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Characteristics and capabilities of emergency departments in Abuja, Nigeria
  1. Leana S Wen1,2,
  2. John I Oshiomogho2,
  3. George I Eluwa3,4,
  4. Anne P Steptoe2,
  5. Ashley F Sullivan2,
  6. Carlos A Camargo Jr2
  1. 1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
  2. 2Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
  3. 3Department of Operations Research, Population Council, Abuja, Nigeria
  4. 4Department of Health Policy, Diadem Consults, Abuja, Nigeria
  1. Correspondence to Dr Carlos A Camargo Jr, Department of Emergency Medicine, Massachusetts General Hospital, 326 Cambridge Street, Suite 410, Boston, MA 02114, USA; ccamargo{at}partners.org

Abstract

Objectives Emergency departments (ED) are the basic unit of international emergency medicine, but often differ in fundamental features. This study sought to describe and characterise ED in the capital city of Nigeria, Abuja.

Methods All ED open 24 h/day 7 days/week to the general public were surveyed using the national ED inventories survey instrument (http://www.emnet-nedi.org). ED staff were asked about ED characteristics with reference to calendar year 2008.

Results Twenty-four ED participated (83% response). All were located in hospitals, which ranged in size from six to 250 beds. The majority (92% CI 73% to 100%) had a contiguous layout with medical and surgical care provided in one area. All ED saw both adults and children, with a median of 1500 annual visits (IQR 648–2328). Almost half of respondents (46%; CI 26% to 67%) thought their ED operated under capacity, none thought that their ED was over capacity. Only 4% of ED surveyed had dedicated CT scanners, 25% had cardiac monitoring and none had negative-pressure rooms. There was wide variation in the types of emergencies that were identified as being treatable 24 h/day 7 days/week; these appeared to correlate with ED consultant availability.

Conclusions Although ED location and layout in Abuja do not differ greatly from that in a typical US city, ED utilisation was lower and fewer resources and capabilities were available. The lack of technological and human resources raise questions about what critical technologies are needed in resource-limited settings, and whether Nigeria should consider training emergency medicine physicians to meet its workforce needs.

  • Anaphylaxis allergy
  • asthma
  • clinical
  • emergency care systems
  • emergency department
  • emergency department classification
  • epidemiology
  • international emergency medicine
  • Nigeria
  • research

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Footnotes

  • Additional materials are published online only. To view these files please visit the journal online (http://dx.doi.org/10.1136/emermed-2011-200695).

  • Competing interests None.

  • Ethics approval Ethics approval was provided by Partners Healthcare.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Data sharing statement Because survey respondents were assured at the outset that their responses would be available to the public only in aggregate form, the authors are not able to freely share the data obtained.

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