Challenges in traumatic spinal cord injury care in developing countries - a scoping review.

Autor:	Ranjbar Hameghavandi MH; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Khodadoust E; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Hassan Zadeh Tabatabaei MS; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Farahbakhsh F; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Ghodsi Z; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Rostamkhani S; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Ghashghaie S; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Abbaszade M; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Arbabi A; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Hossieni SM; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Sadeghi-Naini M; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Neurosurgery Department, Shohada Hospital, Lorestan University of medical sciences, Khoram-Abad, Iran., Atlasi R; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran, Iran.; Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran., Kankam SB; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., Vaccaro AR; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., Guest J; Department of Orthopedics and Neurosurgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, United States., Fehlings M; Neurosurgery and the Miami Project to Cure Paralysis, Miller School of Medicine, University of Miami, Coral Gables, FL, United States.; Division of Genetics and Development, Krembil Research Institute, University Health Network, Toronto, ON, Canada.; Division of Neurosurgery, Toronto Western Hospital, University Health Network, Toronto, ON, Canada., Rahimi-Movaghar V; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Department of Surgery and Spine Program, University of Toronto, Toronto, ON, Canada.; Universal Scientific Education and Research Network (USERN), Tehran, Iran.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Aug 19; Vol. 12, pp. 1377513. Date of Electronic Publication: 2024 Aug 19 (Print Publication: 2024).
DOI:	10.3389/fpubh.2024.1377513
Abstrakt:	Objective: To evaluate the leading challenges in developing countries' traumatic spinal cord injury (TSCI) care. Methods: We conducted a systematic search in electronic databases of PubMed, SCOPUS, Web of Science, EMBASE, and Cochrane Library on 16 April 2023. Studies that investigated challenges associated with the management of TSCI in developing countries were eligible for review. We extracted related outcomes and categorized them into four distinct parts: injury prevention, pre-hospital care, in-hospital care, and post-hospital care. Results: We identified 82 articles that met the eligibility criteria including 13 studies on injury prevention, 25 on pre-hospital care, 32 on in-hospital care, and 61 on post-hospital care. Challenges related to post-hospital problems including the personal, financial, and social consequences of patients' disabilities and the deficiencies in empowering people with TSCI were foremost studied. Lack of trained human resources, insufficient public education and delays in care delivery were barriers in the acute and chronic management of TSCI. A well-defined pre-hospital network and standard guidelines for the management of acute neurotrauma are needed. Critical challenges in injury prevention include deficiencies in infrastructure and supportive legislation. Conclusion: Studies focusing on injury prevention and pre-hospital care in TSCI management in developing countries warrant further investigation. It is imperative to develop systematic and evidence-based initiatives that are specifically tailored to the unique circumstances of each country to address these challenges effectively. By understanding the primary obstacles, policymakers and healthcare providers can establish goals for improving education, planning, legislation, and resource allocation. Competing Interests: AV receives royalties from Stryker, Globus, Medtronic, Atlas, Alphatech Spine, Elsevier, Jaypee, Taylor Francis/Hodder and Stoughton, and Thieme; has stock or stock options in Accelus, Advanced Spinal Intellectual Properties, Atlas, Avaz Surgical, AVKN Patient Driven Care, Cytonics, Deep Health, Dimension Orthotics LLC, Electocore, Flagship Surgical, FlowPharma, Globus, Harvard MedTech, Innovative Surgical Design, Jushi (Haywood), Nuvasive, Orthobullets, Parvizi Surgical Innovation, Progressive Spinal Technologies, Replication Medica, Sentryx, Stout Medical, ViewFi Health; and is a consultant for Globus. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Ranjbar Hameghavandi, Khodadoust, Hassan Zadeh Tabatabaei, Farahbakhsh, Ghodsi, Rostamkhani, Ghashghaie, Abbaszade, Arbabi, Hossieni, Sadeghi-Naini, Atlasi, Kankam, Vaccaro, Guest, Fehlings and Rahimi-Movaghar.)
Databáze:	MEDLINE
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