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Global Projects


Development of an Innovate Tool for Emergency Care Surveillance in Karachi, Pakistan

Karachi, Pakistan


Most low and middle income countries lack data on the burden and epidemiology of emergent visits to local hospitals, the quality of care received in the Emergency Room, and the outcomes of those patients. Ongoing hospital based surveillance is critical for systematically collecting this information, with the longer-term goal of using this data to measure changes in outcomes with various interventions. This project, building on >20 years of collaboration between Johns Hopkins University and Aga Khan University, utilizes a multi-institutional team spanning the JHU schools of public health and medicine and aims to create an innovative emergency room visit surveillance tool tailored to the local setting as well as to define the burden and epidemiology of emergency visits in Karachi, Pakistan. The tool will be the first of its kind in a low-income setting designed to provide ongoing, systematic, active surveillance in the ER. The three-tiered surveillance system will collect data on over 18,000 patients in 12 months, including a baseline count of all visits, evaluation of basic demographic and clinical information, and a more detailed interview to assess initial clinical symptoms, pre-hospital and transport care, and basic sociodemographic and clinical history. Final products will be a new surveillance tool along with an understanding of the epidemiology of emergency care visits to AKU. This project will lead directly to the further development of Dr. Chandran’s career in emergency care in LMICs including an application for the NIH R01 grant (PAR-08-261) entitled “Research on Emergency Medical Services for Children.”


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