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Tytuł:
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Shifting the Paradigm of Emergency Care in Developing Countries.
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Autorzy:
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Khan A; Emergency Medicine, Stanford University School of Medicine.
Penoff BT; Payments, Google Inc.
Pirrotta EA; Department of Emergency Medicine, Stanford University School of Medicine.
Hosang R; School of Public Health, University of California, Berkeley.
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Źródło:
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Cureus [Cureus] 2018 Feb 22; Vol. 10 (2), pp. e2219. Date of Electronic Publication: 2018 Feb 22.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Palo Alto, CA : Cureus, Inc.
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References:
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Prehosp Disaster Med. 2010 Nov-Dec;25(6):533-9. (PMID: 21181688)
Hum Resour Health. 2009 Jun 21;7:49. (PMID: 19545398)
BMJ. 2004 Jan 3;328(7430):6. (PMID: 14703524)
Lancet. 2006 May 27;367(9524):1747-57. (PMID: 16731270)
Lancet. 2008 Sep 13;372(9642):870-1. (PMID: 18790295)
Global Health. 2012 Jun 11;8:14. (PMID: 22686126)
J Trauma. 2002 Jul;53(1):90-7. (PMID: 12131396)
Ann Emerg Med. 2010 Aug;56(2):142-9. (PMID: 20138398)
Health Policy. 2004 Nov;70(2):137-49. (PMID: 15364144)
Emerg Med Clin North Am. 2005 Feb;23(1):11-29. (PMID: 15663971)
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Contributed Indexing:
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Keywords: burden of disease; epidemiology; global health; international medicine
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Entry Date(s):
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Date Created: 20180425 Latest Revision: 20220409
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Update Code:
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20240105
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PubMed Central ID:
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PMC5910017
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DOI:
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10.7759/cureus.2219
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PMID:
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29686960
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Background The global agenda does not address a significant amount of preventable death in low- and middle-income countries (LMICs). While illnesses requiring acute care are increasing at an alarming rate in these countries, there are inadequate numbers of physicians or nurses to deal with the growing burden. Many people feel that emergency systems are too expensive and restricted in scope to have public health implications in resource-limited areas. Little empirical data exists to suggest otherwise. The goal of this study was to delineate the type and frequency of emergency conditions and define a novel method to estimate the burden of emergency diseases in Fort Liberte, Haiti. Methods A retrospective, cross-sectional medical record review was performed on all emergency room visits to Fort Liberte Hospital in 2009 and 2010. The type, frequency, and annual incidence of emergency conditions were identified and used to determine the burden of emergency disease. A disability-adjusted life year (DALY) calculation was estimated using a variation on a model of indirect national data extrapolation to cities. Results Nineteen months of data available yielded 2000 charts with 2284 diagnoses in total. Trauma was the most common illness at 13% of all charts, followed by abdominal pain at 11%, gastroenteritis at 8%, skin and soft tissue infections at 7%, and hypertension at 6%. The DALY calculation showed disability from emergency conditions to be five times that of HIV, malaria, and TB combined. Conclusions Sufficient emergency burden of disease affects population health in Fort Liberte, Haiti to warrant addressing it as a public health concern. The kinds of conditions described in this review may be amenable to task shifting as a feasible, sustainable, and scalable way to address the burden in a cost-effective manner.
Competing Interests: The authors have declared that no competing interests exist.