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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Burden of emergency conditions and emergency care usage: New estimates from 40 countries
Emergency Medicine Journal, Volume 33, No. 11, Year 2016
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Description
Objective: To estimate the global and national burden of emergency conditions, and compare them to emergency care usage rates. Methods: We coded all 291 Global Burden of Disease 2010 conditions into three categories to estimate emergency burden: conditions that, if not addressed within hours to days of onset, commonly lead to serious disability or death; conditions with common acute decompensations that lead to serious disability or death; and non-emergencies. Emergency care usage rates were obtained from a systematic literature review on emergency care facilities in low-income and middle-income countries (LMICs), supplemented by national health system reports. Findings All 15 leading causes of death and disability-adjusted life years (DALYs) globally were conditions with potential emergent manifestations. We identified 41 facility-based reports in 23 countries, 12 of which were in LMICs; data for 17 additional countries were obtained from national or regional reports on emergency usage. Burden of emergency conditions was the highest in low-income countries, with median DALYs of 47 728 per 100 000 population (IQR 45 253-50 085) in low-income, 25 186 (IQR 21 982-40 480) in middle-income and 15 691 (IQR 14 649-16 382) in high-income countries. Patterns were similar using deaths to measure burden and excluding acute decompensations from the definition of emergency conditions. Conversely, emergency usage rates were the lowest in low-income countries, with median 8 visits per 1000 population (IQR 6-10), 78 (IQR 25-197) in middle-income and 264 (IQR 177-341) in high-income countries. Conclusions: Despite higher burden of emergency conditions, emergency usage rates are substantially lower in LMICs, likely due to limited access to emergency care. © 2016 BMJ Publishing Group Limited.
Authors & Co-Authors
Chang, Cindy Y.
United States, Boston
Massachusetts General Hospital
Abujaber, Samer
United States, Boston
Brigham and Women's Hospital
Reynolds, Teri A.
Switzerland, Geneva
Organisation Mondiale de la Santé
Camargo, Carlos Arturo
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
Obermeyer, Ziad
United States, Boston
Brigham and Women's Hospital
United States, Boston
Harvard Medical School
Statistics
Citations: 61
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1136/emermed-2016-205709
ISSN:
14720205
Research Areas
Disability
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Systematic review