Capacity of Emergency Centres across Kenya to handle NCD emergencies

7.项目摘要/摘要 死于非传染性疾病的人数已超过因传染病死亡的人数 在全球范围内，预计到2030年将在非洲实现这一目标。全球每年有4000万人死于非传染性疾病，其中75% 发生在低收入和中等收入国家。与其他LMIC一样，大多数人口在 肯尼亚只接受间歇性护理。因此，急诊科(急诊科)是进入 在急诊科就诊的病人可能不会这样做。相当大比例的 ED的表现与非传染性疾病有关，如急性冠脉综合征、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……里面 此外，急诊室是识别有并发症风险的患者的重要场所，例如 未确诊/未治疗的高血压。尽管急诊室发生了大量的非传染性疾病护理，但缺乏数据 关于LMIC中的ED的响应能力。2018年，急诊医学肯尼亚基金会 实施了项目47，这是对该国47个县的急救中心进行的一项全国性的横断面研究。 使用了两个经过验证的世界卫生组织(WHO)工具，这些工具评估基础设施、人类 有效的紧急、外科和危重护理的资源、用品和其他关键因素。评估 在肯尼亚具有全国代表性的EDS样本中成功完成，这是 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研究结果的非传染性疾病护理能力。我们的发现将直接转化为临床 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。他们会 对整个东非也有直接影响，那里的居民经常在该国寻求治疗。最后， 它将提供必要的基本数据，以支持在整个非洲发展非传染性疾病护理。

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.