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 ResearchMeSH KeywordsAccidents, TrafficAdolescentAdultEmergenciesEmergency Medical ServicesEmergency Service, HospitalFamily CharacteristicsHumansWounds and InjuriesYoung AdultConceptsRoad 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 ResearchMeSH KeywordsAdultAgedDeveloping CountriesEmergency Medical ServicesEmergency Service, HospitalFemaleHumansMaleRandom AllocationRetrospective StudiesTriageVital SignsConceptsHigh-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
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
2016
Analysis 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 ResearchMeSH KeywordsAmbulancesEmergency Medical ServicesHospitals, UniversityHumansProspective StudiesTrauma Severity IndicesWounds and InjuriesZambiaConceptsTrauma 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
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 ResearchMeSH KeywordsData CollectionEmergency Medical ServicesEmergency MedicineGlobal HealthHealth Services ResearchHumansResearchConceptsEmergency 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