African Journal of Emergency Medicine最新文献_第4页

Global Health research abstracts: March ‘24 全球健康研究摘要：24年3月。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.223

Jonathan Kajjimu

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Global health research abstracts: October ‘24 全球健康研究摘要：24年10月。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.233

Jonathan Kajjimu

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Global health research abstracts: May ‘24 全球健康研究摘要：5月24日。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.231

Jonathan Kajjimu

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Global health research abstracts: November ‘24 全球健康研究摘要：11月24日。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.225

Dr. Jonathan Kajjimu

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Global health research abstracts: January ‘24 全球健康研究摘要：24年1月。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.229

Jonathan Kajjimu

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Global Health research abstracts: September ‘24 全球健康研究摘要：24年9月。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-14 DOI: 10.1016/j.afjem.2024.10.224

Jonathan Kajjimu

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Global health research abstracts: December ‘24 全球健康研究摘要：12月24日。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-11 DOI: 10.1016/j.afjem.2024.10.228

Jonathan Kajjimu

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Global Health research abstracts: June ‘24 全球健康研究摘要：24年6月。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-11 DOI: 10.1016/j.afjem.2024.10.226

Jonathan Kajjimu

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Needs assessment and Acceptability of a Community First Aid Responder programme to increase Out-of-hospital capacity in Kinshasa, Democratic Republic of Congo: A qualitative study 在刚果民主共和国金沙萨，提高院外能力的社区急救人员方案的需求评估和可接受性：一项定性研究。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2025-01-08 DOI: 10.1016/j.afjem.2024.12.003

K Diango , J Pigoga , E Mafuta , J Yangongo , L Wallis , C Cunningham , P Hodkinson

{"title":"Needs assessment and Acceptability of a Community First Aid Responder programme to increase Out-of-hospital capacity in Kinshasa, Democratic Republic of Congo: A qualitative study","authors":"K Diango , J Pigoga , E Mafuta , J Yangongo , L Wallis , C Cunningham , P Hodkinson","doi":"10.1016/j.afjem.2024.12.003","DOIUrl":"10.1016/j.afjem.2024.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>Despite efforts in recent years to expand the availability of prehospital care in low- and middle-income countries, its availability remains limited in many regions. The World Health Organization advocates the development of layperson first responder programmes as a supportive step in building functioning prehospital systems. This study aimed to identify the need for, and acceptability of, a community first responder programme to increase out-of-hospital capacity in Kinshasa, Democratic Republic of Congo.</div></div><div><h3>Methods</h3><div>We conducted five focus group discussions using purposive sampling. We included health system planners, emergency care providers, community health volunteers, and community members in both urban and peri‑urban areas. Interviews were recorded and transcribed verbatim, validated, and subjected to inductive content analysis to identify themes and sub-themes.</div></div><div><h3>Results</h3><div>Several areas of the emergency care system were identified for improvement, starting with the initial response to emergencies in the community. Barriers included planning and governance issues; inadequate resources such as trained staff; cost; transportation issues; and reliance on alternative forms of care. There was a dominant view that sustainably addressing these barriers and building on identified facilitators requires a multi-pronged approach involving government, healthcare, and community members. Perspectives about the acceptability and sustainability of a community first responder programme were largely positive, and numerous actionable recommendations were provided.</div></div><div><h3>Conclusion</h3><div>A community first responder programme was deemed a useful and acceptable intervention to help increase out-of-hospital emergency care capacity in Kinshasa. Key potential facilitators and barriers to its implementation and sustainability were identified.</div></div>","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 1","pages":"Pages 526-534"},"PeriodicalIF":1.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Acute coronary syndrome prevalence and outcomes in a Tanzanian emergency department: Results from a prospective surveillance study 坦桑尼亚急诊科的急性冠状动脉综合征患病率和结果：一项前瞻性监测研究的结果。

IF 1.4 4区医学

African Journal of Emergency Medicine Pub Date : 2024-12-14 DOI: 10.1016/j.afjem.2024.11.003

Julian T Hertz , Francis M Sakita , Wai Yan Min Htike , Kilonzo G Kajiru , Blandina T Mmbaga , Tumsifu G Tarimo , Godfrey L Kweka , Jerome J Mlangi , Amedeus V Maro , Lauren Coaxum , Sophie W Galson , Alexander T Limkakeng , Gerald S Bloomfield

{"title":"Acute coronary syndrome prevalence and outcomes in a Tanzanian emergency department: Results from a prospective surveillance study","authors":"Julian T Hertz , Francis M Sakita , Wai Yan Min Htike , Kilonzo G Kajiru , Blandina T Mmbaga , Tumsifu G Tarimo , Godfrey L Kweka , Jerome J Mlangi , Amedeus V Maro , Lauren Coaxum , Sophie W Galson , Alexander T Limkakeng , Gerald S Bloomfield","doi":"10.1016/j.afjem.2024.11.003","DOIUrl":"10.1016/j.afjem.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Preliminary data suggests that the burden of acute coronary syndrome (ACS) is high in Tanzania. After efforts to improve ACS care, we sought to describe ACS diagnosis rates, care processes, and outcomes in a Tanzanian Emergency Department (ED).</div></div><div><h3>Methods</h3><div>Adults presenting to a northern Tanzanian ED with acute chest pain or shortness of breath were enrolled from November 2020 to January 2023. ACS was defined as per Fourth Universal Definition of Myocardial Infarct criteria. All treatments given in the ED were observed and recorded. Thirty-day follow-up was conducted with all participants via telephone or home visit.</div></div><div><h3>Results</h3><div>Of 568 participants with chest pain or shortness of breath, 129 (22.7 %) had ACS, including 61 (47 %) with STEMI and 68 (53 %) with non-STEMI. Of participants with ACS, 77 (59.7 %) were male, and the mean (SD) age was 64.5 (16.6) years. The mean duration of symptoms among ACS participants prior to presentation was 2.9 (3.0) days, and 26 (20.2 %) reported no known medical comorbidities. In the ED, 39 (30.2 %) participants with ACS received aspirin and 33 (25.6 %) received clopidogrel. Follow-up was achieved for all 129 ACS participants; 42 (32.6 %) of participants with ACS died within 30 days of presentation. Participants with ACS were significantly more likely to die within 30 days than participants without ACS (32.6 % vs 16.4 %, OR 2.45, 95 % CI: 1.56–3.83, <em>p</em> < 0.001).</div></div><div><h3>Conclusions</h3><div>ACS is common in a northern Tanzanian ED. Interventions are needed to improve uptake of evidence-based ACS care and reduce ACS-associated mortality.</div></div><div><h3>African relevance</h3><div><ul><li><span>•</span><span><div>The study found that 22.7 % of adults presenting with chest pain or shortness of breath in the Tanzanian emergency department (ED) had acute coronary syndrome (ACS). This high prevalence highlights the critical need for enhanced cardiovascular diagnostic and treatment capabilities in Tanzanian and similar African healthcare settings.</div></span></li><li><span>•</span><span><div>The research reveals significant challenges in managing ACS within resource-constrained settings, where limited access to advanced diagnostic tools like ECGs and cardiac biomarkers contributes to delayed or missed diagnoses, ultimately leading to worse patient outcomes. This situation reflects broader healthcare limitations across sub-Saharan Africa.</div></span></li><li><span>•</span><span><div>Thirty-day mortality among ACS patients in this study was extremely high (32.6 %), which is substantially higher than ACS mortality rates in high-income countries. These findings underscore the need for urgent interventions to address critical gaps in ACS care in African emergency departments.</div></span></li><li><span>•</span><span><div>By providing the first prospective data on ACS prevalence and outcomes in a Tanzanian ED, this stud","PeriodicalId":48515,"journal":{"name":"African Journal of Emergency Medicine","volume":"15 1","pages":"Pages 518-525"},"PeriodicalIF":1.4,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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