Emergency care in 59 low- and middle-income countries: a systematic review

摘要: AbstractObjective To conduct a systematic review of emergency care in low- and middle-income countries (LMICs).Methods. We searched PubMed, CINAHL World Health Organization (WHO) databases for reports describing facility-based obtained unpublished data from network clinicians researchers. screened articles inclusion based on their titles abstracts English or French. extracted patient outcomes demographics as well facility provider characteristics. Analyses were restricted to published 1990 onwards.Findings identified 195 concerning 192 facilities 59 countries. Most academically-affiliated hospitals urban areas. The median mortality within departments was 1.8% (interquartile range, IQR: 0.2-5.1%). Mortality relatively high paediatric (median: 4.8%; 2.3-8.4%) sub-Saharan Africa 3.4%; 0.5-6.3%). number patients 30 000 per year (IQR: 10 296-60 000), most whom young (median age: 35 years; 6.9-41.0) male 55.7%; 50.0-59.2%). staffed either by physicians-in-training physicians whose level training unspecified. Very few these providers had specialist care.Conclusion Available LMICs indicate loads mortality, particularly Africa, where substantial proportion all deaths may occur departments. combination volume the urgency treatment make an important area focus interventions aimed at reducing settings.