Cargando…

Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity

BACKGROUND: Pediatric anemia has a high prevalence in developing countries such as Pakistan. It is common knowledge among hospital specialties but little is done to manage this condition by hospitalists. The issue is compounded with a poor primary care infrastructure nationally. The aim of this stud...

Descripción completa

Detalles Bibliográficos
Autores principales: Ashraf, Mohammad, Kamboh, Usman Ahmad, Zubair, Mohammad, Sultan, Kashif Ali, Raza, Muhammad Asif, Hussain, Syed Shahzad, Ashraf, Naveed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982091/
https://www.ncbi.nlm.nih.gov/pubmed/33767879
http://dx.doi.org/10.25259/SNI_944_2020
_version_ 1783667647234179072
author Ashraf, Mohammad
Kamboh, Usman Ahmad
Zubair, Mohammad
Sultan, Kashif Ali
Raza, Muhammad Asif
Hussain, Syed Shahzad
Ashraf, Naveed
author_facet Ashraf, Mohammad
Kamboh, Usman Ahmad
Zubair, Mohammad
Sultan, Kashif Ali
Raza, Muhammad Asif
Hussain, Syed Shahzad
Ashraf, Naveed
author_sort Ashraf, Mohammad
collection PubMed
description BACKGROUND: Pediatric anemia has a high prevalence in developing countries such as Pakistan. It is common knowledge among hospital specialties but little is done to manage this condition by hospitalists. The issue is compounded with a poor primary care infrastructure nationally. The aim of this study is to bring to light the high prevalence of anemic children in neurosurgery and to describe the difficulties in managing their anemia in a tertiary hospital setting. A literature review is presented highlighting the socioeconomic difficulties that contribute to this widespread comorbidity and the difficulty in managing it from a hospital specialty point of view. METHODS: A prospective descriptive case series was carried out between March 2020 and September 2020. All patients under the age of 13 who presented to our department for traumatic brain injury (TBI) meeting our inclusion and exclusion criteria were enrolled and assessed for the presence and severity of anemia. Demographic data were collected. Following discharge, patients were referred to our hospital’s pediatrics’ anemia clinic which was before their first neurosurgery follow-up 2 weeks following discharge and attendance to follow up was documented. RESULTS: The prevalence of anemia was 78.9%. Over 95% of patients attended their neurosurgery follow-up but only 28% of patients attended their referral to the anemia clinic. CONCLUSION: Anemia is highly prevalent in children presenting to neurosurgery for TBI and its longitudinal management has difficulties with lost to follow up in a tertiary hospital setting. There is a need for national initiatives to reduce the prevalence of anemia but concurrently better strategies need to be devised to manage anemic children in a hospital setting.
format Online
Article
Text
id pubmed-7982091
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-79820912021-03-24 Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity Ashraf, Mohammad Kamboh, Usman Ahmad Zubair, Mohammad Sultan, Kashif Ali Raza, Muhammad Asif Hussain, Syed Shahzad Ashraf, Naveed Surg Neurol Int Original Article BACKGROUND: Pediatric anemia has a high prevalence in developing countries such as Pakistan. It is common knowledge among hospital specialties but little is done to manage this condition by hospitalists. The issue is compounded with a poor primary care infrastructure nationally. The aim of this study is to bring to light the high prevalence of anemic children in neurosurgery and to describe the difficulties in managing their anemia in a tertiary hospital setting. A literature review is presented highlighting the socioeconomic difficulties that contribute to this widespread comorbidity and the difficulty in managing it from a hospital specialty point of view. METHODS: A prospective descriptive case series was carried out between March 2020 and September 2020. All patients under the age of 13 who presented to our department for traumatic brain injury (TBI) meeting our inclusion and exclusion criteria were enrolled and assessed for the presence and severity of anemia. Demographic data were collected. Following discharge, patients were referred to our hospital’s pediatrics’ anemia clinic which was before their first neurosurgery follow-up 2 weeks following discharge and attendance to follow up was documented. RESULTS: The prevalence of anemia was 78.9%. Over 95% of patients attended their neurosurgery follow-up but only 28% of patients attended their referral to the anemia clinic. CONCLUSION: Anemia is highly prevalent in children presenting to neurosurgery for TBI and its longitudinal management has difficulties with lost to follow up in a tertiary hospital setting. There is a need for national initiatives to reduce the prevalence of anemia but concurrently better strategies need to be devised to manage anemic children in a hospital setting. Scientific Scholar 2021-02-23 /pmc/articles/PMC7982091/ /pubmed/33767879 http://dx.doi.org/10.25259/SNI_944_2020 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ashraf, Mohammad
Kamboh, Usman Ahmad
Zubair, Mohammad
Sultan, Kashif Ali
Raza, Muhammad Asif
Hussain, Syed Shahzad
Ashraf, Naveed
Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity
title Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity
title_full Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity
title_fullStr Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity
title_full_unstemmed Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity
title_short Prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: Unfolding of an underrated comorbidity
title_sort prevalence of anemia in pediatric patients of traumatic brain injury and problems associated with management in a developing country: unfolding of an underrated comorbidity
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982091/
https://www.ncbi.nlm.nih.gov/pubmed/33767879
http://dx.doi.org/10.25259/SNI_944_2020
work_keys_str_mv AT ashrafmohammad prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity
AT kambohusmanahmad prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity
AT zubairmohammad prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity
AT sultankashifali prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity
AT razamuhammadasif prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity
AT hussainsyedshahzad prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity
AT ashrafnaveed prevalenceofanemiainpediatricpatientsoftraumaticbraininjuryandproblemsassociatedwithmanagementinadevelopingcountryunfoldingofanunderratedcomorbidity