XXXX care in Nairobi, Kenya: a call for @entity130 care regionalisation.

@entity1 @entity64 @entity130
OBJECTIVE: To describe the emergency care of injuries at a main city hospital. DESIGN: A prospective study. SETTING: Data were collected between February 1st, 1999 and 30th April, 1999 from the records of the 2000 bed Kenyatta National Hospital (KNH) in Nairobi, Kenya. SUBJECTS: Two hundred and @entity130 @entity1 admitted at KNH were analysed. METHODS: All @entity1 were analysed for demographics, environment of injury hospital arrival and Emergency Department times. The effects of injury severity, @entity130 and time of day on these time intervals were analysed statistically. RESULTS: Road injury admissions formed 31% of all injury admissions. The mean age was 30 years. Males comprised 84.6% of all @entity1 . The proportions of @entity1 under 20 years of age was 20% with a peak age of 20-29 years. Majority (43.3%) of the injured resided in deprived neighbourhood of East Nairobi. The mean pre-hospital time was 2.56 hours. The Emergency Department disposition time was 3.36 hours. Injuries of all severities, as determined by the Injury Severity Score (ISS), were treated. The pace of care did not match severity of the injuries. Only 17.5% reached their areas of definitive care within sixty minutes. CONCLUSION: Injuries following @entity64 ( @entity64 ) are common in Nairobi. The response to injury is slow and haphazard. The insitution of a care incorporating the city's health centers and pre-hospital triage may optimise care.
