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Year : 2021  |  Volume : 18  |  Issue : 1  |  Page : 39-42

Waiting time for short-stay surgery in a paediatric surgery department

1 Department of Pediatric Surgery, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger
2 Department of Pediatric Surgery, Faculty of Health Sciences, National Hospital of Zinder, University of Zinder, Zinder, Niger

Correspondence Address:
Dr. Mahamoud Omid Ali Ada
BP 10394, Department of Pediatric Surgery, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_39_20

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Aim: The aim of this study was to assess the waiting time (WT) for a short-stay surgery and determine its possible determinant factors. Patients and Methods: This was a retrospective study conducted in the Department of Paediatric Surgery at the National Hospital of Lamordé of Niamey, Niger. It included patients aged 0–15 years who benefitted from a short-stay surgery (24–48 h of hospitalisation) during a period of 19 months (1st January 2017 - 31st July 2018). Patient, diagnosis and surgical treatment data were gathered. WT was the time elapsed between the indication of a surgical operation and its realisation. The Kruskal–Wallis test was used with a threshold statistical significance of < 0.05. Results: Short-stay surgery constituted 25.4% of all operating activities (n = 271). Inguinal or inguinoscrotal hernia was the most frequent pathology at 31.38% (n = 85). The mean WT was of 116.6 days (range: 4–491 days) and the median was 114 days. WT was greater than or equal to 3 months for 63.9% of the patients (n = 173). Based on pathology, the mean WT varied between 57.5 days (ovarian hernia) and 163.6 days (5.8 months) for epigastric hernia. A significantly longer WT was observed with the presence of a comorbidity (P = 0.0352) but was not associated with patient residence (P = 0.0951). Conclusion: A long WT for a short-stay surgery should be improved upon by different interventions with respect to the supply and demand of care and the setting of priorities.

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