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: 10356924
• 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 2024-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10356924
• 关键词: Accident and Emergency department; Acute; Address; Africa; African; Antihypertensive Agents; Aspirin; Cardiovascular Diseases; Caring; Catalogs; Cause of Death; Cessation of life; Clinical; Communicable Diseases; Cost Allocation; Country; County; Critical Care; Critical Illness; Cross-Sectional Studies; Data; Data Collection; Data Set; Development; Diabetes Mellitus; Diagnosis; 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; Malignant Neoplasms; Maps; Mission; Operative Surgical Procedures; Patients; Pharmaceutical Preparations; Play; Policy Developments; Population; Prevalence; Primary Health Care; Regression Analysis; Research; Resource-limited setting; 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; chronic respiratory disease; data repository; diabetes risk; diagnostic tool; 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。项目摘要/摘要 由于非传染性疾病（NCD）而导致的死亡人数已超过传染病 在全球范围内，预计到2030年将在非洲这样做。 发生在低收入和中等收入国家（LMIC）。与其他LMIC一样，大多数人口 肯尼亚仅获得情节护理。因此，急诊科（ED）是 医疗保健系统和在急诊室获得护理的患者可能不会这样做。很大一部分 ED演示与NCD有关，例如急性冠状动脉综合征，中风和哮喘加重。 这些条件需要及时有效的管理，以减轻疾病的长期影响。在 此外，ED是识别有并发症患者（例如患者）的重要部位 未诊断/未治疗的高血压。尽管ED中发生了NCD护理的数量，但缺乏数据 关于LMIC中ED的响应能力。 2018年，急诊医学肯尼亚基金会 进行了47号项目，该项目是该国47个县的ED国家横断面研究。 使用了两个经过验证的世界卫生组织（WHO）工具，它们评估基础设施，人类 有效的紧急，外科和重症监护的资源，供应和其他关键因素。评估 在肯尼亚的全国代表性ED样本中成功完成，这是一个前所未有的壮举 非洲，数据集包括与NCD护理有关的关键指标。我们研究的目的是评估 使用项目47研究的结果进行NCD护理的能力。我们的发现将直接转化为临床 指南，干预和政策制定，以改善肯尼亚的急性和新兴NCD护理。他们会的 在整个东非，他们的居民经常在该国寻求护理。最后， 它将提供基本的主要数据，以支持整个非洲NCD护理的开发。