Time intervals and associated factors of emergency treatment: first insight into Pakistani system

Noorani, Muhammad Muslim; Khaliq, Muhammad Farhan; Shoaib, Maria; Sheikh, A; Moughal, Um-E-Roman; Moazzum, Wardah; Ali, Syed Arsalan

doi:10.1186/1755-7682-7-41

Cited by 7 publications

(6 citation statements)

References 43 publications

(28 reference statements)

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“…Cultural behaviours related domestic responsibilities and beliefs surrounding female conditions (e.g. pregnancy and delivery) also relate to delays in arrival for women [23,24]. Finally, in contexts without appropriate free health coverage, low socioeconomic status, lack of free medical care and of health centres within walking distance contribute to delays in seeking medical attention for women [25,26].…”

Section: Discussionmentioning

confidence: 99%

Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings

et al. 2019

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Introduction Delays in arrival and treatment at health facilities lead to negative health outcomes. Individual and external factors could be associated with these delays. This study aimed to assess common factors associated with arrival and treatment delays in the emergency departments (ED) of three hospitals in humanitarian settings. Methodology This was a cross-sectional study based on routine data collected from three MSF-supported hospitals in Afghanistan, Haiti and Sierra Leone. We calculated the proportion of consultations with delay in arrival (>24 hours) and in treatment (based on target time according to triage categories). We used a multinomial logistic regression model (MLR) to analyse the association between age, sex, hospital and diagnosis (trauma and non-trauma) with these delays. Results We included 95,025 consultations. Males represented 65.2%, Delay in arrival was present in 27.8% of cases and delay in treatment in 27.2%. The MLR showed higher risk of delay in arrival for females (OR 1.2, 95% CI 1.2–1.3), children <5 (OR 1.4, 95% CI 1.4–1.5), patients attending to Gondama (OR 30.0, 95% CI 25.6–35.3) and non-trauma cases (OR 4.7, 95% CI 4.4–4.8). A higher risk of delay in treatment was observed for females (OR 1.1, 95% CI 1.0–1.1), children <5 (OR 2.0, 95% CI 1.9–2.1), patients attending to Martissant (OR 14.6, 95% CI 13.9–15.4) and non-trauma cases (OR 1.6, 95% CI 1.5–1.7). Conclusions Women, children <5 and non-trauma cases suffered most from delays. These delays could relate to educational and cultural barriers, and severity perception of the disease. Treatment delay could be due to insufficient resources with consequent overcrowding, and severity perception from medical staff for non-trauma patients. Extended community outreach, health promotion and support to community health workers could improve emergency care in humanitarian settings.

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Section: Discussionmentioning

confidence: 99%

Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings

et al. 2019

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“…Patients which have no access to medical care in some of the countries, this emergency department are important entry point for seeking medical care. Almost each hospital operate their emergency 24 hours a day, although management and staffing could be varied according 3,4,5 to patient volume. The efficacy of emergency services can be assessed by doing bench marking, response time.…”

Section: Introductionmentioning

confidence: 99%

Emergency Services Efficiency at a Tertiary Care Hospital

Waseem

Kousar

Anwar

2020

J Sheikh Zayed Med Coll.

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Background: An emergency department is a medical treatment facility which is specialized emergency medicine, the acute care of patients who present without any prior appointment either by their own means or by that of an ambulance. Objective: To determine the efficiency of emergency services in a tertiary care hospital. Methodology: It was a cross sectional study, conducted at Emergency Department of Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, from August to October, 2019. A total of 139 subjects who were patients attending emergency department were involved in the study by using random sampling technique. Data was collected by a predesigned proforma. Variables included were age, sex, occupation, door to treatment time, presenting complaints of patient, designation of health care provider, further investigation advised, given treatment, referral to OPD or ward. Results: Mean age of patients was 33±19 years. Out of 139 patients, 59.7% were males and from urban area each, 44.6% were illiterate, 75% of the study subjects were treated by a doctor, and 25.9% came with GIT complaints. It was noted that 48.2 % of the patients had the first contact within 4 minutes, and treatment of 49.7% patients was started within 10 minutes, and 3.5% of the patients it took more than 25 minutes. Conclusion: This study showed that almost half of the patients received treatment within four minutes while few of the patients have to wait for upto twenty five minutes to get healthcare, which is quite a long time as for as emergency healthcare services is concerned., additionally only half of the patients were received by doctors.

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“…Comparing the impact and outcomes is fraught, as many studies are dated; sparse; variable for time periods; reflect different health systems; focus on differing service availability (during work hours or after hours); and, differ in triage models (nursing vs medical staff). Various studies on the topic have been conducted across a range of health systems and time periods though, including the United Kingdom, Canada, Switzerland, the United States, the Netherlands, Pakistan, Denmark, and Australia …”

Section: Introductionmentioning

confidence: 99%

Calling for confirmation, reassurance, and direction: Investigating patient compliance after accessing a telephone triage advice service

Siddiqui

Greenfield

Lawler

2019

Health Planning & Management

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Understanding the influence of a telephone triage advice service (TTAS) on patients seeking care is critical to realize enhancements in patient care, functioning of emergency departments (EDs), and effectiveness of the health system. This study addresses the question: what influence does a TTAS have on a patient's attendance at an ED and the wider health system? Records from 2016 to 2017 of 12,741 calls from a national TTAS were linked to 72,577 ED presentations to a hospital in regional Australia, retrospectively. Matching criteria included patient within the hospital's statistical local area code, age, gender, and ED attendance within 8 hours of TTAS call. Five statistical analyses of the data were conducted. There were 2857 matches. TTAS patients accessing the ED had a slightly higher proportion of women and a greater proportion of children under 4 years than usual. When TTAS confirmed callers' inclination for ED care, however only up to 69% subsequently attended the ED. When TTAS redirected others initially less inclined to more urgent care, up to 62% attended the ED. TTAS empowers vulnerable patients to access appropriate and timely services and promotes clinical and functional integration of care. Improvements of TTAS can come through investigation of callers' compliance factors. K E Y W O R D S appropriate care, care integration, emergency department health system, telephone triage advice service

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Time intervals and associated factors of emergency treatment: first insight into Pakistani system

Cited by 7 publications

References 43 publications

Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings

Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings

Emergency Services Efficiency at a Tertiary Care Hospital

Calling for confirmation, reassurance, and direction: Investigating patient compliance after accessing a telephone triage advice service

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