Assessment of Trauma Care Capacity in Karachi, Pakistan: A Step towards an Integrated Trauma Care System in a Developing Country

Khalil, Mohammad Salman; Atiq, Muhammad Mehmood Alam; Muhammad, Ammar; Ashraf, Nabeel; Latif, Asad; Zafar, Hasnain; Samad, Lubna

doi:10.1016/j.jamcollsurg.2020.08.065

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pakistan's geographical location, along with its variable climate and socioeconomic factors, renders it susceptible to both natural and man-made disasters, which significantly impact public health. Traumatic injuries, often resulting in fatality or disability, are a notable consequence of such events (15,19,21). In Gujranwala, regular occurrences of injuries, predominantly road traffic accidents (RTAs), highlight the critical role of trauma centers.…”

Section: Discussionmentioning

confidence: 99%

“…Hospital-based injury surveillance data from this region indicate that road traffic accidents, falls, and assaults are the leading causes of hospital admissions due to injuries (12)(13)(14). Gujranwala, a city with a high incidence of traffic accidents, reflects this global trend, with RTAs being the primary cause of accidentrelated death and disability (9,11,(15)(16)(17)(18)(19). This situation underlines the urgent need for comprehensive research on the quality of emergency and trauma care, particularly in Low-Middle Income Countries (LMICs), where data is sparse and the health outcomes are often poorer.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Total Number of Rtas that were Brought to the Gujranwala Teaching Hospital's Trauma Center, along with their Results

Yousaf,

Hassan,

Irfan

et al. 2024

JHRR

View full text Add to dashboard Cite

Background: Trauma, particularly arising from road traffic accidents (RTAs), is a significant public health issue worldwide, with a notably high incidence in Pakistan. The vulnerability to traumatic injuries is exacerbated by socio-economic, environmental, and infrastructural factors. Young males are disproportionately affected, reflecting societal roles and risk behaviors. The efficiency of trauma care, influenced by the location and resources of trauma centers, plays a crucial role in patient outcomes. Objective: This study aims to assess the patterns, causes, and outcomes of trauma cases treated at the Gujranwala Teaching Hospital (GTH) trauma center, with a focus on identifying demographic trends, predominant injury mechanisms, and the effectiveness of trauma care facilities. Methods: An institution-based cross-sectional study was conducted from November 2021 to February 2022 at the GTH trauma center. Ethical approval was obtained from the Department of Emergency Medicine Ethics Committee at GMC Teaching Hospital. Data were collected using a WHO-guided pre-tested form, documenting sociodemographic profiles, clinical profiles, injury mechanisms, and outcomes. The study involved 813 trauma patients, with data analysis performed using SPSS version 25. Descriptive and inferential statistics were employed to analyze patient demographics, injury patterns, and outcomes. Results: The study comprised 813 patients, predominantly male (75.3%). The median age was 33 years, ranging from 1.5 to 85 years. RTAs were the most common injury mechanism (78.6%), primarily affecting passengers (70.9%) and pedestrians (29.1%). Head injuries were the most frequent anatomical site of injury (45.75%). The triage categories showed 73.76% of patients in the 'Yellow' category. The overall mortality prevalence was 3.6%. Conclusion: The study highlights the high prevalence of RTAs as a cause of trauma, particularly among young males. The findings underscore the need for improved trauma care facilities, stricter enforcement of traffic safety laws, and public awareness campaigns on road safety. Establishing well-equipped trauma centers near highways and enhancing prehospital care could significantly reduce trauma-related fatalities.

show abstract

Section: Discussionmentioning

confidence: 99%