Epidemiologic characteristics and pre-hospital care of traumatic injuries during the COVID-19 pandemic in an emerging and developing country: A single tertiary centre experience

AbstractBackground:Adults with CHD are known to greatly benefit from a prompt access to continuous expert care. On the other hand, coronavirus disease 2019 pandemic has determined a dramatic worldwide reconfiguration of the healthcare systems, with rapid redeployment of resources towards this emergency. Italy was the first Western country affected by a large-scale spread of coronavirus disease 2019. The aim of our study is to analyse the impact of the coronavirus disease 2019 outbreak on in-hospital care of patients with CHD in an Italian tertiary centre.Methods and results:We retrospectively reviewed data on CHD hospital admissions in our centre since 1 March, 2020, when the adoption of a strict infection containment policy throughout the country resulted in limited access of patients to routine hospital care and resources reallocation to the care of infected patients. Comparison with data from the previous year was performed in order to identify any relevant differences attributable to the outbreak. Despite cancellation of all elective procedures, the overall number of urgent hospital admission remained stable throughout the period of study. Patients admitted during the pandemic had greater disease complexity (p = 0.001) with longer length of in-hospital stay (p = 0.01). No adverse events or positive swabs were reported among CHD patients who were admitted to hospital or medical personnel caring for these patients.Conclusion:Data from our early experience suggest that coronavirus disease 2019 pandemic did not impact significantly on the provision of urgent care to adult patients with CHD.

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Patterns of traumatic injuries and outcomes to motorcyclists in a developing country: A cross-sectional study

Traffic Injury Prevention ◽

10.1080/15389588.2020.1856374 ◽

2021 ◽

Vol 22 (2) ◽

pp. 162-166

Author(s):

Russell Seth Martins ◽

Sabah Uddin Saqib ◽

Mishal Gillani ◽

Syeda Ramlah Tul Sania ◽

Muhammad Umer Junaid ◽

...

Keyword(s):

Developing Country ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Traumatic Injuries

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VALIDITY AND RELIABILITY OF THE MANCHESTER SCALE USED IN THE ORTHOPEDIC EMERGENCY DEPARTMENT

Acta Ortopédica Brasileira ◽

10.1590/1413-785220192701191577 ◽

2019 ◽

Vol 27 (1) ◽

pp. 50-54 ◽

Cited By ~ 1

Author(s):

Fernando Brandão Andrade-Silva ◽

Renan Lyuji Takemura ◽

Renato Tavares Bellato ◽

Marcos de Camargo Leonhardt ◽

Kodi Edson Kojima ◽

...

Keyword(s):

Hospital Care ◽

Clinical Utility ◽

High Reliability ◽

Strong Association ◽

Observer Agreement ◽

Risk Category ◽

Validity And Reliability ◽

Level Of Evidence ◽

Traumatic Injuries ◽

Traumatic Lesions

ABSTRACT Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals. Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections. A series of patients triaged by two orthopedists was analyzed to assess the concordance between the evaluators (reliability) and the validity of the Manchester scale as predictive of severity. Results: The reliability analysis included 231 patients, with an inter-observer agreement of 84% (Kappa = 0.77, p <0.001). The validity analysis included 138 patients. The risk category had a strong association with the need for hospital care in patients with trauma (OR = 6.57, p = 0.001) and was not significant for non-traumatic disorders (OR = 2.42; p = 0.208). The overall sensitivity and specificity were 64% and 76%, respectively. Conclusion: The evaluated system presented high reliability. Its validity was adequate, with good sensitivity for identifying patients requiring hospital care among those with traumatic lesions. However, the sensitivity was low for patients with non-traumatic lesions. Level of Evidence III, Retrospective Study.

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Burden of Paediatric Sepsis in a Tertiary Centre from a Developing Country

West Indian Medical Journal ◽

10.7727/wimj.2017.040 ◽

2017 ◽

Author(s):

O Olugbuyi ◽

K Swaby ◽

P Roberts ◽

C Christie ◽

N Kissoon

Keyword(s):

Developing Country ◽

Tertiary Centre

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Non Communicable Disease Admissions in Developing Country as Experienced from the Medical Ward of a Tertiary Centre in Nigeria

Central African Journal of Public Health ◽

10.11648/j.cajph.20180402.11 ◽

2018 ◽

Vol 4 (2) ◽

pp. 34

Author(s):

Alikor Chizindu Akubudike

Keyword(s):

Developing Country ◽

Communicable Disease ◽

Medical Ward ◽

Tertiary Centre ◽

Non Communicable Disease

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Impact of a Category-3 Hurricane on the Need for Surgical Hospital Care

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00004647 ◽

2007 ◽

Vol 22 (3) ◽

pp. 194-198 ◽

Cited By ~ 5

Author(s):

Lina Sjöberg ◽

Robert Yearwood

Keyword(s):

Developing Country ◽

Hospital Care ◽

Treatment Time ◽

Gunshot Wounds ◽

Control Group ◽

Medical Problems ◽

Hurricane Ivan ◽

Environment And Health ◽

Number Of Patients ◽

Surgical Ward

AbstractIntroduction:Hurricane Ivan, a strong category-3 hurricane, struck Grenada on 07 September 2004 and devastated the country. Grenada is a small, developing country, whose socio-economic environment and health service is typical of most countries located within the Caribbean hurricane belt. Previous reports describing the consequences of hurricanes on health-related issues have focused mainly on the experience of wealthier countries.Objective:The objective of this study was to document the types of patients and medical problems faced by a hospital surgical service as a result of a forceful hurricane in a developing country and to help surgical divisions in developing countries prepare for strong hurricanes.Methods:This is a retrospective study using medical records from the surgical ward of the Grenada General Hospital. Patients admitted to the surgical ward during the month following Ivan were assessed with respect to diagnosis, age, gender, and length of hospitalization. The patients admitted during the same period the previous year were used as a control group.Results:The effects of the hurricane included a significant increase in the proportion of patients seen for diabetic feet, gunshot wounds, and infections due to wounds. The median length of the treatment time increased by 25%. In 2004, the total number of patients was 185 and in 2003, there were 167 patients admitted.Conclusions:The results of this study indicate that preparations for future hurricanes should include securing the capacity to handle the increased needs for hospital care, and ensuring that stocks of medicines, such as insulin and antibiotics, are sufficient, properly stored, and easily available to patients (e.g., by storing medicine at hurricane shelters equipped with generators and cold storage facilities). Diabetics should be instructed to use proper footwear to reduce the risk of cuts from debris.

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Traumatic Injuries of the Temporal Bone

Otolaryngologic Clinics of North America ◽

10.1016/s0030-6665(20)31540-1 ◽

1988 ◽

Vol 21 (2) ◽

pp. 295-316 ◽

Cited By ~ 10

Author(s):

Anton N. Hasso ◽

John A. Ledington

Keyword(s):

Temporal Bone ◽

Traumatic Injuries

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