Admission Delays’ Magnitude of Traumatized Patients in the Emergency Department of a Hospital in Egypt: A cross-sectional study
Autor: | M. G. Elewa, O. M. Hassan, H. M. Saleh, Mohamed El-Shinawi, Jon Mark Hirshon, Angela C. Comer, A. A. Fawzy, A. E. Elsabagh, I. M. Abdelmonem |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Time Factors Referral Cross-sectional study Ambulances Poison control Critical Care and Intensive Care Medicine Suicide prevention Occupational safety and health Article Interviews as Topic 03 medical and health sciences 0302 clinical medicine Injury Severity Score Patient Admission Surveys and Questionnaires Injury prevention Outcome Assessment Health Care medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine business.industry Multiple Trauma Public health 030208 emergency & critical care medicine Emergency department medicine.disease Cross-Sectional Studies Emergency medicine Emergency Medicine Surgery Egypt Female Medical emergency business Emergency Service Hospital |
Popis: | BACKGROUND: Injury is an escalating public health problem, representing about 9% of global mortality, which disproportionately impacts lower- and middle-income countries. There are approximately 12,000 annual fatalities from road traffic injuries in Egypt, but little information about delays in seeking emergent care is available. OBJECTIVES: To measure the time interval between sustaining an injury and presentation to the emergency department of Ain Shams University Surgery Hospital and to identify possible causes of these delays. METHODS: We conducted a cross sectional, facilitated survey of a convenience sample of trauma patients presenting to the emergency department of Ain Shams University Surgery Hospital from 1 February to 31 May 2014. Data obtained included: demographic information, trauma incident details and injury assessment. RESULTS: The average reported transport time for patients from injury to hospital arrival was 3.8 hours, while the mean ambulance response time was 45 minutes. Referral from other hospitals was revealed to be a significant cause of delay (P=0.004), while ignorance of the local ambulance phone number couldn’t be confirmed as a cause (P=0.2). CONCLUSION: This study demonstrated that trauma patients at our hospital experience more than three hours of delay until they reach the ED. It also identified the possible causes accounting for that delay. However, additional nationwide research is needed to establish the clear causation or association of these causes with the delay intervals. |
Databáze: | OpenAIRE |
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