Paediatric Emergency Department preparedness in Nigeria: A prospective cross-sectional study.
Emergency care preparedness
Emergency medicine
Paediatric Emergency Department
Paediatric emergency care
Paediatric emergency medicine
Paediatrics
Journal
African journal of emergency medicine : Revue africaine de la medecine d'urgence
ISSN: 2211-4203
Titre abrégé: Afr J Emerg Med
Pays: Netherlands
ID NLM: 101572277
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
26
02
2020
revised:
29
04
2020
accepted:
26
05
2020
entrez:
14
9
2020
pubmed:
15
9
2020
medline:
15
9
2020
Statut:
ppublish
Résumé
Paediatric emergency medicine (PEM) is poorly developed in low and middle-income countries. The magnitude of challenges facing Paediatric Emergency Departments (PEDs) in Nigeria has not been well described. This study aimed to assess paediatric emergency care preparedness across PEDs in Nigeria. This was a prospective cross-sectional study that utilized a self-administered questionnaire and a check list to assess three key domains (managerial, medication and equipment) in tertiary care PED facilities that were recruited across Nigeria. Preparedness scores and other institutional attributes were compared between zones and regions. Thirty-four tertiary-level PEDs across Nigeria were included. The mean number of patient visits over the 30-day period prior to data collection was 253.2 (±261.2). The mean (SD) managerial, medication and equipment performance scores of the included PEDs were 42.9% (±14.3%), 50.7% (±22.3%) and 43.9% (±11.8%) respectively. The mean (SD) total performance score was 46.9% (±15.3%). Only 13 PEDs had a total performance score of >50%. There was a statistically significant higher mean equipment score (p = 0.029) in the Southern region (47.6 ± 3.1) compared to the Northern region (38.9 ± 2.3) of the country. This study reports a global but remediable deficiency in emergency care preparedness amongst PEDs in tertiary care facilities in Nigeria. This study highlights the need for training of PED managers in basic and advanced life support and for the improvement in medication and equipment procurement across Nigeria.
Identifiants
pubmed: 32923327
doi: 10.1016/j.afjem.2020.05.010
pii: S2211-419X(20)30050-1
pmc: PMC7474227
doi:
Types de publication
Journal Article
Langues
eng
Pagination
152-158Informations de copyright
© 2020 African Federation for Emergency Medicine. Publishing services provided by Elsevier.
Déclaration de conflit d'intérêts
This research was funded by the Tertiary Education Trust Fund (TETFund) scholarship award from the Federal government of Nigeria through The University of Calabar academic staff development scheme. The authors declared no other conflicts of interest.
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