Differential patterns of disease and injury in Mozambique: New perspectives from a pragmatic, multicenter, surveillance study of 7809 emergency presentations
| العنوان: | Differential patterns of disease and injury in Mozambique: New perspectives from a pragmatic, multicenter, surveillance study of 7809 emergency presentations |
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| المؤلفون: | Ashley K. Keates, Samuel J. Sitefane, Yih-Kai Chan, Igor Dobe, Bonifacio Cebola, Norberto Lumbandali, Artur Manuel Muloliwa, Simon Stewart, Nerolie Stickland, Naisa Manafe, Frederico Sebastião, Ana Olga Mocumbi |
| المصدر: | PLoS ONE PLoS ONE, Vol 14, Iss 7, p e0219273 (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Critical Care and Emergency Medicine, Epidemiology, Disease, 030204 cardiovascular system & hematology, Adolescents, Geographical Locations, Families, 0302 clinical medicine, Clinical history, Medicine and Health Sciences, Medicine, Public and Occupational Health, 030212 general & internal medicine, Child, Children, Mozambique, Disease surveillance, Multidisciplinary, Communicable disease, 1. No poverty, Socioeconomic Aspects of Health, 3. Good health, Child, Preschool, Population Surveillance, Female, Emergency Service, Hospital, Infants, Research Article, Adult, Surveillance study, Adolescent, Science, MEDLINE, Surveillance Methods, Disease Surveillance, Communicable Diseases, 03 medical and health sciences, Parasitic Diseases, Humans, Noncommunicable Diseases, Aged, business.industry, Infant, medicine.disease, Tropical Diseases, Malaria, Health Care, Age Groups, People and Places, Africa, Population Groupings, business, Demography |
| الوصف: | BackgroundThere is a paucity of primary data to understand the overall pattern of disease and injuries as well as related health-service utilization in resource-poor countries in Africa.ObjectiveTo generate reliable and robust data describing the pattern of emergency presentations attributable to communicable disease (CD), non-communicable disease (NCD) and injuries in three different regions of Mozambique.MethodsWe undertook a pragmatic, prospective, multicentre surveillance study of individuals (all ages) presenting to the emergency departments of three hospitals in Southern (Maputo), Central (Beira) and Northern (Nampula) Mozambique. During 24-hour surveillance in the seasonally distinct months of April and October 2016/2017, we recorded data on 7,809 participants randomly selected from 39,124 emergency presentations to the three participating hospitals. Applying a pragmatic surveillance protocol, data were prospectively collected on the demography, clinical history, medical profile and treatment of study participants.FindingsA total of 4,021 males and 3,788 (48.5%) females comprising 630 infants (8.1%), 2,070 children (26.5%), 1,009 adolescents (12.9%) and, 4,100 adults (52.5%) were studied. CD was the most common presentation (3,914 cases/50.1%) followed by NCD (1,963/25.1%) and injuries (1,932/24.7%). On an adjusted basis, CD was more prevalent in younger individuals (17.9±17.7 versus 26.6±19.2 years;pInterpretationApplying highly pragmatic surveillance methods suited to the low-resource setting of Mozambique, these unique data provide critical insights into the differential pattern of CD, NCD and injury. Consequently, they highlight specific health priorities across different regions and seasons in Southern Africa. |
| وصف الملف: | application/pdf |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::16d10cab270699bf3082e7a80ef2a94aTest https://pubmed.ncbi.nlm.nih.gov/31291292Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....16d10cab270699bf3082e7a80ef2a94a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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