Jurnal Internasional Afrika vol.9 issue.3 2019
African Journal of Emergency Medicine
Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development
Dublin Core
Title
Jurnal Internasional Afrika vol.9 issue.3 2019
African Journal of Emergency Medicine
Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development
African Journal of Emergency Medicine
Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development
Subject
Kenya
Head injury
Trauma
Triple burden of disease
Emergency medicine
Kenyatta National Hospital
Head injury
Trauma
Triple burden of disease
Emergency medicine
Kenyatta National Hospital
Description
Introduction: Low- and middle-income countries (LMICs) are continuing to experience a “triple burden” of disease -
traumatic injury, non-communicable diseases (NCDs), and communicable disease with maternal and neonatal
conditions (CD&Ms). The epidemiology of this triad is not well characterised and poses significant challenges to
resource allocations, administration, and education of emergency care providers. The data collected in this study
provide a comprehensive description of the emergency centre at Kenya's largest public tertiary care hospital.
Methods: This study is a retrospective chart review conducted at Kenyatta National Hospital of all patient en-
counters over a four-month period. Data were collected from financial and emergency centre triage records
along with admission and mortality logbooks. Chief complaints and discharge diagnoses collected by specially
trained research assistants were manually converted to standardised diagnoses using International Classification
of Disease 10 (ICD-10) codes. ICD-10 codes were categorised into groups based on the ICD-10 classification
system for presentation.
Results: A total of 23,941 patients presented to the emergency centre during the study period for an estimated
annual census of 71,823. The majority of patients were aged 18-64 years (58%) with 50% of patients being male
and only 3% of unknown sex. The majority of patients (61%) were treated in the emergency centre, observed,
and discharged home. Admission was the next most common disposition (33%) followed by death (6%). Head
injury was the overall most common diagnosis (11%) associated with admission.
Conclusions: Trends toward NCDs and traumatic diseases have been described by this study and merit further
investigation in both the urban and rural setting. Specifically, the significance of head injury on healthcare cost,
utilisation, and patient death and disability points to the growing need of additional resources at Kenyatta
National Hospital for acute care. It further demonstrates the mounting impact of trauma in Kenya and
throughout the developing world.
traumatic injury, non-communicable diseases (NCDs), and communicable disease with maternal and neonatal
conditions (CD&Ms). The epidemiology of this triad is not well characterised and poses significant challenges to
resource allocations, administration, and education of emergency care providers. The data collected in this study
provide a comprehensive description of the emergency centre at Kenya's largest public tertiary care hospital.
Methods: This study is a retrospective chart review conducted at Kenyatta National Hospital of all patient en-
counters over a four-month period. Data were collected from financial and emergency centre triage records
along with admission and mortality logbooks. Chief complaints and discharge diagnoses collected by specially
trained research assistants were manually converted to standardised diagnoses using International Classification
of Disease 10 (ICD-10) codes. ICD-10 codes were categorised into groups based on the ICD-10 classification
system for presentation.
Results: A total of 23,941 patients presented to the emergency centre during the study period for an estimated
annual census of 71,823. The majority of patients were aged 18-64 years (58%) with 50% of patients being male
and only 3% of unknown sex. The majority of patients (61%) were treated in the emergency centre, observed,
and discharged home. Admission was the next most common disposition (33%) followed by death (6%). Head
injury was the overall most common diagnosis (11%) associated with admission.
Conclusions: Trends toward NCDs and traumatic diseases have been described by this study and merit further
investigation in both the urban and rural setting. Specifically, the significance of head injury on healthcare cost,
utilisation, and patient death and disability points to the growing need of additional resources at Kenyatta
National Hospital for acute care. It further demonstrates the mounting impact of trauma in Kenya and
throughout the developing world.
Creator
Julie Saleeby, Justin G. Myers, Karen Ekernas, Katherine Hunold, Ali Wangara, Alice Maingi, Peyton Wilson, Vincent Mutiso, Sarah Zamamiri, Daniel Bacon, Wes Davis, John Suder, Yash Agrawal, Ogar Ogar, Ian B.K. Martin, Stephen Dunlop
Source
https://doi.org/10.1016/j.afjem.2019.05.002
Date
16 May 2019
Contributor
peri irawan
Format
pdf
Language
ENGLISH
Type
text
Files
Citation
Julie Saleeby, Justin G. Myers, Karen Ekernas, Katherine Hunold, Ali Wangara, Alice Maingi, Peyton Wilson, Vincent Mutiso, Sarah Zamamiri, Daniel Bacon, Wes Davis, John Suder, Yash Agrawal, Ogar Ogar, Ian B.K. Martin, Stephen Dunlop, “Jurnal Internasional Afrika vol.9 issue.3 2019
African Journal of Emergency Medicine
Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1760.
African Journal of Emergency Medicine
Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1760.