Measuring preparedness of hospitals to manage traumatic brain injuries: Criterion development and assessment in an Indian district

IF 0.8 Q4 CLINICAL NEUROLOGY
Ajay Krishan Adusumilli, G. Sukumar, Gunjan Pandey, Dhaval Shukla
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Abstract

The objectives of the study are to develop a criterion to objectively assess the preparedness of hospitals to manage traumatic brain injuries (TBIs) and to assess and classify the preparedness of secondary and tertiary care hospitals to manage TBIs in an Indian district. This ethically approved hospital-based cross-sectional study was conducted between June 2022 and February 2023 in all eligible secondary and tertiary hospitals in Kolar, Karnataka, India. A study instrument (Form 1, 2, and 3) and the criterion (level-numeric scoring system) to objectively measure the preparedness of hospitals to manage TBIs were developed based on the Neurotrauma Society of India guidelines. This was used to collect data on facilities, manpower, intensive care unit care, drugs, and equipment available for managing TBI in hospitals, by a combination of observation, interview, and verification of records. Based on the assessment, the preparedness of each hospital was categorized into different levels and scores. We assessed all 11 eligible hospitals in the district of which 81% are categorized as having Level 4 preparedness to manage TBIs (corresponds to the management of mild head injury cases). One hospital each had Level 2 and Level 3 preparedness to manage TBIs (moderate and severe). There was no Level 1 preparedness in hospital in the district. Most hospitals were identified to have Level 4 preparedness, indicating a need for comprehensive strengthening of secondary and tertiary hospitals to manage TBI cases in the district.
衡量医院处理脑外伤的准备情况:印度地区的标准制定与评估
本研究的目的是制定一个标准,以客观评估医院处理创伤性脑损伤(TBI)的准备情况,并对印度一个地区的二级和三级医院处理创伤性脑损伤的准备情况进行评估和分类。 这项基于医院的横断面研究于 2022 年 6 月至 2023 年 2 月期间在印度卡纳塔克邦科拉市所有符合条件的二级和三级医院进行,并获得了伦理批准。研究工具(表格 1、2 和 3)和标准(等级-数字评分系统)都是根据印度神经创伤协会的指南制定的,用于客观衡量医院处理创伤性脑损伤的准备情况。通过观察、访谈和核实记录相结合的方式,收集了有关医院处理创伤性脑损伤的设施、人力、重症监护室护理、药物和设备的数据。根据评估结果,每家医院的准备情况被分为不同的等级和分数。 我们对该地区所有 11 家符合条件的医院进行了评估,其中 81% 的医院在处理创伤性脑损伤方面的准备程度被归类为 4 级(相当于轻度颅脑损伤病例的处理)。有一家医院在处理创伤性脑损伤(中度和重度)方面的准备程度分别为二级和三级。该地区的医院没有一级准备。 大多数医院的准备程度为4级,这表明有必要全面加强二级和三级医院对该地区创伤性脑损伤病例的管理。
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
129
审稿时长
22 weeks
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