ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2019
Impact of emergency medicine training implementation on mortality outcomes in Kigali, Rwanda: An interrupted time-series study.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed.
- Utilization of intubation kits and checklist to improve first-pass success and reduce complications associated with endotracheal intubation in Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 2026Article
- Emergency medicine advances healthcare systems: the importance of recognizing EM as a specialty.Internal and emergency medicine · 2026Review
- The critical role of emergency departments in managing infectious disease outbreaks: Lessons from the Rwanda Marburg virus response.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Case management of mpox: Where we are and where we desire to be.Journal of public health in Africa · 2025Article
- Epidemiology and outcomes of critically ill patients in the emergency department of a tertiary teaching hospital in Rwanda.International journal of emergency medicine · 2024Article
- A needs assessment for formal emergency medicine curriculum and training in Zambia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Remote Teaching in a Rwandan Emergency Medicine Residency: A Viable Option with Limited In-person Staff.The East African health research journal · 2024Article
- Analgesia use in trauma patients at a university teaching hospital in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Evaluation of the World Health Organization-International Committee of the Red Cross Basic Emergency Care course for senior medical students.International journal of emergency medicine · 2023Article
- Trends in Neurotrauma Epidemiology, Management, and Outcomes during the COVID-19 Pandemic in Kigali, Rwanda.Journal of neurotrauma · 2023Article
- Clinical Outcomes Following the Implementation of a Novel One-Year Training Program in Emergency Medicine in Karachi, Pakistan.Annals of global health · 2023Article
- Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Factors associated with HIV testing among patients seeking emergent injury care in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Utilisation of peripheral vasopressor medications and extravasation events among critically ill patients in Rwanda: A prospective cohort study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Observational
- A qualitative study of an undergraduate online emergency medicine education program at a teaching Hospital in Kampala, Uganda.BMC medical education · 2022Article
- Paediatric emergency care at an academic referral hospital in Mozambique.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- An International Virtual Classroom: The Emergency Department Experience at Weill Cornell Medicine and Weill Bugando Medical Center in Tanzania.Global health, science and practice · 2021Article
- Cross-sectional survey of treatments and outcomes among injured adult patients in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough emergency medicine (EM) training programmes have begun to be introduced in low- and middle-income countries (LMICs), minimal data exist on their effects on patient-centered outcomes in such settings. This study evaluated the impact of EM training and associated systems implementation on mortality among patients treated at the University Teaching Hospital-Kigali (UTH-K).
methodsAt UTH-K an EM post-graduate diploma programme was initiated in October 2013, followed by a residency-training programme in August 2015. Prior to October 2013, care was provided exclusively by general practice physicians (GPs); subsequently, care has been provided through mutually exclusive shifts allocated between GPs and EM trainees. Patients seeking Emergency Centre (EC) care during November 2012-October 2013 (pre-training) and August 2015-July 2016 (post-training) were eligible for inclusion. Data were abstracted from a random sample of records using a structured protocol. The primary outcomes were EC and overall hospital mortality. Mortality prevalence and risk differences (RD) were compared pre- and post-training. Magnitudes of effects were quantified using regression models to yield adjusted odds ratios (aOR) with 95% confidence intervals (CI).
resultsFrom 43,213 encounters, 3609 cases were assessed. The median age was 32 years with a male predominance (60.7%). Pre-training EC mortality was 6.3% (95% CI 5.3-7.5%), while post-training EC mortality was 1.2% (95% CI 0.7-1.8%), constituting a significant decrease in adjusted analysis (aOR = 0.07, 95% CI 0.03-0.17; p < 0.001). Pre-training overall hospital mortality was 12.2% (95% CI 10.9-13.8%). Post-training overall hospital mortality was 8.2% (95% CI 6.9-9.6%), resulting in a 43% reduction in mortality likelihood (aOR = 0.57, 95% CI 0.36-0.94; p = 0.016). DISCUSSION: In the studied population, EM training and systems implementation was associated with significant mortality reductions demonstrating the potential patient-centered benefits of EM development in resource-limited settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.