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The Caribbean and New York: the heart connection - abstract
West Indian med. j ; 37(Suppl): 15, 1988.
Artigo em Inglês | MedCarib | ID: med-6632
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
An association between North Shore University Hospital, New York and the Caribbean region started in 1982, whereby Caribbean children needing cardiac surgery were operated on at North Shore at no, or nominal, cost to the patient. During the last 6 years, 239 patients were referred for cardiac surgery 107 from Trinidad, 69 from Barbados, 19 from Jamaica, 18 from Saint Vincent, 17 from Saint Lucia, 4 from Dominica, 2 from Antigua and one each from Anguilla, Grenada and Nevis. Fifty of the patients were catheterised in Barbados between 1982 and 1985, and 55 were catheterised at Brookdale Hospital, New York, in 1986 - 1987. The other patients were catheterise at North Shore. Two hundred and sixteen (216) patients have had surgery - 180 open and 36 closed heart. Four had pacemaker implantations, 3 balloon valvuloplasties and 2 balloon atrial septostomies. There were 7 operative deaths (3.2 percent mortality) and 4 late deaths. An analysis of the programme points overwhelmingly to its high degree of success. Over the last 2 years, the programme has expanded to include 4 other major hospitals in New York. The programme is critically dependent on a system of co-operation and co-ordination between the referring and accepting physicians. Well-developed links have also been developed wihtin the wider New York based West Indian community. These links provide crucial logistic support to both patients and their families, thus increasing the economic viability of the programme while decreasing the trauma associated with the physical dislocation of extra-regional surgery. While the success of the programme is noted, it should in no way detract from the need to accelerate plans aimed at the development of an active open-heart surgical programme in the region (AU)
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Meta 3.8 Atingir a cobertura universal de saúde Problema de saúde: Arranjos de Entrega Base de dados: MedCarib Assunto principal: Cirurgia Torácica / Cooperação Internacional Limite: Humanos País/Região como assunto: América do Norte Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1988 Tipo de documento: Artigo / Congresso e conferência
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Meta 3.8 Atingir a cobertura universal de saúde Problema de saúde: Arranjos de Entrega Base de dados: MedCarib Assunto principal: Cirurgia Torácica / Cooperação Internacional Limite: Humanos País/Região como assunto: América do Norte Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1988 Tipo de documento: Artigo / Congresso e conferência
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