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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Making recording and analysis of chief complaint a priority for global emergency care research in low-income countries
Academic Emergency Medicine, Volume 20, No. 12, Year 2013
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Description
The chief complaint is a patient's self-reported primary reason for presenting for medical care. The clinical utility and analytical importance of recording chief complaints have been widely accepted in highly developed emergency care systems, but this practice is far from universal in global emergency care, especially in limited-resource areas. It is precisely in these settings, however, that the use of chief complaints may have particular benefit. Chief complaints may be used to quantify, analyze, and plan for emergency care and provide valuable information on acute care needs where there are crucial data gaps. Globally, much work has been done to establish local practices around chief complaint collection and use, but no standards have been established and little work has been done to identify minimum effective sets of chief complaints that may be used in limited-resource settings. As part of the Academic Emergency Medicine consensus conference, "Global Health and Emergency Care: A Research Agenda," the breakout group on data management identified the lack of research on emergency chief complaints globally - especially in low-income countries where the highest proportion of the world's population resides - as a major gap in global emergency care research. This article reviews global research on emergency chief complaints in high-income countries with developed emergency care systems and sets forth an agenda for future research on chief complaints in limited-resource settings. © 2013 by the Society for Academic Emergency Medicine.
Authors & Co-Authors
Mowafi, Hani O.
United States, New Haven
Yale School of Medicine
Dworkis, Daniel
United States, Boston
Brigham and Women's Hospital
Bisanzo, Mark C.
United States, Worcester
University of Massachusetts Chan Medical School
Hansoti, Bhakti
United States, Baltimore
Johns Hopkins University
Seidenberg, Phil D.
United States, Albuquerque
The University of new Mexico
Zambia, Lusaka
University Teaching Hospital Lusaka
Obermeyer, Ziad
United States, Boston
Brigham and Women's Hospital
Hauswald, Mark
United States, Albuquerque
The University of new Mexico
Reynolds, Teri A.
United States, San Francisco
University of California, San Francisco
Tanzania, Dar es Salaam
Muhimbili Hospital
Statistics
Citations: 41
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1111/acem.12262
ISSN:
10696563
e-ISSN:
15532712
Research Areas
Health System And Policy
Study Design
Cross Sectional Study