Observational studyBMC emergency medicine2015
Dead on arrival in a low-income country: results from a multicenter study in Pakistan.
Observational study in BMC emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.PloS one · 2021Trial
- The association of crash response times and deaths at the crash scene: A cross-sectional analysis using the 2019 National Emergency Medical Service Information System.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Out of hospital cardiac arrest: experience of a bystander CPR training program in Karachi, Pakistan.BMC emergency medicine · 2022Article
- Systematic review on epidemiology, interventions and management of noncommunicable diseases in acute and emergency care settings in Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Review
- Analysis of causes of death among brought-in-dead cases in a third-level Hospital in Lusaka, Republic of Zambia, using the tariff method 2.0 for verbal autopsy: a cross-sectional study.BMC public health · 2020Article
- Emergency care surveillance and emergency care registries in low-income and middle-income countries: conceptual challenges and future directions for research.BMJ global health · 2019Review
- Standing at the edge of mortality; Five-year audit of an emergency department of a tertiary care hospital in a low resource setup.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThis study assessed the characteristics of dead on arrival (DOA) patients in Pakistan.
methodsData about the DOA patients were extracted from Pakistan National Emergency Department Surveillance study (Pak-NEDS). This study recruited all ED patients presenting to seven tertiary care hospitals during a four-month period between November 2010 and March 2011. This study included patients who were declared dead-on-arrival by the ED physician.
resultsA total of 1,557 DOA patients (7 per 1,000 visits) were included in the Pak-NEDS. Men accounted for two-thirds (64%) of DOA patients. Those aged 20-49 years accounted for about 46% of DOA patients. Nine percent (n = 72) of patients were brought by ambulance, and most patients presented at a public hospital (80%). About 11% of DOA patients had an injury. Factors significantly associated (p < 0.05) with ambulance use were men (adjusted odds ratio [aOR] = 2.72), brought to a private hospital (OR = 2.74), and being injured (aOR = 1.89). Cardiopulmonary resuscitation (CPR) was performed on 6% (n = 42) of patients who received treatment. Those brought to a private hospital were more likely to receive CPR (aOR = 2.81).
conclusionThis study noted a higher burden of DOA patients in Pakistan compared to other resourceful settings (about 1 to 2 per 1,000 visits). A large proportion of patients belonging to productive age groups, and the low prevalence of ambulance and CPR use, indicate a need for improving the prehospital care and basic life support training in Pakistan.
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