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Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings

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Listed:
  • Isabel Beltrán Guzmán
  • Julita Gil Cuesta
  • Miguel Trelles
  • Omar Jaweed
  • Sophia Cherestal
  • Joris Adriaan Frank van Loenhout
  • Debarati Guha-Sapir

Abstract

Introduction: Delays in arrival and treatment at health facilities lead to negative health outcomes. Individual and external factors could be associated with these delays. This study aimed to assess common factors associated with arrival and treatment delays in the emergency departments (ED) of three hospitals in humanitarian settings. Methodology: This was a cross-sectional study based on routine data collected from three MSF-supported hospitals in Afghanistan, Haiti and Sierra Leone. We calculated the proportion of consultations with delay in arrival (>24 hours) and in treatment (based on target time according to triage categories). We used a multinomial logistic regression model (MLR) to analyse the association between age, sex, hospital and diagnosis (trauma and non-trauma) with these delays. Results: We included 95,025 consultations. Males represented 65.2%, Delay in arrival was present in 27.8% of cases and delay in treatment in 27.2%. The MLR showed higher risk of delay in arrival for females (OR 1.2, 95% CI 1.2–1.3), children

Suggested Citation

  • Isabel Beltrán Guzmán & Julita Gil Cuesta & Miguel Trelles & Omar Jaweed & Sophia Cherestal & Joris Adriaan Frank van Loenhout & Debarati Guha-Sapir, 2019. "Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-15, March.
    • Handle: RePEc:plo:pone00:0213362
    DOI: 10.1371/journal.pone.0213362
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