Capacity of Emergency Centres across Kenya to handle NCD emergencies

肯尼亚各地急救中心处理非传染性疾病紧急情况的能力

• 批准号: 10115209
• 负责人: Christine Ngaruiya
• 金额: $ 12.56万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-20 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10115209
• 关键词: Accident and Emergency department; Acute; Address; Africa; African; Antihypertensive Agents; Aspirin; Cardiovascular Diseases; Caring; Catalogs; Cause of Death; Cessation of life; Chronic; Clinical; Communicable Diseases; Cost Allocation; Country; County; Critical Care; Critical Illness; Cross-Sectional Studies; Data; Data Collection; Data Set; Development; Diabetes Mellitus; Diagnosis; Diagnostic; Disease; Emergency Care; Emergency Medicine; Emergency Situation; Equipment; Equipment and Supplies; Foundations; General Population; Geographic Information Systems; Guidelines; Health Services Accessibility; Health care facility; Healthcare; Healthcare Systems; Human Resources; Hypertension; Income; Individual; Infrastructure; International; Intervention; Kenya; Literature; Long-Term Effects; Lung diseases; Malignant Neoplasms; Maps; Mission; Operative Surgical Procedures; Patients; Pharmaceutical Preparations; Play; Policy Developments; Population; Prevalence; Primary Health Care; Regression Analysis; Research; Resources; Resuscitation; Rewards; Risk; Risk Factors; Sampling; Services; Site; Source; Stroke; Sum; Testing; Time; Translating; United States National Aeronautics and Space Administration; Work; World Bank; World Health Organization; acute coronary syndrome; asthma exacerbation; barrier to care; cancer risk; care seeking; data repository; diabetes risk; high risk population; implementation intervention; improved; inclusion criteria; information system analysis; land cover; low and middle-income countries; novel; premature; programs; secondary analysis; therapy development; tool; trauma care; trend

7. PROJECT SUMMARY/ ABSTRACT Deaths due to Non-Communicable Diseases (NCDs) have surpassed those due to communicable diseases globally and are projected to do so in Africa by 2030. Of the 40 million annual global deaths due to NCDs, 75% occur in Low- and Middle-Income Countries (LMICs). As in other LMICs, the majority of the population in Kenya receives only episodic care. As such, the Emergency Department (ED) is a primary entry point to the healthcare system, and patients accessing care in the ED may not otherwise do so. A significant proportion of ED presentations are NCD-related such as acute coronary syndromes, strokes and asthma exacerbations. These conditions require timely and effective management in order to mitigate long-term effects of disease. In addition, the ED is an important site for identifying patients at risk for complications such as patients with undiagnosed/ untreated hypertension. Despite the volume of NCD care occurring in EDs, there is lack of data regarding the ability of EDs in LMICs to respond. In 2018, the Emergency Medicine Kenya Foundation conducted Project 47, which was a national, cross-sectional study of EDs in the 47 counties of the country. Two validated World Health Organization (WHO) tools were used, which assess infrastructure, human resources, supplies and other key factors for effective emergency, surgical and critical care. The assessment was successfully completed in a nationally representative sample of EDs in Kenya, an unprecedented feat in Africa, and the dataset includes key indicators pertaining to NCD care. The objective of our study is to assess capacity for NCD care using results from the Project 47 study. Our findings will be directly translated to clinical guideline, intervention, and policy development to improve acute and emergent NCD care in Kenya. They will also have direct implications throughout East Africa whose residents regularly seek care in the country. Finally, it will provide essential primary data to support development of NCD care across Africa.

7.项目总结/摘要 非传染性疾病造成的死亡已超过传染性疾病造成的死亡 预计到2030年非洲也将如此。在全球每年因非传染性疾病死亡的4000万人中， 低收入和中等收入国家（LMIC）。与其他中低收入国家一样， 肯尼亚只接受间歇性护理。因此，急诊科（艾德）是 在医疗保健系统中，并且在艾德中获得护理的患者可能不会这样做。很大一部分 艾德表现与NCD相关，如急性冠状动脉综合征、中风和哮喘加重。 这些情况需要及时和有效的管理，以减轻疾病的长期影响。在 此外，艾德是识别具有并发症风险的患者的重要部位， 未诊断/未治疗的高血压。尽管急诊室的NCD护理量很大，但缺乏数据 关于中低收入国家急诊医生的应对能力。2018年，肯尼亚急诊医学基金会 进行了项目47，这是一个全国性的，在全国47个县的ED横断面研究。 使用了两个经过验证的世界卫生组织（世卫组织）工具，评估基础设施、人类健康和环境状况。 资源、用品和其他关键因素，以提供有效的急诊、外科和重症护理。评估 在肯尼亚具有全国代表性的ED样本中成功完成，这是 该数据集包括与非传染性疾病护理有关的关键指标。我们研究的目的是评估 使用项目47研究的结果评估非传染性疾病护理的能力。我们的研究结果将直接转化为临床 指导方针，干预措施和政策制定，以改善肯尼亚的急性和紧急非传染性疾病护理。他们将 这也直接影响到整个东非，那里的居民经常在该国寻求护理。最后， 它将提供基本的原始数据，以支持在整个非洲发展非传染性疾病护理。