Admission delays’ magnitude of traumatized patients in the emergency department of a hospital in Egypt: a cross-sectional study

Saleh, Hanan; Elsabagh, A. E.; Elewa, Mohamad Gamaleldin; Fawzy, Ahmed; Hassan, Osama; Comer, Angela C.; Abdelmonem, Ibrahim M; Hirshon, Jon Mark; El-Shinawi, Mohamed

doi:10.1007/s00068-017-0762-1

Cited by 9 publications

(9 citation statements)

References 16 publications

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“…Pertinent regional studies, related to ED research, originated from Jordan (Abbadi et al, 1997;Ahmad M Abdallat and Abbadi 2007;A. M. Abdallat et al, 2000;Halasa 2013;Jerius et al, 2010;Hani Shakhatreh and Al-Issa 2009;H Shakhatreh et al, 2003;Sabbagh et al, 2015), Turkey (Topacoglu et al, 2004;Yildirim et al, 2005;Pekdemir et al, 2010;Oktay et al, 2003;Karabocuoglu et al, 1995;Eroglu et al, 2012;Cevik et al, 2001;Cander et al, 2006;Bresnahan and Fowler 1995), Yemen (Naser and Saleem 2018), Egypt (Montaser 2013;Abou-ElWafa et al, 2015;Saleh et al, 2018;Abdo et al, 2015;El-Shafei et al, 2018), Iran (Jafari-Rouhi et al, 2013Jalili et al, 2013;Soleimanpour et al, 2011), Lebanon (Moucharafieh andBu-Haka 1996;El-Khatib et al, 2014;El Sayed and Bayram 2013;El Zahran et al, 2018;El Majzoub et al, 2018), Saudi Arabia (Alhajjaj and Aldamigh 2017;Mehmood et al, 2017;Alamri 2017;Alquraini et al, 2015;Alghamdi et al, 2014;Rhine 2000), and United Arab Emirates (Partridge et al, 2009;Fares et al, 2014). Surprisingly, emergency research and related ethical issues were mar...…”

Section: Discussionmentioning

confidence: 99%

“…Considering the wealth of literature on emergency research and related ethical issues in many developed countries ( Feldman et al., 2019 ), there was an evident lack of emergency research in the MENA region along with some sporadic information in such aspect. Pertinent regional studies, related to ED research, originated from Jordan ( Abbadi et al., 1997 ; Ahmad M Abdallat and Abbadi 2007 ; A. M. Abdallat et al., 2000 ; Halasa 2013 ; Jerius et al., 2010 ; Hani Shakhatreh and Al-Issa 2009 ; H Shakhatreh et al., 2003 ; Sabbagh et al., 2015 ), Turkey ( Topacoglu et al., 2004 ; Yildirim et al., 2005 ; Pekdemir et al., 2010 ; Oktay et al., 2003 ; Karabocuoglu et al., 1995 ; Eroglu et al., 2012 ; Cevik et al., 2001 ; Cander et al., 2006 ; Bresnahan and Fowler 1995 ), Yemen ( Naser and Saleem 2018 ), Egypt ( Montaser 2013 ; Abou-ElWafa et al., 2015 ; Saleh et al., 2018 ; Abdo et al., 2015 ; El-Shafei et al., 2018 ), Iran ( Jafari-Rouhi et al., 2013 ; Jalili et al., 2013 ; Soleimanpour et al., 2011 ), Lebanon ( Moucharafieh and Bu-Haka 1996 ; El-Khatib et al., 2014 ; El Sayed and Bayram 2013 ; El Zahran et al., 2018 ; El Majzoub et al., 2018 ), Saudi Arabia ( Alhajjaj and Aldamigh 2017 ; Mehmood et al., 2017 ; Alamri 2017 ; Alquraini et al., 2015 ; Alghamdi et al., 2014 ; Rhine 2000 ), and United Arab Emirates ( Partridge et al., 2009 ; Fares et al., 2014 ). Surprisingly, emergency research and related ethical issues were marginalized among all of those regional studies; all studies were not designed to investigate emergency research at any depth, but to describe some aspects of available emergency interventions and offered practices and/or services.…”

Section: Discussionmentioning

confidence: 99%

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Exception from informed consent for biomedical research in emergency settings: A study from Jordan

Al-Shatnawi

Alzoubi

Khasawneh

et al. 2021

Heliyon

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Background: Research conduction in emergency settings is of paramount importance to promote knowledge and experiences related to treating acutely ill patients. However, the complexity of situations creates a considerable ethical challenge facing researchers who basically deal with emergent cases. This study aimed to determine attitudes of healthcare providers (HCPs) towards exception from informed consent (EFIC) and enrollment willingness in emergency research in Jordan. Methods: A quantitative research with face-to-face questionnaire was conducted by an interviewer during 6-month period in 2019. Survey measures included items related to EFIC policy and overall willingness of HCPs to participate or support their family members' participation in emergency research. Results: A total of 151 HCPs in the emergency departments (EDs) in Jordan was recruited. Positive attitude toward emergency research dominated among participants; about 21.9% of participants reported previous experience in the conduction of emergency research and 12.3% had related publications. Regarding EFIC policy, there was a general consensus of disagreement to most of the examined items. There was a trend for little support of EFIC policy when questioned about the enrollment of family members or public in emergency research, however, the application of EFIC was accepted for self-enrollment of respondents in emergency research. No significant differences (P ¼ 0.37), among participants from different disciplines, were reported regarding the attitudes towards EFIC items or willingness to enroll in emergency research. Conclusions: Generally, HCPs reported an overall positive support to emergency research despite a consensus of disagreement related to EFIC terms. Therefore, it is recommended to pursue future studies to compare wellinformed subjects; recruited from well-developed institutions in regard to emergency research potentials; with the present basic attitudinal surveillance in order to dissipate the effect of such confounder and to get better insight of the actual attitudes related to emergency research and EFIC. In addition, efficient multidisciplinary communication channels between researchers and policy makers can lather the way to collaborative research with simultaneous innovative delivery of quality emergency care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exception from informed consent for biomedical research in emergency settings: A study from Jordan

Al-Shatnawi

Alzoubi

Khasawneh

et al. 2021

Heliyon

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“…In another study conducted by Xue and Weng, 14 the most influencing factor for ambulance delay was holidays followed by bad weather and poor light conditions. The study conducted by Saleh et al, 15 also provided different factors causing ambulance delay, namely knowledge of local ambulance phone number, referral process, and method of transferring the injured patient and type or diagnosis of injuries.…”

Section: Discussionmentioning

confidence: 99%

Understanding factors of ambulance delay and crash to enhance ambulance efficiency: an integrative literature review

Wiwekananda

Hamukti

Yogananda

et al. 2020

J Community Empowerment for Health

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Trauma is one of the major causes of deaths worldwide. The referral time of trauma patients to the trauma center is a vital determinant of traumatic injury patients’ survival. Ambulance delays and crashes are the major causes of delay of patient transportation to the hospital. This review was conducted to find the main factors that cause ambulance crashes and ambulance delays; and discuss the correlation of both factors. Hence, the authors might suggest an appropriate solution to minimize ambulance delay and crash incidents. This integrative literature review applied the PRISMA-P protocol to ensure a robust literature search. A total of nine databases and publishers (i.e., PubMed, Scopus, ScienceDirect, ASCE Library, Clinical Key, EBSCO, Cambridge, Taylor & Francis, and ProQuest) were searched using relevant keywords to obtain studies on ambulance delays and ambulance crashes. The literature search retrieved 620 studies to be screened based on the exclusion-inclusion criteria which finally resulted in the 12 studies included in the review. The researchers conducted a risk of bias assessment using Joanna Briggs Institute's critical appraisal tools. Data from the included studies were then extracted and analyzed using descriptive statistics to identify the factors affecting ambulance delays and crashes. After conducting an integrative literature review, the main factor that causes ambulance delays is traffic congestion. Meanwhile, the main factor causing ambulance crashes is intersection. Traffic congestion often occurs especially at intersections. The authors concluded that, intersections have a significant effect on ambulance delays and also ambulance crashes. To overcome this problem, the authors suggest to make an additional ambulance caution signal lamp on all congested intersections.

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“…Combining these terms resulted in a total of 41 papers; after reviewing the titles and abstracts two were deemed to be totally unrelated for this review. Among the located studies eight were from Jordan [22][23][24][25][26][27][28][29] , nine from Turkey [30][31][32][33][34][35][36][37][38] , one from Yemen [39], five from Egypt [40][41][42][43][44] ,…”

Section: Introductionmentioning

confidence: 99%

Emergency Research Status in the Middle Eastern Region

Al-Shatnawi¹,

Khasawneh²

2022

JJPS

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Conducting research in emergency settings is paramount to advance knowledge and experiences on dealing with critically ill patients. However, the involvement of highly vulnerable subjects, who are mostly incapable of consenting to research participation is challenging. This research paper describes the extent of emergency research and its related ethical issues within emergency settings in the Middle East. A literature review covering several databases was conducted. Several studies conducted within the emergency departments in the Middle Eastern region were located. All studies focused on provision of emergency care, while none described aspects of emergency research. Current literature indicates a dearth of research concerning emergency research settings in developing countries mainly in the Middle Eastern region. Up to the authors’ knowledge, this is the first research paper to review the available literature on emergency research in the Middle East. Findings from this review suggests that more efforts focusing on emergency research should be encouraged and stimulated in the region, in order to improve the effectiveness and safety of healthcare provision to critically ill patients within emergency departments. Adding to that, our findings stimulate the needs for regulatory bodies and regulations that help overcome the main ethical issues surrounding the principle of obtaining informed consents in emergency settings.

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Admission delays’ magnitude of traumatized patients in the emergency department of a hospital in Egypt: a cross-sectional study

Cited by 9 publications

References 16 publications

Exception from informed consent for biomedical research in emergency settings: A study from Jordan

Exception from informed consent for biomedical research in emergency settings: A study from Jordan

Understanding factors of ambulance delay and crash to enhance ambulance efficiency: an integrative literature review

Emergency Research Status in the Middle Eastern Region

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