Croatian clinical epidemiological study (2008–2011): the use of standardised risk scores in paediatric congenital cardiac surgery for a case complexity selection and gradual progress of cardiosurgical model in developing countries

Dilber, Daniel; Malčić, Ivan; Buljević, Andrea Dasović; Anić, Darko; Belina, Dražen; Zovko, Ana

doi:10.1017/s1047951113002060

Cited by 2 publications

(1 citation statement)

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“…Posljednjih je godina postotak upućivanja u inozemstvo značajno smanjen, s prethodnih 60%, odnosno oko 100-tinjak bolesnika godišnje (koliko je bio do 2007. godine) i 40%, odnosno oko 80 -100 bolesnika (2007. -2016. godine), na manje od 20% u 2020. godini, odnosno 65 djece 3,4,5 . Godine 2021. u inozemstvo je na zahvat (bilo kirurški, bilo intervencijski) poslano svega 35 pacijenta, a prošle godine svega 20 pacijenata.…”

Section: Pediatric Cardiology; Congenital Heart Defects; Cardiac Cath...unclassified

Report on the work of the Reference center for pediatric cardiology Ministry of Health of the Republic of Croatia

2023

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Section: Pediatric Cardiology; Congenital Heart Defects; Cardiac Cath...unclassified

Report on the work of the Reference center for pediatric cardiology Ministry of Health of the Republic of Croatia

2023

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Paediatric and congenital cardiac surgery in emerging economies: surgical ‘safari’ versus educational programmes

Corno

2016

Interact CardioVasc Thorac Surg

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To attract the interest of all people potentially involved in humanitarian activities in the emerging economies, in particular giving attention to the basic requirements of the organization of paediatric cardiac surgery activities, the requirements for a successful partnership with the local existing organizations and the basic elements of a patient-centred multidisciplinary integrated approach. Unfortunately, for many years, the interventions in the low and middle income countries were largely limited to short-term medical missions, not inappropriately nicknamed 'surgical safari', because of negative general and specific characteristics. The negative aspects and the limits of the short-term medical missions can be overcome only by long-term educational programmes. The most suitable and consistent models of long-term educational programmes have been combined and implemented with the personal experience to offer a proposal for a long-term educational project, with the following steps: (i) site selection; (ii) demographic research; (iii) site assessment; (iv) organization of surgical educational teams; (v) regular frequency of surgical educational missions; (vi) programme evolution and maturation; (vii) educational outreach and interactive support. Potential limits of a long-term educational surgical programme are: (i) financial affordability; (ii) basic legal needs; (iii) legal support; (iv) non-profit indemnification. The success should not be measured by the number of successful operations of any given mission, but by the successful operations that our colleagues perform after we leave. Considering that the children in need outnumber by far the people able to provide care, in this humanitarian medicine there should be plenty of room for cooperation rather than competition. The main goal should be to provide teaching to local staff and implement methods and techniques to support the improvement of the care of the patients in the long run. This review focuses on the organization of paediatric cardiac activities in the emerging economies, but 'the less privileged parts of the world' can be anywhere, not necessarily limited to economic constraints. Lack of diversity because of social, intellectual, educational and professional growth, the last consisting in cultural stagnation, is responsible for the lack of scientific progress and development.

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Croatian clinical epidemiological study (2008–2011): the use of standardised risk scores in paediatric congenital cardiac surgery for a case complexity selection and gradual progress of cardiosurgical model in developing countries

Cited by 2 publications

References 22 publications

Report on the work of the Reference center for pediatric cardiology Ministry of Health of the Republic of Croatia

Report on the work of the Reference center for pediatric cardiology Ministry of Health of the Republic of Croatia

Paediatric and congenital cardiac surgery in emerging economies: surgical ‘safari’ versus educational programmes

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