Review
Medicine, General & Internal
Sarah Hirner, Jyotshila Dhakal, Morgan Carol Broccoli, Madeline Ross, Emilie J. Calvello Hynes, Corey B. Bills
Summary: This study conducted a scoping review of the literature to understand the barriers to emergency care systems in low-income and middle-income countries (LMICs). They found that over 50% of annual deaths in LMICs could be prevented through access to high-quality emergency care. Although there are numerous measures of emergency care access described in the literature, a core set of measures and minimum standards are needed to ensure universal access to high-quality emergency care.
Article
Multidisciplinary Sciences
Kiran Acharya, Raj Kumar Subedi, Sushma Dahal, Rajendra Karkee
Summary: In Nepal, improving Basic Emergency Obstetric and Newborn Care (BEmONC) services requires increasing staff, extending service hours, and conducting periodic review of maternal and newborn deaths. Public hospitals have higher readiness scores compared to private hospitals and peripheral public health facilities.
Article
Multidisciplinary Sciences
Ashley E. Pickering, Heather M. Dreifuss, Charles Ndyamwijuka, Mark Nichter, Bradley A. Dreifuss
Summary: This study aims to understand the emergency care seeking behavior of community members utilizing an emergency department in Uganda's rural Rukungiri District. The results suggest that delayed patient presentations are caused by cultural factors, limited knowledge of emergency signs and initial actions to take, use of local health facilities, lack of resources to cover the cost of obtaining emergency care, and inadequate transportation options. Interventions are needed to address these four major reasons for treatment delay.
Article
Medicine, General & Internal
Rohit B. Sangal, Huifeng Su, Hazar Khidir, Vivek Parwani, Beth Liebhardt, Edieal J. Pinker, Lesley Meng, Arjun K. Venkatesh, Andrew Ulrich
Summary: Emergency department (ED) triage models are designed to prioritize patients for treatment. This study aimed to characterize disparities in ED care access, particularly unexplained queue jumps (UQJ), and found that marginalized populations were more likely to experience UQJs. The study highlights the importance of standardizing triage processes to mitigate biases and ensure equitable access to emergency care.
Article
Multidisciplinary Sciences
Angelo S. Nyamtema, John C. LeBlanc, Godfrey Mtey, Gail Tomblin Murphy, Elias Kweyamba, Janet Bulemela, Allan Shayo, Zabron Abel, Omary Kilume, Heather Scott, Janet Rigby
Summary: This study implemented interventions and leadership and management training in underserved rural areas in Tanzania to improve access and quality of emergency obstetric and newborn care (CEmONC) services. The interventions resulted in increased responsibility and accountability among managers, improved delivery rates, and decreased referral rates to district hospitals. However, the impact on obstetric case fatality rate was not statistically significant.
Review
Medicine, General & Internal
Tyara Marchand, Oluwatomilayo Daodu, Ali MacRobie, Stephen Green-Dowden, Mary Brindle
Summary: This review aims to investigate projects addressing emergency care inequities among Indigenous populations in four countries: Australia, Canada, New Zealand, and the USA. By searching databases and grey literature, interventions developed to address Indigenous health equity in emergency care settings will be identified and evaluated. The results will be disseminated through various channels to ensure accessibility by researchers and community members.
Article
Multidisciplinary Sciences
Jennifer Rebecca Stevens, Lora L. Sabin, Monica A. Onyango, Malabika Sarker, Eugene Declercq
Summary: The midwifery model of care, specifically fully enabled midwifery in midwifery centers, had a significantly positive effect on women's experience of respect and trust in maternity care provision compared to other models, even during the pandemic.
Article
Obstetrics & Gynecology
Mihiretu Alemayehu, Bereket Yakob, Nelisiwe Khuzwayo
Summary: In Wolaita Zone in southern Ethiopia, the quality of EmONC services was found to be suboptimal, with three-in-five women receiving less than three-fourths of the standard clinical actions. Women's educational status, age, duration of stay at the facility, number of patients in the delivery room, and care provider's experience were identified as independent predictors of observed service quality. Stakeholders should focus on improving medical infrastructure, standard procedures, human resources, and providing equal care for all women.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Public, Environmental & Occupational Health
Sunday Dominico, Florina Serbanescu, Nguke Mwakatundu, Mkambu Godfrey Kasanga, Paul Chaote, Leonard Subi, Godson Maro, Neena Prasad, Alicia Ruiz, Wilfred Mongo, Karen Schmidt, Samantha Lobis
Summary: Decentralizing high-quality comprehensive EmONC led to significant improvements in the availability and utilization of lifesaving care at birth in Kigoma, with additional programmatic components contributing to the reduction of maternal and perinatal mortality.
GLOBAL HEALTH-SCIENCE AND PRACTICE
(2022)
Article
Medicine, General & Internal
Jonathan Elmer, Nancy Mikati, Robert M. Arnold, David J. Wallace, Clifton W. Callaway
Summary: This retrospective cohort study found that deaths during or shortly after emergency department care were common, especially among older patients with chronic comorbidities. Emergency departments must be able to identify patients for whom end-of-life care is necessary or preferred and provide excellent care.
Review
Medicine, General & Internal
Ashley E. Pickering, Petrus Malherbe, Joan Nambuba, Corey B. Bills, Emilie Calvello Hynes, Brian Rice
Summary: This study aimed to increase knowledge of quality in African emergency care by identifying data relevant to the AFEM-CC quality indicators. The results showed that data related to quality indicators in African emergency care facilities are limited. Future research should conform to the AFEM-CC quality indicators to enhance understanding of quality.
Article
Medicine, General & Internal
John N. Mafi, Alexander Chen, Rong Guo, Kristen Choi, Peter Smulowitz, Chi-Hong Tseng, Joseph A. Ladapo, Bruce E. Landon
Summary: Nurse practitioners and physician assistants (NPs/PAs) are increasingly practicing in emergency departments (EDs). This study found that when NPs/PAs see patients alone, they use fewer medications, diagnostic tests, procedures, hospitalizations, and low-value CT/MRI studies compared to physicians alone. However, when NPs/PAs and physicians collaborate in patient care, there is an increase in the use of medications, diagnostic tests, procedures, hospitalizations, and low-value CT/MRI studies compared to physicians alone. These findings were consistent in EDs where nearly all NPs/PAs visits were collaborative with physicians.
Article
Public, Environmental & Occupational Health
Wilbroad Mutale, Helen Ayles, James Lewis, Samuel Bosompraph, Roma Chilengi, Margaret M. Tembo, Ab Sharp, Namwinga Chintu, Jeffrey Stringer
Summary: While progress has been made in improving the health of people in LMICs in recent years, poor health systems remain a significant challenge. A complex health system intervention in Zambia did not result in significant improvements in outcomes, although some service coverage scores showed improvement.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Xiaohui Hou, M. Mahmud Khan, Justin Pulford, Olga P. M. Saweri
Summary: This study measured the readiness of health facilities in Papua New Guinea to provide obstetric care and other maternal health services. The results showed that many facilities, especially at the lower levels, were not able to provide basic emergency obstetric care. To improve access to obstetric care, it is necessary to upgrade level 3 and 4 facilities to at least basic emergency obstetric care providers, and an optimal geographic location approach can be used to identify facilities that need to be upgraded.
Article
Health Care Sciences & Services
Celestin Hategeka, Larry D. Lynd, Cynthia Kenyon, Lisine Tuyisenge, Michael R. Law
Summary: The study evaluated the impact of implementing ETAT+ in hospitals in Rwanda on newborn and child health outcomes, finding that while there was no significant impact on all-cause neonatal and pediatric hospital mortality rates, the case fatality rate for ETAT+-targeted neonatal conditions decreased both immediately and over time following implementation compared to control hospitals. Case fatality rate for ETAT+-targeted pediatric conditions did not show a similar decrease.
HEALTH POLICY AND PLANNING
(2022)
Article
Public, Environmental & Occupational Health
Sara Marie Nilsen, Johan Hakon Bjorngaard, Fredrik Carlsen, Kjartan Sarheim Anthun, Lars Gunnar Johnsen, Lars Johan Vatten, Andreas Asheim
CLINICAL EPIDEMIOLOGY
(2020)
Article
Emergency Medicine
Ida Tylleskar, Linn Gjersing, Lars Petter Bjornsen, Anne-Cathrine Braarud, Fridtjof Heyerdahl, Ola Dale, Arne Kristian Skulberg
BMC EMERGENCY MEDICINE
(2020)
Article
Orthopedics
S. M. Nilsen, A. Asheim, F. Carlsen, K. S. Anthun, L. G. Johnsen, L. J. Vatten, J. H. Bjorngaard
Summary: This cohort study in Norway examined the effects of a high volume of concurrent acute surgical admissions on hip fracture patients. The study found that a high proportion of recent surgical admissions was associated with delayed surgery and increased 60-day mortality for these patients.
BONE & JOINT JOURNAL
(2021)
Article
Critical Care Medicine
Lars Ole Goffeng, Oivind Skare, Bendik C. Brinchmann, Lars Petter Bjornsen, Kaj Bo Veiersted
Summary: This study aimed to investigate the acute exposure, health effects, and treatment associated with general health >= 2 years after low-voltage electrical accidents among male electricians. It found that severe acute headache, years since the accident, and the perceived frightfulness of the accident were negatively associated with general health >= 2 years later.
Article
Health Care Sciences & Services
Sara Marie Nilsen, Andreas Asheim, Fredrik Carlsen, Kjartan Sarheim Anthun, Lars Johan Vatten, Stina Aam, Neil M. Davies, Johan Hakon Bjorngaard
Summary: This study aimed to investigate the impact of hospital busyness on mortality and readmission rates for older patients. The results showed that older patients admitted during busy or less busy periods had similar mortality and readmission rates, but those admitted during busy periods were more likely to be discharged outside daytime working hours.
Article
Cardiac & Cardiovascular Systems
Andreas Asheim, Sara Marie Nilsen, Stina Aam, Kjartan Sarheim Anthun, Fredrik Carlsen, Imre Janszky, Lars Johan Vatten, Johan Hakon Bjorngaard
Summary: This study found that patients with heart failure had a higher risk of being admitted to alternate wards when home ward occupancy was high, and they also experienced increased mortality. However, no apparent effect on mortality was found for patients with myocardial infarction or stroke.
Article
Emergency Medicine
Mikkel Grande, Lars Petter Bjornsen, Lars Eide Naess-Pleym, Lars Erik Laugsand, Bjornar Grenne
Summary: Following the Covid-19 outbreak and national lockdown in Norway, there was a decrease in the number of chest pain patients visiting the emergency department (ED). Interestingly, these patients appeared to have milder symptoms and were younger compared to 2019 data. However, the proportion of admissions for acute coronary syndromes (ACS) remained stable, suggesting that some patients may have failed to seek medical advice despite experiencing a myocardial infarction.
BMC EMERGENCY MEDICINE
(2022)
Article
Health Care Sciences & Services
Anthony Chauvin, Anna Slagman, Effie Polyzogopoulou, Lars Petter Bjornsen, Visnja Nesek Adam, Ari Palomaki, Andrea Fabbri, Said Laribi
Summary: The study aimed to compare the profile and outcome of patients with confirmed COVID-19 infection and suspected COVID-19 infection in the emergency department. The study found that patients with confirmed infection were older, had a higher proportion of males, and had more chronic illnesses. Additionally, a higher percentage of patients in the confirmed infection group required oxygen treatment and hospitalization.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Respiratory System
Anna Pulakka, Kari Risnes, Johanna Metsala, Suvi Alenius, Katriina Heikkila, Sara Marie Nilsen, Pieta Nasanen-Gilmore, Peija Haaramo, Mika Gissler, Signe Opdahl, Eero Kajantie
Summary: This study investigated the association between gestational age and obstructive airway disease in adulthood. The results showed that the odds of developing obstructive airway disease were higher for individuals born preterm compared to those born full term. The association was consistent across different gestational age groups and in both Finnish and Norwegian data.
EUROPEAN RESPIRATORY JOURNAL
(2023)
Article
Infectious Diseases
Marianne Ask Torvik, Stig Haugset Nymo, Stale Haugset Nymo, Lars Petter Bjornsen, Hanne Winge Kvarenes, Eirik Hugaas Ofstad
Summary: A retrospective chart review of deceased adults in a Norwegian hospital found a high prevalence of advanced frailty, comorbidity, and age among sepsis-related deaths. The findings are significant for understanding sepsis-related mortality in similar populations, applicability of study results to clinical work, and future research designs.
Article
Medicine, General & Internal
Sara Marie Nilsen, Jonas Valand, Tormod Rogne, Andreas Asheim, Weiyao Yin, Johanna Metsala, Signe Opdahl, Henrik Dollner, Jan K. Damas, Eero Kajantie, Erik Solligard, Sven Sandin, Kari Risnes
Summary: Preterm birth is associated with increased risk of childhood infections, but it is unclear whether this risk persists into adulthood and limited information is available on risk patterns across the full range of gestational ages.
Article
Medicine, General & Internal
Trude Beathe Svendsen, Dina Baerheim, Jostein Dale, Lars Ole Goffeng, Svend Peder Vesterfjell, Eirik Hugaas Ofstad, Lars Eide Naess-Pleym, Lars Petter Bjornsen
TIDSSKRIFT FOR DEN NORSKE LAEGEFORENING
(2022)
Article
Medicine, General & Internal
Lars Petter Bjornsen, Lars Eide Naess-Pleym, Jostein Dale, Lars Erik Laugsand
TIDSSKRIFT FOR DEN NORSKE LAEGEFORENING
(2020)
Article
Emergency Medicine
Andreas Asheim, Lars P. Bache-Wiig Bjornsen, Lars E. Naess-Pleym, Oddvar Uleberg, Jostein Dale, Sara M. Nilsen
BMC EMERGENCY MEDICINE
(2019)
