SidaGhanaV1, Main, Exploration, bibRecord, 000319

Individual and Medical Characteristics of Adults Presenting to an Urban Emergency Department in Ghana

Identifieur interne : 000319 ( Main/Exploration ); précédent : 000318; suivant : 000320

Individual and Medical Characteristics of Adults Presenting to an Urban Emergency Department in Ghana

Auteurs : R A Oteng [États-Unis, Ghana] ; Lk Whiteside [États-Unis] ; S D Rominski [États-Unis] ; J H Amuasi [Ghana] ; P M Carter [États-Unis] ; P. Donkor [Ghana] ; R. Cunningham [États-Unis]

Source :

Ghana Medical Journal [ 0016-9560 ] ; 2015.

RBID : PMC:4676600

Abstract

SummaryBackground

The aims of this study were to characterize the patients seeking acute care for injury and non-injury complaints in an urban Emergency Department in Ghana in order to 1) inform the curriculum of the newly developed Emergency Medicine resident training program 2) improve treatment processes, and 3) direct future community-wide injury prevention policies

Study Design

A prospective cross-sectional survey of patients 18 years or older seeking care in an urban Accident and Emergency Center (AEC) was conducted between 7/13/2009 and 7/30/2009. Questionnaires were administered by trained research staff and each survey took 10–15 minutes to complete. Patients were asked questions regarding demographics, overall health and chief complaint.

Results

254 patients were included in the sample. Participants' chief complaints were classified as either medical or injury-related. Approximately one third (38%) of patients presented with injuries and 62% presented for medical complaints. The most common injury at presentation was due to a road traffic injury, followed by falls and assault/fight. The most common medical presentation was abdominal pain followed by difficulty breathing and fainting/ blackout. Only 13% arrived to AEC by ambulance and 51% were unable to ambulate at the time of presentation.

Conclusion

Approximately one-third of non-fatal adult visits were for acute injury. Future research should focus on developing surveillance systems for both medical and trauma patients. Physicians that are specifically trained to manage both the acutely injured patient and the medical patient will serve this population well given the variety of patients that seek care at the AEC.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676600

PubMed: 26693187
PubMed Central: 4676600

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Background</title>
<p>The aims of this study were to characterize the patients seeking acute care for injury and non-injury complaints in an urban Emergency Department in Ghana in order to 1) inform the curriculum of the newly developed Emergency Medicine resident training program 2) improve treatment processes, and 3) direct future community-wide injury prevention policies</p>
</sec>
<sec><title>Study Design</title>
<p>A prospective cross-sectional survey of patients 18 years or older seeking care in an urban Accident and Emergency Center (AEC) was conducted between 7/13/2009 and 7/30/2009. Questionnaires were administered by trained research staff and each survey took 10–15 minutes to complete. Patients were asked questions regarding demographics, overall health and chief complaint.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>254 patients were included in the sample. Participants' chief complaints were classified as either medical or injury-related. Approximately one third (38%) of patients presented with injuries and 62% presented for medical complaints. The most common injury at presentation was due to a road traffic injury, followed by falls and assault/fight. The most common medical presentation was abdominal pain followed by difficulty breathing and fainting/ blackout. Only 13% arrived to AEC by ambulance and 51% were unable to ambulate at the time of presentation.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>Approximately one-third of non-fatal adult visits were for acute injury. Future research should focus on developing surveillance systems for both medical and trauma patients. Physicians that are specifically trained to manage both the acutely injured patient and the medical patient will serve this population well given the variety of patients that seek care at the AEC.</p>
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Le SIDA au Ghana (serveur d'exploration)

Individual and Medical Characteristics of Adults Presenting to an Urban Emergency Department in Ghana

Individual and Medical Characteristics of Adults Presenting to an Urban Emergency Department in Ghana

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