ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2016
The clinical practice of emergency medicine in Mahajanga, Madagascar.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Patterns of Morbidity in Ambatoboeny District, Northern Madagascar: A 12-Month Study.Journal of clinical medicine · 2025Article
- A descriptive analysis of the casemix presenting to a tertiary hospital emergency centre in East London, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
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Authors and funding
4 authors.
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Abstract
introductionLittle is documented concerning the clinical practice of emergency care in low- and middle-income countries. The lack of structural models presents serious obstacles to the development of effective emergency care services. This study provides such a model by describing the clinical practice at the emergency centre of the Centre Hôpitalier Universitaire de Mahajanga in Madagascar.
methodsThis was a retrospective chart review of all adult patients presenting to the emergency centre from September to November 2012. Archived chart data were extracted into a computer database. Data included: age, sex, date, diagnostic investigations, procedures, medications, and diagnosis.
results727 charts were reviewed, averaging eight patients per day. The three most frequent pathologies observed were trauma, gastrointestinal, and infectious disease. A total of 392 received diagnostic investigations. These were chiefly complete blood counts (
conclusionThis is the first descriptive study of the clinical practice of emergency medicine in Mahajanga, Madagascar. It provides both the Malagasy and international medical communities with an objective analysis of the practice of emergency care in Madagascar from both diagnostic and therapeutic standpoints. Emergency care here focuses on the management of traumatic injury and infectious disease. The diagnostic imaging, pharmacologic and procedural therapeutic interventions reflect the burdens placed upon this institution by these diseases. We hope this study will provide guidance for the further development of Malagasy-specific emergency care systems.
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