases followed by Tracheo-oesophageal fistula [TOF] in 53 cases, almost a case per week, The overall mortality among operated cases done to 1491 case during the year 2012 was 5% with 95% of cases cured and discharged, which is considered an excellent rate of cure and discharge compared to the overall mortality. Study Design: Retrospective survey from year 2009 till year 2011. Prospective survey starting from January 2012 till the end of December 2012. Results: Part I Results of the retrospective survey A total of 1798 patients were registered in the unit admission records for these three years. Part II Results of the prospective survey the total number of admissions to the pediatric surgical unit during year 2012 was 1491 patients.Conclusion: 1. Noticeable improvement in registration and recording from 2009- 2012. 2. Electronic recording is an important next step to help medical researching and future study. 3. Electronic records are very important in decision making, fund raising and upgrading of services. 4. Pediatric Surgery Unit in AUCH is a tertiary health care training center due to large volume of cases at national and international levels. 5. Mortality is mainly neonatal, so efforts should be directed to further reduce. Key words - Statistical analysis, - Demographic characteristics, - Pediatric surgery unit, Alex and ria university children hospital