2021
Household economic impact of road traffic injury versus routine emergencies in a low-income country
Mowafi H, Rice B, Nambaziira R, Nirere G, Wongoda R, James M, Group GW, Bisanzo M, Post L. Household economic impact of road traffic injury versus routine emergencies in a low-income country. Injury 2021, 52: 2657-2664. PMID: 34210454, DOI: 10.1016/j.injury.2021.06.007.Peer-Reviewed Original ResearchConceptsRoad traffic injuriesRTI patientsTraffic injuriesHousehold economic impactEmergency patientsConsecutive emergency department patientsHousehold financial impactNon-RTI patientsSimilar hospital costsEmergency department patientsEmergency care patientsType of injuryCause of deathEmergency care systemResidual disabilityCare patientsDepartment patientsEmergency presentationMiddle-income countriesDays of workHospital costsMedical presentationPatientsHealth statusInjury
2020
Impact of nursing education and a monitoring tool on outcomes in traumatic brain injury
Gamble M, Luggya TS, Mabweijano J, Nabulime J, Mowafi H. Impact of nursing education and a monitoring tool on outcomes in traumatic brain injury. African Journal Of Emergency Medicine 2020, 10: 181-187. PMID: 33299746, PMCID: PMC7700954, DOI: 10.1016/j.afjem.2020.05.013.Peer-Reviewed Original ResearchTraumatic brain injuryPost-intervention groupLow-resource settingsVital signsEmergency centerSecondary outcomesBrain injurySeverity of TBIMulago National Referral HospitalResource settingsEarly aggressive careMedian time intervalNational Referral HospitalCause of morbidityLength of stayPre-intervention groupNursing educationHospital mortalityAggressive careUnadjusted mortalityAdvanced airwayMiddle-income countriesPrimary outcomeReferral hospitalPrimary preventionDefining High‐risk Emergency Chief Complaints: Data‐driven Triage for Low‐ and Middle‐income Countries
Rice B, Leanza J, Mowafi H, Kamara N, Mulogo EM, Bisanzo M, Nikam K, Kizza H, Newberry JA, Strehlow M, Group G, Kohn M. Defining High‐risk Emergency Chief Complaints: Data‐driven Triage for Low‐ and Middle‐income Countries. Academic Emergency Medicine 2020, 27: 1291-1301. PMID: 32416022, PMCID: PMC7818254, DOI: 10.1111/acem.14013.Peer-Reviewed Original ResearchConceptsHigh-risk chief complaintsChief complaintMiddle-income countriesPatient outcomesLMIC settingsVital signsMortality odds ratioLevel of consciousnessLogistic regression modelsLocal disease patternsHIV statusMortality oddsOdds ratioDerivation data setsEmergency unitMortality riskEmergency careEmergency training programsDerivation dataDisease patternsTriage systemRisk categoriesComplaintsPatient dataTriage data
2019
Emergency care surveillance and emergency care registries in low-income and middle-income countries: conceptual challenges and future directions for research
Mowafi H, Ngaruiya C, O'Reilly G, Kobusingye O, Kapil V, Rubiano A, Ong M, Puyana JC, Rahman AF, Jooma R, Beecroft B, Razzak J. Emergency care surveillance and emergency care registries in low-income and middle-income countries: conceptual challenges and future directions for research. BMJ Global Health 2019, 4: e001442. PMID: 31406601, PMCID: PMC6666805, DOI: 10.1136/bmjgh-2019-001442.Peer-Reviewed Original ResearchCare surveillanceEmergency careMiddle-income countriesRegistry researchStandard clinical formsDisability-adjusted life yearsPopulation-based researchUS National InstitutesClinical formsGlobal emergency careOverall burdenRegistry dataEmergency unitLongitudinal surveillanceLife yearsFogarty International CenterGlobal deathsLMIC settingsWorking GroupHealth recordsCareNational InstituteSurveillancePaucity of researchBurden
2017
Obesity as a form of malnutrition: over-nutrition on the Uganda “malnutrition” agenda
Ngaruiya C, Hayward A, Post L, Mowafi H. Obesity as a form of malnutrition: over-nutrition on the Uganda “malnutrition” agenda. Pan African Medical Journal 2017, 28: 49. PMID: 29184601, PMCID: PMC5697987, DOI: 10.11604/pamj.2017.28.49.11176.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesForms of malnutritionRelated non-communicable diseasesBurden of overweightEvidence-based considerationsMiddle-income countriesMalnutritionObesityDouble burdenOverweightDietary diversityNutrition researchBurdenNutritionDemonstrated roleFood insecurityUgandaPredominant formDiseaseRecent literature
2016
Developing metrics for emergency care research in low- and middle-income countries
Abujaber S, Chang CY, Reynolds TA, Mowafi H, Obermeyer Z. Developing metrics for emergency care research in low- and middle-income countries. African Journal Of Emergency Medicine 2016, 6: 116-124. PMID: 30456077, PMCID: PMC6234170, DOI: 10.1016/j.afjem.2016.06.003.Peer-Reviewed Original ResearchEmergency careEmergency care deliveryMiddle-income countriesCare deliveryGeneral emergency careType of triageAnnual patient volumeEmergency care settingsYears of ageEmergency care researchPatient demographicsPediatric dataAdmission ratesCare settingsProvider trainingAverage agePatient volumeSubset of populationCare researchCareLMICsBed countConsiderable heterogeneitySystematic literature reviewAgeAnalysis of Prehospital Transport Use for Trauma Patients in Lusaka, Zambia
Mowafi H, Oranmore‐Brown R, Hopkins KL, White EE, Mulla YF, Seidenberg P. Analysis of Prehospital Transport Use for Trauma Patients in Lusaka, Zambia. World Journal Of Surgery 2016, 40: 2868-2874. PMID: 27405748, DOI: 10.1007/s00268-016-3629-4.Peer-Reviewed Original ResearchConceptsTrauma patientsPrehospital careMajority of patientsInpatient resource utilizationMechanism of injuryBurden of injuryOutcome of injuryFirst hourSmall statistical increaseScore IIMiddle-income countriesTrauma presentationsStudy personnelObservational studyPrehospital transportPrehospital servicesAmbulance arrivalAmbulance transportPatientsPatient useInjuryPrivate ambulanceSAS 9.3Statistical increaseTwo-thirds
2014
Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia
Seidenberg P, Cerwensky K, Brown R, Hammond E, Mofu Y, Lungu J, Mulla Y, Biemba G, Mowafi H. Epidemiology of injuries, outcomes, and hospital resource utilisation at a tertiary teaching hospital in Lusaka, Zambia. African Journal Of Emergency Medicine 2014, 4: 115-122. DOI: 10.1016/j.afjem.2014.01.006.Peer-Reviewed Original ResearchUniversity Teaching HospitalHospital resource utilisationPatterns of injuryTrauma registryHIV testingInjury careBlood productsTeaching hospitalUrban hospitalHospital-based trauma registryCircumstances of traumaImportant epidemiologic dataPrimary trauma centreEpidemiology of injuriesTertiary teaching hospitalCase fatality rateCircumstances of injuryLength of stayResource utilisation dataGlobal public health threatPublic health threatRoad traffic accidentsMiddle-income countriesTrauma centerVital status
2013
Research Priorities for Data Collection and Management Within Global Acute and Emergency Care Systems
Reynolds TA, Bisanzo M, Dworkis D, Hansoti B, Obermeyer Z, Seidenberg P, Hauswald M, Mowafi H. Research Priorities for Data Collection and Management Within Global Acute and Emergency Care Systems. Academic Emergency Medicine 2013, 20: 1246-1250. PMID: 24341579, DOI: 10.1111/acem.12261.Peer-Reviewed Original ResearchConceptsEmergency care systemCare systemAcute care systemEmergency care accessDiagnostic classification schemesAcademic Emergency Medicine consensus conferenceMiddle-income countriesProfound health effectsDisease burdenCare accessEmergency careConsensus conferencePriority research agendaHealth effectsLack of consensusCare developmentGlobal healthLack of agreementResearch prioritiesBreakout groupsLimited documentationData collectionAcuteCare