2024
Damage to medical complexes in the Gaza Strip during the Israel–Hamas war: a geospatial analysis
Poole D, Andersen D, Raymond N, Grace R, Smith T, Khoshnood K, Mowafi H. Damage to medical complexes in the Gaza Strip during the Israel–Hamas war: a geospatial analysis. BMJ Global Health 2024, 9: e014768. PMID: 38346771, PMCID: PMC11002345, DOI: 10.1136/bmjgh-2023-014768.Peer-Reviewed Original Research
2022
Health services access, utilization, and barriers for Arabic-speaking refugees resettled in Connecticut, USA
Elreichouni A, Aly S, Maciejewski K, Salem I, Ghossein N, Mankash M, Dziura J, Mowafi H. Health services access, utilization, and barriers for Arabic-speaking refugees resettled in Connecticut, USA. BMC Health Services Research 2022, 22: 1337. PMID: 36369007, PMCID: PMC9652044, DOI: 10.1186/s12913-022-08733-5.Peer-Reviewed Original ResearchConceptsPatient satisfactionHealth servicesCross-sectional observational studyMedian patient satisfactionPatient satisfaction questionnaireChronic medical conditionsHealth service accessHealth seeking behaviourDaily medicationInsurance statusPSQ-18Chronic conditionsObservational studyMedical conditionsMethodsThis studyHealthcare accessSatisfaction questionnaireSeeking behaviourWide variationMedicationsMedical assistanceHigh satisfactionDescriptive statisticsService accessNeed of improvementThe Beirut ammonium nitrate blast: A multicenter study to assess injury characteristics and outcomes
Al-Hajj S, Farran SH, Zgheib H, Tfaily MA, Halaoui A, Wehbe S, Karam S, Fadlallah Y, Fahd F, Toufaili L, Arjinian S, Al-Zaghrini E, Al Hariri M, El Hussein M, Souaiby N, Mowafi H, Mufarrij AJ. The Beirut ammonium nitrate blast: A multicenter study to assess injury characteristics and outcomes. Journal Of Trauma And Acute Care Surgery 2022, 94: 328-335. PMID: 35999664, DOI: 10.1097/ta.0000000000003745.Peer-Reviewed Original ResearchConceptsInjury characteristicsInjury predictorsBlast injuryMulticenter cross-sectional studyMajor acute care hospitalsHospital chart reviewInjury Severity ScoreIntensive care unitAcute care hospitalsCross-sectional studyHead/faceSecondary blast injuriesPrimary blast injuryChart reviewNeurologic disabilityEye injuriesTrauma patientsCare unitMultiple injuriesBlast lungMulticenter studyMean ageFrequent siteMost injuriesSeverity scoreFactors impacting trauma-specific quality of life following injury: A multi-center assessment in Lebanon
Elreichouni A, Al-Hajj S, Maciejewski KR, Ariss AB, Mowafi H. Factors impacting trauma-specific quality of life following injury: A multi-center assessment in Lebanon. Injury 2022, 53: 3255-3262. PMID: 35970634, PMCID: PMC11384921, DOI: 10.1016/j.injury.2022.08.014.Peer-Reviewed Original ResearchConceptsTrauma-specific qualitySevere injuriesProspective cohort studyTime of injuryBeirut Medical CenterQuality of lifeMulti-center assessmentCohort studyFunctional recoveryMultivariable linear modelsPatient 1Life QuestionnaireMedical CenterGlobal burdenPatientsGovernmental hospitalsLife 1Life yearsInjuryPocket costsHospitalSocioeconomic statusMore studiesHealthcare careSocioeconomic factorsNeurotrauma in the Syrian War: analysis of 41,143 cases from July 2013–July 2015
Fatima N, Mowafi H, Hariri M, Alnahhas H, Al-Kassem A, Saqqur M. Neurotrauma in the Syrian War: analysis of 41,143 cases from July 2013–July 2015. Neurological Sciences 2022, 43: 3769-3774. PMID: 35018549, DOI: 10.1007/s10072-022-05878-3.Peer-Reviewed Original ResearchConceptsNeurotrauma patientsTimes higher mortalityHospital stayBlunt injuryMedian lengthTrauma presentationsPatient presentationMethodsSecondary analysisPatientsGeneral traumaHigh mortalityNeurotraumaHospitalNeurosurgical proceduresLogistic regressionInjuryAdministrative datasetsFurther studiesMortalityUnknown dispositionTraumaPresentationLong-term needsMalesFemales
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
Leveraging the COVID-19 response to improve emergency care systems in the Eastern Mediterranean Region.
Mowafi H, Sakr H, Ravaghi H, Elmahal O, Slama S, Samhouri D, Relan P. Leveraging the COVID-19 response to improve emergency care systems in the Eastern Mediterranean Region. Eastern Mediterranean Health Journal 2020, 26: 626-629. PMID: 32621492, DOI: 10.26719/2020.26.6.626.Peer-Reviewed Original ResearchMeSH KeywordsBetacoronavirusCoronavirus InfectionsCOVID-19Emergency Medical ServicesEmergency Service, HospitalEpidemiologyHealth PolicyHealth Services AccessibilityHumansInternational CooperationMediterranean RegionPandemicsPneumonia, ViralPublic HealthPublic Health PracticeSARS-CoV-2World Health OrganizationDefining 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 dataLoss of nucleus accumbens low-frequency fluctuations is a signature of chronic pain
Makary MM, Polosecki P, Cecchi GA, DeAraujo IE, Barron DS, Constable TR, Whang PG, Thomas DA, Mowafi H, Small DM, Geha P. Loss of nucleus accumbens low-frequency fluctuations is a signature of chronic pain. Proceedings Of The National Academy Of Sciences Of The United States Of America 2020, 117: 10015-10023. PMID: 32312809, PMCID: PMC7211984, DOI: 10.1073/pnas.1918682117.Peer-Reviewed Original ResearchConceptsChronic low back pain patientsLow back pain patientsChronic painPain patientsChronic phaseChronic back pain patientsBack pain patientsRostral anterior cingulate cortexAnterior cingulate cortexAdditional independent datasetsRisk of transitionResting-state activityPersistent painBack painAccumbens volumeHealthy controlsNucleus accumbensPainSeparate cohortPatientsCingulate cortexPrevalent diseaseFunctional connectivityLoss of nucleiSubcortical signatures
2019
Towards developing a consensus assessment framework for global emergency medicine fellowships
Jahn HK, Kwan J, O’Reilly G, Geduld H, Douglass K, Tenner A, Wallis L, Tupesis J, Mowafi HO. Towards developing a consensus assessment framework for global emergency medicine fellowships. BMC Emergency Medicine 2019, 19: 68. PMID: 31711428, PMCID: PMC6849247, DOI: 10.1186/s12873-019-0286-6.Peer-Reviewed Original ResearchClinical CompetenceCommunicationConsensusCooperative BehaviorDeveloping CountriesEducational MeasurementEmergency MedicineFellowships and ScholarshipsGlobal HealthGroup ProcessesHealth Knowledge, Attitudes, PracticeHumansProfessionalismQuality Assurance, Health CareReproducibility of ResultsResearch
2018
Derivation and validation of a chief complaint shortlist for unscheduled acute and emergency care in Uganda
Rice BT, Bisanzo M, Maling S, Joseph R, Mowafi H, Chamberlain S, Dreifuss B, Hammerstedt H, Langevin M, Nelson S, Periyanayagam U. Derivation and validation of a chief complaint shortlist for unscheduled acute and emergency care in Uganda. BMJ Open 2018, 8: e020188. PMID: 29950461, PMCID: PMC6020949, DOI: 10.1136/bmjopen-2017-020188.Peer-Reviewed Original ResearchConceptsChief complaintPatient visitsInter-rater reliabilityEmergency careQuality assurance databaseEmergency care practitionersConsensus processSubstantial inter-rater reliabilityRetrospective reviewDerivation datasetCare practitionersComplaintsValidation datasetSouthwestern UgandaSecond validation datasetVisitsCohen's kappaCareKappaSeparate validation datasetData entryProfit hospitalsStataHospitalUganda
2017
Documenting deaths in the Syrian war
Mowafi H, Leaning J. Documenting deaths in the Syrian war. The Lancet Global Health 2017, 6: e14-e15. PMID: 29226822, DOI: 10.1016/s2214-109x(17)30457-6.Peer-Reviewed Original ResearchObesity 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
Results of a Nationwide Capacity Survey of Hospitals Providing Trauma Care in War-Affected Syria
Mowafi H, Hariri M, Alnahhas H, Ludwig E, Allodami T, Mahameed B, Koly JK, Aldbis A, Saqqur M, Zhang B, Al-Kassem A. Results of a Nationwide Capacity Survey of Hospitals Providing Trauma Care in War-Affected Syria. JAMA Surgery 2016, 151: 815-22. PMID: 27332144, DOI: 10.1001/jamasurg.2016.1297.Peer-Reviewed Original ResearchMeSH KeywordsBlood BanksBlood TransfusionEquipment and Supplies, HospitalHealth Services AccessibilityHospitalsHumansMaintenance and Engineering, HospitalNursesPharmacy Service, HospitalRehabilitationRenal Replacement TherapySurgeonsSurgical Procedures, OperativeSurveys and QuestionnairesSyriaTrauma CentersWarfareWorkforceConceptsTrauma hospitalTrauma careHealth infrastructureRenal replacement therapyEssential surgical servicesEmergency surgeryTomographic scannerReplacement therapyOxygen cylindersInpatient wardsBlood productsSurgical hospitalsSurgical servicesPharmacy servicesPediatric ventilatorsUnmet needHospitalRehabilitative servicesWidespread injuryPatientsWhole bloodPortable X-ray machineCapacity SurveyNationwide surveySurgeryAnalysis 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-thirdsPrediction of In‐hospital Mortality in Emergency Department Patients With Sepsis: A Local Big Data–Driven, Machine Learning Approach
Taylor RA, Pare JR, Venkatesh AK, Mowafi H, Melnick ER, Fleischman W, Hall MK. Prediction of In‐hospital Mortality in Emergency Department Patients With Sepsis: A Local Big Data–Driven, Machine Learning Approach. Academic Emergency Medicine 2016, 23: 269-278. PMID: 26679719, PMCID: PMC5884101, DOI: 10.1111/acem.12876.Peer-Reviewed Original ResearchConceptsMachine learning approachesElectronic health recordsLearning approachPredictive analyticsMachine learning techniquesRandom forest modelClinical decision support systemBig Data DrivenDecision support systemForest modelLearning techniquesUse casesData-DrivenFacilitate automationTraditional analytic techniquesAnalyticsSupport systemSimple heuristicsNew analyticsHealth recordsSmall setTree modelQuestion of generalizabilityPrediction modelDecision rules
2015
Managing Law Enforcement Presence in the Emergency Department: Highlighting the Need for New Policy Recommendations
Tahouni MR, Liscord E, Mowafi H. Managing Law Enforcement Presence in the Emergency Department: Highlighting the Need for New Policy Recommendations. Journal Of Emergency Medicine 2015, 49: 523-529. PMID: 26095221, DOI: 10.1016/j.jemermed.2015.04.001.Peer-Reviewed Original ResearchConceptsEmergency departmentPatient careEmergency health care providersEmergency patient carePortal of entryHealth care personnelTrauma resuscitation roomHealth care providersHealth care systemAccompany patientsED staySubsequent hospitalizationResuscitation roomPatients' perceptionsCare providersCare personnelEmergency careHealth care institutionsPatientsED personnelHospital policiesInstitutional guidelinesCare systemCare institutionsCare
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 collectionAcuteCareMaking Recording and Analysis of Chief Complaint a Priority for Global Emergency Care Research in Low‐income Countries
Mowafi H, Dworkis D, Bisanzo M, Hansoti B, Seidenberg P, Obermeyer Z, Hauswald M, Reynolds TA. Making Recording and Analysis of Chief Complaint a Priority for Global Emergency Care Research in Low‐income Countries. Academic Emergency Medicine 2013, 20: 1241-1245. PMID: 24283813, DOI: 10.1111/acem.12262.Peer-Reviewed Original ResearchConceptsChief complaintEmergency care researchEmergency care systemLimited resource settingsEmergency careLow-income countriesCare researchCare systemLimited-resource areasAcute care needsAcademic Emergency Medicine consensus conferenceGlobal emergency careHigh-income countriesClinical utilityConsensus conferenceCare needsMedical careComplaintsCareGlobal healthHigher proportionParticular benefitBreakout groupsSettingCrucial data gapEffectiveness of a Primary Health Care Program on Urban and Rural Community Disaster Preparedness, Islamic Republic of Iran: A Community Intervention Trial
Ardalan A, Mowafi H, Ardakani H, Abolhasanai F, Zanganeh AM, Safizadeh H, Salari S, Zonoobi V. Effectiveness of a Primary Health Care Program on Urban and Rural Community Disaster Preparedness, Islamic Republic of Iran: A Community Intervention Trial. Disaster Medicine And Public Health Preparedness 2013, 7: 481-490. PMID: 24274128, DOI: 10.1017/dmp.2013.93.Peer-Reviewed Original ResearchConceptsCommunity intervention trialIntervention trialsControl groupPrimary health care programmePrimary health care systemEducational interventionCommunity health volunteersIntervention areaPublic health service deliveryHealth service deliveryReadiness scoresHealth care programsCommunity disaster preparednessHealth care systemPHC staffHealth volunteersIntervention communitiesOutcome measuresStudy groupCare programPHC systemCare systemCapacity building interventionsOutcome variablesProvinces of Iran