TY  - JOUR
PY  - 2016//
TI  - Emergency department care for trauma patients in settings of active conflict versus urban violence: all of the same calibre?
JO  - International health
A1  - Valles, Pola
A1  - Van den Bergh, Rafael
A1  - van den Boogaard, Wilma
A1  - Tayler-Smith, Katherine
A1  - Gayraud, Olivia
A1  - Mammozai, Bashir Ahmad
A1  - Nasim, Masood
A1  - Cheréstal, Sophia
A1  - Majuste, Alberta
A1  - Charles, James Philippe
A1  - Trelles, Miguel
SP  - 390
EP  - 397
VL  - 8
IS  - 6
N2  - BACKGROUND: Trauma is a leading cause of death and represents a major problem in developing countries where access to good quality emergency care is limited. Médecins Sans Frontières delivered a standard package of care in two trauma emergency departments (EDs) in different violence settings: Kunduz, Afghanistan, and Tabarre, Haiti. This study aims to assess whether this standard package resulted in similar performance in these very different contexts. <br><br>METHODS: A cross-sectional study using routine programme data, comparing patient characteristics and outcomes in two EDs over the course of 2014. <br><br>RESULTS: 31 158 patients presented to the EDs: 22 076 in Kunduz and 9082 in Tabarre. Patient characteristics, such as delay in presentation (29.6% over 24 h in Kunduz, compared to 8.4% in Tabarre), triage score, and morbidity pattern differed significantly between settings. Nevertheless, both EDs showed an excellent performance, demonstrating low proportions of mortality (0.1% for both settings) and left without being seen (1.3% for both settings), and acceptable triage performance. Physicians' maximum working capacity was exceeded in both centres, and mainly during rush hours. <br><br>CONCLUSIONS: This study supports for the first time the plausibility of using the same ED package in different settings. Mapping of patient attendance is essential for planning of human resources needs.<br><br>© The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.<p />  <p>Language: en</p>
LA  - en
SN  - 1876-3413
UR  - http://dx.doi.org/10.1093/inthealth/ihw035
ID  - ref1
ER  -