Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya
African Journal of Emergency Medicine
Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya
Subject
Emergency medicine
Emergency care
Non-Communicable Diseases
Kenya
Africa
Emergency care
Non-Communicable Diseases
Kenya
Africa
Description
Introduction: Mortality and morbidity from Non-Communicable Diseases (NCDs) in Africa are expected to worsen
if the status quo is maintained. Emergency care settings act as a primary point of entry into the health system for
a spectrum of NCD-related illnesses, however, there is a dearth of literature on this population. We conducted a
systematic review assessing available evidence on epidemiology, interventions and management of NCDs in
acute and emergency care settings in Kenya, the largest economy in East Africa and a medical hub for the
continent.
Methods: All searches were run on July 15, 2015 and updated on December 11, 2020, capturing concepts of
NCDs, and acute and emergency care. The study is registered at PROSPERO (CRD42018088621).
Results: We retrieved a total of 461 references, and an additional 23 articles in grey literature. 391 studies were
excluded by title or abstract, and 93 articles read in full. We included 10 articles in final thematic analysis. The
majority of studies were conducted in tertiary referral or private/mission hospitals. Cancer, diabetes, cardiovascular
disease and renal disease were addressed. Majority of the studies were retrospective, cross-sectional in
design; no interventions or clinical trials were identified. There was a lack of access to basic diagnostic tools, and
management of NCDs and their complications was limited.
Conclusion: There is a paucity of literature on NCDs in Kenyan emergency care settings, with particular gaps on
interventions and management. Opportunities include nationally representative, longitudinal research such as
surveillance and registries, as well as clinical trials and implementation science to advance evidence-based,
context-specific care.
if the status quo is maintained. Emergency care settings act as a primary point of entry into the health system for
a spectrum of NCD-related illnesses, however, there is a dearth of literature on this population. We conducted a
systematic review assessing available evidence on epidemiology, interventions and management of NCDs in
acute and emergency care settings in Kenya, the largest economy in East Africa and a medical hub for the
continent.
Methods: All searches were run on July 15, 2015 and updated on December 11, 2020, capturing concepts of
NCDs, and acute and emergency care. The study is registered at PROSPERO (CRD42018088621).
Results: We retrieved a total of 461 references, and an additional 23 articles in grey literature. 391 studies were
excluded by title or abstract, and 93 articles read in full. We included 10 articles in final thematic analysis. The
majority of studies were conducted in tertiary referral or private/mission hospitals. Cancer, diabetes, cardiovascular
disease and renal disease were addressed. Majority of the studies were retrospective, cross-sectional in
design; no interventions or clinical trials were identified. There was a lack of access to basic diagnostic tools, and
management of NCDs and their complications was limited.
Conclusion: There is a paucity of literature on NCDs in Kenyan emergency care settings, with particular gaps on
interventions and management. Opportunities include nationally representative, longitudinal research such as
surveillance and registries, as well as clinical trials and implementation science to advance evidence-based,
context-specific care.
Creator
Christine Ngaruiya , Annrita Kawira , Florence Mali , Faith Kambua , Beatrice Mwangi , Mbatha Wambua , Denise Hersey , Laventa Obare , Rebecca Leff , Benjamin Wachira
Source
www.elsevier.com/locate/afjem
Publisher
ELSEVIER
Date
17 February 2021
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Christine Ngaruiya , Annrita Kawira , Florence Mali , Faith Kambua , Beatrice Mwangi , Mbatha Wambua , Denise Hersey , Laventa Obare , Rebecca Leff , Benjamin Wachira, “Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2614.
African Journal of Emergency Medicine
Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2614.