Clinical Outcomes Following the Implementation of a Novel One-Year Training Program in Emergency Medicine in Karachi, Pakistan.
Syed Ghazanfar SaleemSaima AliAdeel KhatriSama MukhtarWasfa FarooqQuratulain MaroofMuhammad Imran JamalTariq AzizKaniz Farwa HaiderFarah Z DadabhoyMegan M RybarczykPublished in: Annals of global health (2023)
More than 125,000 patients were seen from July to December 2017 (pre-CPEM) and July to December 2019 (post-CPEM). Overall, there were significant improvements in all clinical metrics and outcomes, with the exception of LOS and time-to-evaluation, and a trend toward improved mortality. In comparing CPEM graduates to other groups in IHHN ED, most metrics and outcomes significantly improved or trended toward improvement, including mortality. Implementation of a medium-duration, intensive EM training program can help improve patient care and the development of EM as a new specialty in lower-resource settings.
Keyphrases
- emergency medicine
- end stage renal disease
- primary care
- healthcare
- cardiovascular events
- ejection fraction
- newly diagnosed
- chronic kidney disease
- emergency department
- tertiary care
- quality improvement
- risk factors
- prognostic factors
- peritoneal dialysis
- patient reported outcomes
- cardiovascular disease
- coronary artery disease
- type diabetes
- skeletal muscle
- metabolic syndrome