ArticleBMJ open2017
Patient characteristics of the Accident and Emergency Department of Kenyatta National Hospital, Nairobi, Kenya: a cross-sectional, prospective analysis.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Emergency triage in coastal Kenya: a survey of public Emergency Departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Developing emergency medical care policy across Kenya: A framework for policy development.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Characteristics of Interpersonal Violence and Intimate Partner Violence Among Injured Adults Seeking Emergency Care in Nairobi, Kenya.Rhode Island medical journal (2013) · 2024Article
- Emergency care visits at a South African hospital: Implications for healthcare services and policy.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Assessment of substance use among injured persons seeking emergency care in Nairobi, Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Prevalence and correlates of depression and substance use disorders in emergency department populations: A cross-sectional study at East Africa's largest public hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Using social media in Kenya to quantify road safety: an analysis of novel data.International journal of emergency medicine · 2022Article
- The status and future of emergency care in the Republic of Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 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
- A two-year review of adult emergency department mortality at Tikur Anbesa specialized tertiary hospital, Addis Ababa, Ethiopia.BMC emergency medicine · 2021Article
- Reasons for patients with non-urgent conditions attending the emergency department in Kenya: A qualitative study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- The last frontier for global non-communicable disease action: The emergency department-A cross-sectional study from East Africa.PloS one · 2021Article
- Severity of Injury and Associated Factors among Injured Patients Who Visited the Emergency Department at Wolaita Sodo Teaching and Referral Hospital, Ethiopia.Ethiopian journal of health sciences · 2020Article
- Presenting complaints and mortality in a cohort of 22 000 adult emergency patients at a local hospital in Nepal.Journal of global health · 2019Observational
- Retrospective review of the patient cases at a major trauma center in Nairobi, Kenya and implications for emergency care development.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- Clinical and Financial Implications of Medicine Consumption Patterns at a Leading Referral Hospital in Kenya to Guide Future Planning of Care.Frontiers in pharmacology · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResource-limited settings are increasingly experiencing a 'triple burden' of disease, composed of trauma, non-communicable diseases (NCDs) and known communicable disease patterns. However, the epidemiology of acute and emergency care is not well characterised and this limits efforts to further develop emergency care capacity.
objectiveTo define the burden of disease by describing the patient population presenting to the Accident and Emergency Department (A&E) at Kenyatta National Hospital (KNH) in Kenya.
methodsWe completed a prospective descriptive assessment of patients in KNH's A&E obtained via systematic sampling over 3 months. Research assistants collected data directly from patients and their charts. Chief complaint and diagnosis codes were grouped for analysis. Patient demographic characteristics were described using the mean and SD for age and n and percentages for categorical variables. International Classification of Disease 10 codes were categorised by 2013 Global Burden of Disease Study methods.
resultsData were collected prospectively on 402 patients with an average age of 36 years (SD 19), and of whom, 50% were female. Patients were most likely to arrive by taxi or bus (39%), walking (28%) or ambulance (17%). Thirty-five per cent of patients were diagnosed with NCDs, 24% with injuries and 16% with communicable diseases, maternal and neonatal conditions. Overall, head injury was the single most common final diagnosis and occurred in 32 (8%) patients. The most common patient-reported mechanism for head injury was road traffic accident (39%).
conclusionThis study estimates the characteristics of the A&E population at a tertiary centre in Kenya and highlights the triple burden of disease. Our findings emphasise the need for further development of emergency care resources and training to better address patient needs in resource-limited settings, such as KNH.
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