| Autor: |
Anthony AA; Tata Institute of Social Sciences, Mumbai, Maharashtra, India., Panchal K; HBT Medical College & Dr. R N Cooper Municipal General Hospital, New Delhi, India., Mathew F; Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States., Soni KD; Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India., Malhotra AK; Department of Surgery, University of Vermont, Burlington, Vermont, United States. |
| Jazyk: |
angličtina |
| Zdroj: |
The Indian journal of medical research [Indian J Med Res] 2024 Mar & Apr; Vol. 159 (3 & 4), pp. 331-338. |
| DOI: |
10.25259/IJMR_2398_23 |
| Abstrakt: |
Background & objectives Trauma is one of the leading causes of disability and death, worldwide. Ninety per cent of trauma related mortality occurs in low- and middle-income countries (LMICs). Despite this, there is paucity of literature emanating from LMICs with studies that present and/or evaluate feasible interventions that can have a measurable impact on outcomes after injury, primarily mortality. The current article aims at developing such interventions key elements of implementation and measures of compliance and impact. Methods A literature review was conducted to evaluate the status of injury care among LMICs worldwide. Based on this review, interventions were identified/developed, that (i) were feasible to implement within the constraints of available resources; (ii) could be implemented within a two year timespan; and (iii) would improve outcomes primarily, mortality. These interventions were then discussed at a symposium of experts and stakeholders from around the world. Results The literature review identified gaps across the entire spectrum of injury care at all levels - primary, secondary and tertiary prevention. Additionally, lack of data systems capable of ensuring quality of care and driving performance improvement was identified. Utilizing the review as the basis and focusing on hospital level interventions, one policy intervention, five in-hospital interventions and one major research question were identified/developed that met the defined criteria. Interpretation & conclusions Gaps in trauma care in LMICs at every level and in data systems were identified. Feasible interventions that can be implemented within the resource constraints of LMICs in a reasonable timeframe and that can have a measurable impact on injury related mortality were developed and are presented. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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