Utilization of injury care case studies: a systematic review of the World Health Organization’s “Strengthening care for the injured: Success stories and lessons learned from around the world”

Tessler, Robert A.; Stadeli, Kathryn M.; Chadbunchachai, Witaya; Gyedu, Adam; LaGrone, Lacey N.; Reynolds, Teri; Rubiano, Andrés M.; Mock, Charles

doi:10.1016/j.injury.2018.08.013

Cited by 8 publications

(1 citation statement)

References 43 publications

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“…Similar work has been done to support WHO trauma and injury prevention-related products, like the WHO Strengthening Care for the Injured: Success Stories and Lessons Learned from Around the World [7]. The case studies within this compilation were found to be broadly utilized and demonstrated the power of disseminating lessons learned [8]. Another potential strategy could include collaborating with professional societies (e.g., International Society for Burn Injuries, International Association for Trauma Surgery and Intensive Care) to conduct GBR informational and training sessions through webinars or during annual international meetings.…”

Section: Educate Stakeholders and Promote The Gbrmentioning

confidence: 82%

Implementation of the World Health Organization Global Burn Registry: Lessons Learned

Hebron

Mehta

Stewart

et al. 2022

Annals of Global Health

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Burn injuries are a major cause of death and disability globally; however, the true epidemiologic burden is underestimated given the limited and fragmented availability of high-quality burn injury data from many regions. To address this gap, the World Health Organization (WHO) Global Burn Registry (GBR)-a minimum dataset aligned with a centralized registry-was officially launched in 2018 to facilitate hospital-level collection of key prevention, care, and outcome data from burn-injured patients around the world in a standardized manner. However, uptake and use of GBR has been low and inconsistent. Therefore, we aimed to identify and understand the barriers and facilitators to the implementation of the GBR to inform the development of a web-based GBR implementation guide through the Centre for Global Burn Injury Policy and Research and Interburns. We designed and conducted web-based surveys with "GBR users" and "GBR non-users" using purposive sampling. Themes of identified barriers and facilitators focused on awareness of the GBR, stakeholder buy-in, resource constraints, process management, and utility of the registry. The lessons learned could support current and future GBR users to promote and maximize the use of the GBR. To achieve the GBR's full potential in global burn injury prevention and care, engagement with the GBR should be enhanced through education and promotion, development of a community of practice, tools for data utilization and quality improvement, and periodic re-evaluation.

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Section: Educate Stakeholders and Promote The Gbrmentioning

confidence: 82%

Implementation of the World Health Organization Global Burn Registry: Lessons Learned

Hebron

Mehta

Stewart

et al. 2022

Annals of Global Health

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Epidemiology, clinical characteristics and outcomes of head injured patients in an Ethiopian emergency centre

Landes

Venugopal

Berman

et al. 2017

African Journal of Emergency Medicine

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IntroductionHead injury is a leading cause of mortality in Africa. We characterise the epidemiology and outcomes of head injury at an Ethiopian emergency centre.MethodsWe conducted a prospective cohort study of all head injured patients presenting to the Emergency Centre of Tikur Anbessa Specialised Hospital, Addis Ababa. Data was collected via a standardised form from the patient’s chart, radiology reports and operative reports. Patients were followed until discharge, facility transfer, death, or 7 days in hospital. Consent was obtained from the patient or substitute decision maker.ResultsAmong 204 head injured patients enrolled, the majority were <30 years old (51.0%) and male (86.8%). Forty-one percent of injuries occurred from road traffic accidents (RTAs). A significant number of patients had at least one indicator of severe injury on presentation: 51 (25.0%) had a GCS < 9, 53 (26.0%) had multi-system trauma, 95 (46.6%) had ≥1 abnormal vital sign and of the 133 patients with data available, 37 (27.8%) had a Revised Trauma Score (RTS) < 6. Patients injured by RTA were more likely to have indicators of severe injury than other mechanisms, including multi-system trauma (OR 3.2, 95% CI 1.7–6.2, p = 0.00), GCS < 9 (OR 3.7, 95% CI 1.8–7.4, p = 0.00), ≥1 abnormal vital sign (OR 2.5, 95% CI 1.4–4.6, p = 0.00) or an RTS score < 6 (OR 3.6, 95% CI 1.6–8.1, p = 0.00). Overall, 149 (73.0%) patients were discharged from hospital, 34 (16.7%) were transferred to another hospital, and 21 patients died (10.3%). In multivariable analysis, death was significantly associated with age over 60 years (aOR 68.8, 95% CI 2.0–2329.0, p = 0.02), GCS < 9 (aOR 14.8, 95% CI 2.2–99.5, p = 0.01), fixed bilateral pupils (aOR 39.1, 95% CI 4.2–362.8, p < 0.01) and hypoxia (oxygen saturation <90%; aOR 14.2%, 95% CI 2.6–123.9, p = 0.01).ConclusionHead injury represents a significant risk for morbidity and mortality in Ethiopia, of which RTA’s increase injury severity. Targeted approaches to improving care of the injured may improve outcomes.

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The Status of Quality Improvement Programs for Pediatric Traumatic Brain Injury Care in Argentina

Lujan¹,

Petroni²,

Castellani

et al. 2021

Journal of Surgical Research

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Utilization of injury care case studies: a systematic review of the World Health Organization’s “Strengthening care for the injured: Success stories and lessons learned from around the world”

Cited by 8 publications

References 43 publications

Implementation of the World Health Organization Global Burn Registry: Lessons Learned

Implementation of the World Health Organization Global Burn Registry: Lessons Learned

Epidemiology, clinical characteristics and outcomes of head injured patients in an Ethiopian emergency centre

The Status of Quality Improvement Programs for Pediatric Traumatic Brain Injury Care in Argentina

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