ArticlePloS one2015
Mortality related to acute illness and injury in rural Uganda: task shifting to improve outcomes.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Prevalence and determinant of poor treatment outcome of poisoning in Ethiopia: systematic review and meta-analysis.BMC emergency medicine · 2025Pooled it
- Mortality and its determinants among patients attending in emergency departments.BMC emergency medicine · 2024Pooled it
- Pathways of emergency care for severely ill children in Nigerian and Ugandan hospitals: A process mapping study.PLoS medicine · 2026Article
- Level of Emergency Preparedness and Associated Barriers at the Accident and Emergency Ward of a LMIC Hospital: A Cross-Sectional Assessment Using the WHO HEAT Tool.Open access emergency medicine : OAEM · 2026Article
- Pediatric Emergency Surgery Course in Uganda: Long-Term Follow-Up and Insights From Further Dissemination.The Journal of surgical research · 2024Article
- Consensus-based recommendations for strengthening emergency care at primary health care level: a Delphi study.Global health action · 2023Article
- Non-medical practitioners in the staffing of emergency departments and urgent treatment centres in England: a mixed qualitative methods study of policy implementation.BMC health services research · 2023Article
- The magnitude of mortality and its predictors among adult patients admitted to the Intensive care unit in Amhara Regional State, Northwest Ethiopia.Scientific reports · 2023Article
- Nurses and emergency nursing care in Botswana.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Clinical emergency care quality indicators in Africa: a scoping review and data summary.BMJ open · 2023Article
- Task Shifting and Task Sharing Implementation in Africa: A Scoping Review on Rationale and Scope.Healthcare (Basel, Switzerland) · 2023Article
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- Task-sharing to support paediatric and child health service delivery in low- and middle-income countries: current practice and a scoping review of emerging opportunities.Human resources for health · 2021Article
- The costs of delivering emergency care at regional referral hospitals in Uganda: a micro-costing study.BMC health services research · 2021Article
- Task-sharing with artificial intelligence: a design hypothesis for an Emergency Unit in sub-Saharan Africa.The Pan African medical journal · 2021Article
- COVID-19 Pandemic Prompts a Paradigm Shift in Global Emergency Medicine: Multidirectional Education and Remote Collaboration.AEM education and training · 2021Article
- Defining High-risk Emergency Chief Complaints: Data-driven Triage for Low- and Middle-income Countries.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Article
- Vital Signs Directed Therapy for the Critically Ill: Improved Adherence to the Treatment Protocol Two Years after Implementation in an Intensive Care Unit in Tanzania.Emergency medicine international · 2020Article
- Rapid, remote education for point-of-care ultrasound among non-physician emergency care providers in a resource limited setting.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to the dual critical shortages of acute care and healthcare workers in resource-limited settings, many people suffer or die from conditions that could be easily treated if existing resources were used in a more timely and effective manner. In order to address this preventable morbidity and mortality, a novel emergency midlevel provider training program was developed in rural Uganda. This is the first study that assesses this unique application of a task-shifting model to acute care by evaluating the outcomes of 10,105 patients.
methodsNurses participated in a two-year training program to become midlevel providers called Emergency Care Practitioners at a rural district hospital. This is a retrospective analysis of the Emergency Department's quality assurance database, including three-day follow-up data. Case fatality rates (CFRs) are reported as the percentage of cases with a specific diagnosis that died within three days of their Emergency Department visit.
findingsOverall, three-day mortality was 2.0%. The most common diagnoses of patients who died were malaria (n=60), pneumonia (n=51), malnutrition (n=21), and trauma (n=18). Overall and under-five CFRs were as follows: malaria, 2.0% and 1.9%; pneumonia, 5.5% and 4.1%; and trauma, 1.2% and 1.6%. Malnutrition-related fatality (all cases <18 years old) was 6.5% overall and 6.8% for under-fives.
interpretationThis study describes the outcomes of emergency patients treated by midlevel providers in a resource-limited setting. Our fatality rates are lower than previously published regional rates. These findings suggest this model of task-shifting can be successfully applied to acute care in order to address the shortage of emergency care services in similar settings as part of an integrated approach to health systems strengthening.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.