Factors affecting prehospital time delay of the injured patients arriving at the Emergency Department of Beni-Suef University Hospital in Egypt: A cross-sectional study

Khalil, Doaa Mahmoud; Elmorsy, Elmorsy; Arafa, Ahmed; Nafady, Hesham Ahmed; Saleh, Lamiaa

doi:10.1371/journal.pone.0252044

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…found that there is an increased mortality rate of up to 14.3% in patients with delayed presentation of more than 2 hours to the emergency department in Suez Canal university hospital. 17 Khalil et al ., 18 at Beni-Suef university in Upper Egypt, found that patients over 60 years old and with rural residency were associated with pre-hospital delays of more than 60 minutes, while patients with decreased consciousness levels seem to suffer fewer hospital delays. This is due to the overcrowded streets of large cities, such as Cairo, patients’ awareness of the number of ambulance services, and inadequate training of the paramedic crew.…”

Section: Deficits Of Trauma Care In Egyptmentioning

confidence: 99%

Challenges to the development of the trauma system in Egypt

Hafez

Omar

Aly

2023

J. Public Health Afr.

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Trauma is a hidden disease in Egypt, and its significance on public health has been under- estimated for decades. Road traffic accidents are the leading cause of injuries presented to hospitals in Egypt. Trauma systems in developed countries effectively reduced the morbidity and mortality associated with injuries in crowded cities. Developing a trauma system in Egypt is mandatory with the exploding population growth, increasing incidence of injuries and the vast expansion of the infrastructures in the road network. However, the implementation of the trauma system in Egypt won’t be devoid of challenges, including a lack of a mandatory healthcare infrastructure as adequate pre-hospital care, poor quality of data and a shortage of adequately trained emergency physicians across the country.

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Section: Deficits Of Trauma Care In Egyptmentioning

confidence: 99%

Challenges to the development of the trauma system in Egypt

Hafez

Omar

Aly

2023

J. Public Health Afr.

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“…Although health conditions requiring a rapid response are on the rise,4 EMS is not part of medical care in many low and middle-income countries 5. Because most of these countries lack an EMS, delays in treatment are prevalent, particularly in rural areas 6–11…”

Section: Introductionmentioning

confidence: 99%

“…5 Because most of these countries lack an EMS, delays in treatment are prevalent, particularly in rural areas. 6–11 …”

Section: Introductionmentioning

confidence: 99%

Barriers and opportunities of establishing an integrated prehospital emergency response system in North West Ethiopia: a qualitative study

et al. 2022

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BackgroundPrehospital emergency care helps to reduce mortality and morbidity from time-sensitive conditions. In this study, we summarised the perspectives of various stakeholders on the establishment of a prehospital integrated emergency response system.MethodsWe conducted a qualitative study using a key informant interview. We used a purposive sampling technique to select participants from the sector offices based on their proximity to the problem under consideration. We took verbal informed consent from each participant before the interviews. We conducted a thematic content analysis.ResultsTwenty-three study participants, working at six sector offices (the zonal health office, University of Gondar, traffic office, fire extinguisher office, the Amhara regional health bureau and the Ethiopian red cross association), were included in this study. Five major themes have emerged. The themes that emerged include participants’ views on the importance of prehospital service, barriers and opportunities for establishing the system, and how to start and sustain the system.Conclusion and recommendationLack of resources is not the main reason for the lack of prehospital emergency care in the study area rather; lack of commitment, ownership and high turnover of decision-makers were the main reasons for the absence of prehospital care, as viewed by respondents. On the other side, the availability of professionals, training institutions and the fact that emergency care is a shared agenda by different stakeholders were stated as an opportunity to establish the system. With the growing number of injuries and non-communicable diseases, emergency management should get due attention.

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