Publications by authors named "H Geduld"

Article Synopsis
  • - Out-of-hospital cardiac arrest (OHCA) is a serious issue with low survival rates (under 10%) in high-income countries and even worse in resource-limited settings, highlighting the need for better data on how to allocate limited resources effectively.
  • - The study aimed to determine the cost-effectiveness of various interventions for OHCA and evaluate their affordability in different income levels by reviewing existing economic evaluations from various databases.
  • - Out of 468 articles reviewed, only 46 met the criteria, mainly focusing on the US healthcare perspective; findings suggest starting investments in areas like resuscitation protocols and CPR training to improve survival outcomes.
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Introduction: COVID-19 showed that countries must strengthen their operational readiness (OPR) capabilities to respond to an imminent pandemic threat rapidly and proactively. We conducted a rapid scoping evidence review to understand the definition and critical elements of OPR against five core sub-systems of a new framework to strengthen the global architecture for Health Emergency Preparedness Response and Resilience (HEPR).

Methods: We searched MEDLINE, Embase, and Web of Science, targeted repositories, websites, and grey literature databases for publications between 1 January 2010 and 29 September 2021 in English, German, French or Afrikaans.

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Background: Out-of-hospital cardiac arrest (OHCA) is a prevalent condition with high mortality and poor outcomes even in settings where extensive emergency care resources are available. Interventions to address OHCA have had limited success, with survival rates below 10% in national samples of high-income countries. In resource-limited settings, where scarcity requires careful priority setting, more data is needed to determine the optimal allocation of resources.

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Injuries are the greatest single cause of surgical disease globally, disproportionately affecting low and middle-income countries and representing 10% of global mortality and 32% greater annual mortality than HIV/AIDS, tuberculosis, and malaria combined. Road traffic injuries are the single greatest contributor to the global injury burden and the leading cause of death for young people aged 5 to 29 years. In May 2023, the 76th World Health Assembly resolved that emergency, critical, and operative care services are an integral part of a comprehensive national primary health care approach and foundational for health systems to effectively address emergencies.

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