2024
UNRWA's work is at risk again
Hamad B, Jamaluddine Z, Aly S, Salayma M, Asi Y, Mowafi H, Checchi F, Sato M, Bali A, Spiegel P. UNRWA's work is at risk again. The Lancet 2024, 404: 2157. PMID: 39579781, DOI: 10.1016/s0140-6736(24)02476-0.Peer-Reviewed Original ResearchFactors associated with elective surgical case cancellation at a tertiary hospital in Malawi
Serrato P, Msosa V, Kondwani J, Nkhumbwah M, Mowafi H, Smith J, Mulima G, Sion M. Factors associated with elective surgical case cancellation at a tertiary hospital in Malawi. World Journal Of Surgery 2024 PMID: 39558490, DOI: 10.1002/wjs.12404.Peer-Reviewed Original ResearchKamuzu Central HospitalFactors associated with lower oddsLower oddsFactors associated with cancellationTertiary hospitalProcess-related factorsAssociated with lower oddsPublic tertiary hospitalCase cancellationsElective surgical case cancellationCancellation of elective surgeriesCross-sectional studyMedian waiting timeReturn for surgerySurgery completion rateMultivariate regression modelHigher cancellation rateSurgical case cancellationCancellation of surgeryCompletion ratesPatient outcomesPatient demographicsOddsElective surgeryRegression models362 Epidemiology of burns in a humanitarian setting: a national study among refugees in Lebanon
Presser E, Farhat M, Mowafi H, Al-Hajj S. 362 Epidemiology of burns in a humanitarian setting: a national study among refugees in Lebanon. 2024, a76.2-a76. DOI: 10.1136/injuryprev-2024-safety.180.Peer-Reviewed Original Research361 Characteristics of injuries among Syrian refugees in Lebanon
Presser E, Al-Hajj S, Farhat M, Mowafi H. 361 Characteristics of injuries among Syrian refugees in Lebanon. 2024, a76.1-a76. DOI: 10.1136/injuryprev-2024-safety.179.Peer-Reviewed Original ResearchEstablishing an Employee Assistance Program at a Tertiary Healthcare Center in a Time of Multiple Crises: The Experience of the American University of Beirut Medical Center
Khairallah G, Mowafi H, Ayna D, Sakr C. Establishing an Employee Assistance Program at a Tertiary Healthcare Center in a Time of Multiple Crises: The Experience of the American University of Beirut Medical Center. Journal Of Workplace Behavioral Health 2024, ahead-of-print: 1-11. DOI: 10.1080/15555240.2024.2346328.Peer-Reviewed Original ResearchAmerican University of Beirut Medical CenterActive engagement strategiesMental health servicesPrimary care physiciansMedical CenterIndividual counseling sessionsRisk of occupational stressCare physiciansTertiary healthcare centerHealth servicesTraditional referralsParticipant characteristicsGroup sessionsCounseling sessionsHealthcare centersEmployee assistance programsHealthcare workersOccupational stressInsurance coverageEngagement strategiesSocioeconomic collapseIncreased riskAssistance programsSessionsCOVID-19 pandemicDamage 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 ResearchEpidemiology of burns in a humanitarian setting: A national study among refugees in Lebanon
Presser E, Farhat M, Michael M, El Asmar K, Jaber L, Moustafa M, Mowafi H, Al-Hajj S. Epidemiology of burns in a humanitarian setting: A national study among refugees in Lebanon. Burns 2024, 50: 1145-1149. PMID: 38402117, PMCID: PMC11384917, DOI: 10.1016/j.burns.2024.02.005.Peer-Reviewed Original ResearchSurgeons OverSeas Assessment of Surgical NeedMonths prior to data collectionSocioeconomically disadvantaged individualsMulti-level interventionsEpidemiology of burnsReduce burn injuriesRisk factorsLogistic regression modelsSyrian refugee populationImprove careUnivariate logistic regression modelInformal settlementsHumanitarian settingsMedical careVulnerable populationsDisadvantaged individualsSurgical needsHot liquidFinancial burdenCommunity kitchensRefugee populationsRegression modelsPopulation studiesData collectionCare
2022
332 Beirut port blast: a multi-center study to assess injury characteristics and outcomes
Al-Hajj S, Farran S, Zgheib H, Tfaily M, Halaoui A, Wehbe S, Karam S, Fadlallah Y, Fahd F, Toufaili L, Arjinian S, Al-Zaghrini E, Hariri M, Hussein M, Souaiby N, Mowafi H, Mufarrij A. 332 Beirut port blast: a multi-center study to assess injury characteristics and outcomes. 2022, a50.1-a50. DOI: 10.1136/injuryprev-2022-safety2022.149.Peer-Reviewed Original ResearchHealth 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 OrganizationImpact 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 dataNon-operative management of blunt abdominal solid organ trauma in adult patients
Ibrahim W, Mousa G, Hirshon JM, El-Shinawi M, Mowafi H. Non-operative management of blunt abdominal solid organ trauma in adult patients. African Journal Of Emergency Medicine 2020, 10: 123-126. PMID: 32923321, PMCID: PMC7474228, DOI: 10.1016/j.afjem.2020.02.002.Peer-Reviewed Original ResearchTanta University Emergency HospitalSolid organ traumaBlunt abdominal traumaNon-operative managementAbdominal traumaTrauma patientsOperative managementOrgan injuryOrgan traumaObservational studyInclusion criteriaBlunt abdominal trauma patientsBlood transfusion volumeBlunt trauma patientsProspective observational studySolid organ injuryAbdominal organ injuriesInjury Severity ScoreAbdominal trauma patientsNon-operative patientsUniversity Emergency HospitalLength of stayUnits of bloodLonger lengthOutcomes of interestLoss 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 ResultsResearchEmergency 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