Paul Serrato, Claudia Kabanyana, Fabrizio Darby, Louise Atadja, Bennadettee Biton, Grace Kansayisa, Penelope Kantu Machona, Melanie Sion, Chifundo Kajombo
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引用次数: 0
Abstract
Background: Trauma research is important for the member countries of the College of Surgeons of East, Central, and Southern Africa (COSECSA) to define the state of trauma systems. We aim to assess the literature describing the translation of trauma data to implementation programs for trauma care improvement or injury prevention in the COSECSA region.
Methods: A contemporary narrative review was conducted using PubMed, Embase, Scopus, Web of Science, Global Index Medicus, Global Health, Africa-Wide, and HINARI (searched January 2025). Published studies on injury prevention programs, trauma care improvement, and policy changes in COSECSA were included. Studies focused on measuring trauma prevalence were excluded. Qualitative analysis of interventional design and impact was conducted.
Results: Over 1250 abstracts were screened. Nearly all publications using trauma data focused on measuring injury patterns and associated risk factors. Of the 57 translational articles meeting inclusion criteria, 30 (53%) pertained to trauma care capacity building and education, 10 (18%) evaluated quality improvement programs in trauma care, 7 (12%) described injury prevention programs, 5 (9%) assessed injury-related policy changes, and 5 (9%) described secondary benefits of registries such as improved patient assessments. Geographically, 19 (33%) articles originated from Uganda, 10 (18%) from Rwanda, 7 (12%) from Tanzania, 6 (11%) from Kenya, 5 (9%) from Malawi, 4 (7%) from Ethiopia and Botswana each, and 1 (2%) from South Sudan, Mozambique, and Zambia each. The findings reveal significant progress in the COSECSA region in using trauma data to enhance care and prevention efforts. However, transforming data into actionable programs remains a complex and challenging process with ample opportunities for further work.
Conclusions: Publications pertaining to implementation programs for trauma care improvement and injury prevention are sparse in the existing literature. We highlight trauma research in the COSECSA region with tangible, direct local benefits. Shifting the focus of trauma research from disease burden to targeted implementation programs may be a more impactful use of scarce resources and research energies.
背景：创伤研究对于东非、中非和南部非洲外科医师学会（COSECSA）成员国界定创伤系统状态非常重要。我们的目的是评估描述在COSECSA地区将创伤数据转化为创伤护理改善或损伤预防实施方案的文献。方法：使用PubMed、Embase、Scopus、Web of Science、Global Index Medicus、Global Health、Africa-Wide和HINARI（检索于2025年1月）进行当代叙事综述。已发表的关于COSECSA损伤预防项目、创伤护理改善和政策变化的研究被纳入其中。侧重于测量创伤发生率的研究被排除在外。对介入设计及影响进行定性分析。结果：共筛选1250余篇摘要。几乎所有使用创伤数据的出版物都侧重于测量损伤模式和相关风险因素。在符合纳入标准的57篇翻译文章中，30篇（53%）与创伤护理能力建设和教育有关，10篇（18%）评估了创伤护理的质量改进方案，7篇（12%）描述了伤害预防方案，5篇（9%）评估了与伤害相关的政策变化，5篇（9%）描述了登记的次要益处，如改进了患者评估。从地理位置上看，19篇（33%）文章来自乌干达，10篇（18%）来自卢旺达，7篇（12%）来自坦桑尼亚，6篇（11%）来自肯尼亚，5篇（9%）来自马拉维，4篇（7%）来自埃塞俄比亚和博茨瓦纳，1篇（2%）来自南苏丹、莫桑比克和赞比亚。调查结果显示，COSECSA地区在利用创伤数据加强护理和预防工作方面取得了重大进展。然而，将数据转化为可操作的计划仍然是一个复杂而具有挑战性的过程，还有大量的进一步工作机会。结论：在现有文献中，有关创伤护理改善和伤害预防实施方案的出版物很少。我们强调在COSECSA地区进行创伤研究，为当地带来切实、直接的好处。将创伤研究的重点从疾病负担转移到有针对性的实施计划可能是对稀缺资源和研究精力的更有效利用。
期刊介绍：
World Journal of Surgery is the official publication of the International Society of Surgery/Societe Internationale de Chirurgie (iss-sic.com). Under the editorship of Dr. Julie Ann Sosa, World Journal of Surgery provides an in-depth, international forum for the most authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Contributions are reviewed and selected by a group of distinguished surgeons from across the world who make up the Editorial Board.
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