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Study on transfers from paediatric unit, District Hospital, Kekirawa

Author:

W P H H Weerasinghe

District General Hospital, Vavuniya, LK
About W P H H

Acting Paediatrician, District General Hospital, Vavuniya

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Abstract

Background: District Hospital, Kekirawa (DHK) has a district medical officer, 2 medical officers (MOs), 1 MO-mental Health, 3 registered medical officers and a paediatrician. Transfers are sent to Base Hospital, Dambulla and Teaching Hospital, Anuradhapura. The hospital has one medical laboratory technician and is able to do full blood count, urine full report, bleeding time/clotting time and erythrocyte sedimentation rate.

Objectives: To see whether appointment of a paediatrician had a significant effect on the transfer rate and to identify the reasons for the transfers

 

Method: This is a prospective analysis of all transfers from the paediatric unit, DHK from 1st July to 31st December, 2007. Information was obtained from bedhead tickets. Details regarding transfers from 1st July to 31st December, 2006 were gathered from records and both were compared to see whether there is a statistically significant difference. Detailed analysis of the transfers in 2007 was done.

Results: From 1st July to 31st December 2006, 67(14.5%) of a total of 459 admissions were transferred while from 1st July to 31st December 2007, when there was a paediatrician, 69 (8.4%) of a total of 820 admissions were transferred. This is statistically significant (p<0.001). Out of 69 transfers 26% were due to lack of microbiological investigations, 23% for surgical opinion and 23% for x-rays.

Conclusions: Percentage of transfers was significantly reduced after appointment of a paediatrician (p<0.001). Main reasons for transfers were lack of facilities for microbiological investigation, lack of surgeon and lack of x-ray machine.

Sri Lanka Journal of Child Health, 2013; 42: 209-210

(Key words: Transfer; investigation; District Hospital Kekirawa)

DOI: http://dx.doi.org/10.4038/sljch.v42i4.6266

How to Cite: Weerasinghe, W.P.H.H., 2013. Study on transfers from paediatric unit, District Hospital, Kekirawa. Sri Lanka Journal of Child Health, 42(4), pp.209–210. DOI: http://doi.org/10.4038/sljch.v42i4.6266
Published on 15 Dec 2013.
Peer Reviewed

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