Display options
Cite
Marsala JM, Faye F, BeLue R, et al. Characterising emergency centre encounters in Mbour, Senegal as emergent-emergency care, emergent-primary care or non-emergent. Afr J Emerg Med. 2017;7(3):124-129doi: 10.1016/j.afjem.2017.05.010.
Marsala, J. M., Faye, F., BeLue, R., & Schoeck, O. (2017). Characterising emergency centre encounters in Mbour, Senegal as emergent-emergency care, emergent-primary care or non-emergent. African journal of emergency medicine : Revue africaine de la medecine d'urgence, 7(3), 124-129. https://doi.org/10.1016/j.afjem.2017.05.010
Marsala, Julia M, et al. "Characterising emergency centre encounters in Mbour, Senegal as emergent-emergency care, emergent-primary care or non-emergent." African journal of emergency medicine : Revue africaine de la medecine d'urgence vol. 7,3 (2017): 124-129. doi: https://doi.org/10.1016/j.afjem.2017.05.010
Marsala JM, Faye F, BeLue R, Schoeck O. Characterising emergency centre encounters in Mbour, Senegal as emergent-emergency care, emergent-primary care or non-emergent. Afr J Emerg Med. 2017 Sep;7(3):124-129. doi: 10.1016/j.afjem.2017.05.010. Epub 2017 Jul 11. PMID: 30456123; PMCID: PMC6234195.
Copy Download .nbib Format: NLM
Share it on

Afr J Emerg Med. 2017 Sep;7(3):124-129. doi: 10.1016/j.afjem.2017.05.010. Epub 2017 Jul 11.

Characterising emergency centre encounters in Mbour, Senegal as emergent-emergency care, emergent-primary care or non-emergent.

African journal of emergency medicine : Revue africaine de la medecine d'urgence

Julia M Marsala, Farbe Faye, Rhonda BeLue, Otto Schoeck

Affiliations

  1. Pennsylvania State University College of Medicine, Hershey, PA, USA.
  2. Hopital de Grand Mbour, Mbour, Senegal.
  3. Department of Health Policy and Administration, Pennsylvania State University, State College, PA, USA.

PMID: 30456123 PMCID: PMC6234195 DOI: 10.1016/j.afjem.2017.05.010

Abstract

INTRODUCTION: Emergency medicine is a relatively new specialty in Africa, with the first emergency medicine training programme only started in South Africa in 2004. Continued emergency centre development and preparedness relies on a better understanding of the quantity and category of emergency centre encounters within the various African regions.

METHODS: This study was conducted over four, consecutive months in 2014 using a retrospective chart review, aimed to examine the types of visits made to one emergency centre at the Grande Mbour Hospital in Mbour, Senegal. The New York University Emergency Department Algorithm was used to classify emergency centre encounters. Each diagnosis included in this study was classified per the algorithm as non-emergent; emergent but primary care treatable; emergent with emergency centre care needed but avoidable/preventable; and emergent with emergency centre care needed and not avoidable/preventable. The algorithm also categorised diagnoses of injury, mental health problems, alcohol, or substance abuse.

RESULTS: This study included 1268 diagnoses from the emergency centre. The most common presentations in Mbour, Senegal were injuries, with 302 cases (33%), and from the category: emergent but primary care treatable, with 303 cases (33%). In total, 174 cases (19%) were classified as: non-emergent. While only 93 cases (10%) were considered: emergency care needed/preventable or avoidable, a substantial number (n = 218, 24%) were categorised as: emergent with emergency centre care needed and not avoidable/preventable.

CONCLUSION: This study provides the first description of patients presenting for care in the emergency centre of Mbour's hospital and demonstrates the wide range of illnesses and types of trauma that the emergency centre must accommodate while contending with the limited resources available in the area. Understanding the burden of disease will help prioritise resources appropriately.

Keywords: Acute; Africa; Emergency; Senegal; Triage

References

  1. Prehosp Disaster Med. 2007 Sep-Oct;22(5):467-70 - PubMed
  2. Prehosp Emerg Care. 2012 Jul-Sep;16(3):381-9 - PubMed
  3. Int J Health Econ Manag. 2015 Sep;15(3):307-328 - PubMed
  4. Bull World Health Organ. 2002;80(11):900-5 - PubMed
  5. Ann Emerg Med. 2012 Jul;60(1):35-44.e3 - PubMed
  6. Addiction. 2009 Jul;104(7):1147-54 - PubMed
  7. Pan Afr Med J. 2016 Aug 03;24:294 - PubMed
  8. Bull World Health Organ. 2006 Oct;84(10):835-9 - PubMed
  9. Br J Surg. 2014 Jan;101(1):e9-22 - PubMed
  10. Bull World Health Organ. 2009 Apr;87(4):246-246a - PubMed
  11. Lancet. 2007 Dec 8;370(9603):1929-38 - PubMed
  12. Int J Qual Health Care. 2012 Dec;24(6):564-7 - PubMed
  13. Emerg Med Clin North Am. 2005 Feb;23(1):11-29 - PubMed
  14. Int Emerg Nurs. 2013 Apr;21(2):118-22 - PubMed

Publication Types