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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The Impact of Trauma Care Systems in Low- and Middle-Income Countries
Annual Review of Public Health, Volume 38, Year 2017
Notification
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Description
Injury is a leading cause of death globally, and organized trauma care systems have been shown to save lives. However, even though most injuries occur in low- and middle-income countries (LMICs), most trauma care research comes from high-income countries where systems have been implemented with few resource constraints. Little context-relevant guidance exists to help policy makers set priorities in LMICs, where resources are limited and where trauma care may be implemented in distinct ways. We have aimed to review the evidence on the impact of trauma care systems in LMICs through a systematic search of 11 databases. Reports were categorized by intervention and outcome type and summarized. Of 4,284 records retrieved, 71 reports from 32 countries met inclusion criteria. Training, prehospital systems, and overall system organization were the most commonly reported interventions. Quality-improvement, costing, rehabilitation, and legislation and governance were relatively neglected areas. Included reports may inform trauma care system planning in LMICs, and noted gaps may guide research and funding agendas. Copyright ©2017 Annual Reviews.
Authors & Co-Authors
Reynolds, Teri A.
Switzerland, Geneva
Organisation Mondiale de la Santé
Stewart, Barclay T.
United States, Seattle
University of Washington
Sawe, Hendry Robert
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Toroyan, Tami
Switzerland, Geneva
Organisation Mondiale de la Santé
Mock, Charles N.
United States, Seattle
University of Washington
Statistics
Citations: 96
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1146/annurev-publhealth-032315-021412
ISSN:
01637525
Research Areas
Disability
Health System And Policy
Violence And Injury
Study Design
Randomised Control Trial