Strengthening neurotrauma care systems in low and middle income countries

Andres M. Rubiano, Juan C. Puyana, Charles N. Mock, Ross Bullock, P. David Adelson

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Primary objective: To review basic elements to be considered in the development of effective neurotrauma care systems in low- and middle-income countries. Neurotrauma occurs more frequently in developing countries. The survival rate among neurotrauma patients depends in large part on the degree of sophistication of the trauma system. Research design: A critical review of the literature was undertaken. Results: In developing countries, there are difficulties in fully integrating the resources for care if the local and regional trauma systems are poorly structured. Factors like inadequate emergency and neurointensive care, low compensation compared with elective procedures or high medico-legal risks may result in a lack of interest from the few available neurosurgeons to be fully integrated in neurotrauma care. Appropriate structuring of trauma systems according to countries needs and their functionality is a key element that would facilitate the optimal use of resources for integral neurotrauma care. Conclusions: In order to implement an efficient trauma system, organization of low cost resources such as trauma registries and quality control programmes are required. The participation of medical associations in legislative and government processes is also an important factor for the appropriate development and organization of an effective trauma system in under-privileged areas.

Original languageEnglish
Pages (from-to)262-272
Number of pages11
JournalBrain Injury
Volume27
Issue number3
DOIs
StatePublished - Mar 6 2013

Fingerprint

Wounds and Injuries
Developing Countries
Emergency Medical Services
Compensation and Redress
Quality Control
Registries
Trauma
Strengthening
Income
Research Design
Survival Rate
Organizations
Costs and Cost Analysis
Resources

Keywords

  • Neurotrauma
  • Trauma registry
  • Trauma surgery
  • Trauma systems
  • Traumatic brain injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Rubiano, A. M., Puyana, J. C., Mock, C. N., Bullock, R., & Adelson, P. D. (2013). Strengthening neurotrauma care systems in low and middle income countries. Brain Injury, 27(3), 262-272. https://doi.org/10.3109/02699052.2012.750742

Strengthening neurotrauma care systems in low and middle income countries. / Rubiano, Andres M.; Puyana, Juan C.; Mock, Charles N.; Bullock, Ross; Adelson, P. David.

In: Brain Injury, Vol. 27, No. 3, 06.03.2013, p. 262-272.

Research output: Contribution to journalArticle

Rubiano, AM, Puyana, JC, Mock, CN, Bullock, R & Adelson, PD 2013, 'Strengthening neurotrauma care systems in low and middle income countries', Brain Injury, vol. 27, no. 3, pp. 262-272. https://doi.org/10.3109/02699052.2012.750742
Rubiano, Andres M. ; Puyana, Juan C. ; Mock, Charles N. ; Bullock, Ross ; Adelson, P. David. / Strengthening neurotrauma care systems in low and middle income countries. In: Brain Injury. 2013 ; Vol. 27, No. 3. pp. 262-272.
@article{4760f7e6b29847538ad48753c93a44a3,
title = "Strengthening neurotrauma care systems in low and middle income countries",
abstract = "Primary objective: To review basic elements to be considered in the development of effective neurotrauma care systems in low- and middle-income countries. Neurotrauma occurs more frequently in developing countries. The survival rate among neurotrauma patients depends in large part on the degree of sophistication of the trauma system. Research design: A critical review of the literature was undertaken. Results: In developing countries, there are difficulties in fully integrating the resources for care if the local and regional trauma systems are poorly structured. Factors like inadequate emergency and neurointensive care, low compensation compared with elective procedures or high medico-legal risks may result in a lack of interest from the few available neurosurgeons to be fully integrated in neurotrauma care. Appropriate structuring of trauma systems according to countries needs and their functionality is a key element that would facilitate the optimal use of resources for integral neurotrauma care. Conclusions: In order to implement an efficient trauma system, organization of low cost resources such as trauma registries and quality control programmes are required. The participation of medical associations in legislative and government processes is also an important factor for the appropriate development and organization of an effective trauma system in under-privileged areas.",
keywords = "Neurotrauma, Trauma registry, Trauma surgery, Trauma systems, Traumatic brain injury",
author = "Rubiano, {Andres M.} and Puyana, {Juan C.} and Mock, {Charles N.} and Ross Bullock and Adelson, {P. David}",
year = "2013",
month = "3",
day = "6",
doi = "10.3109/02699052.2012.750742",
language = "English",
volume = "27",
pages = "262--272",
journal = "Brain Injury",
issn = "0269-9052",
publisher = "Informa Healthcare",
number = "3",

}

TY - JOUR

T1 - Strengthening neurotrauma care systems in low and middle income countries

AU - Rubiano, Andres M.

AU - Puyana, Juan C.

AU - Mock, Charles N.

AU - Bullock, Ross

AU - Adelson, P. David

PY - 2013/3/6

Y1 - 2013/3/6

N2 - Primary objective: To review basic elements to be considered in the development of effective neurotrauma care systems in low- and middle-income countries. Neurotrauma occurs more frequently in developing countries. The survival rate among neurotrauma patients depends in large part on the degree of sophistication of the trauma system. Research design: A critical review of the literature was undertaken. Results: In developing countries, there are difficulties in fully integrating the resources for care if the local and regional trauma systems are poorly structured. Factors like inadequate emergency and neurointensive care, low compensation compared with elective procedures or high medico-legal risks may result in a lack of interest from the few available neurosurgeons to be fully integrated in neurotrauma care. Appropriate structuring of trauma systems according to countries needs and their functionality is a key element that would facilitate the optimal use of resources for integral neurotrauma care. Conclusions: In order to implement an efficient trauma system, organization of low cost resources such as trauma registries and quality control programmes are required. The participation of medical associations in legislative and government processes is also an important factor for the appropriate development and organization of an effective trauma system in under-privileged areas.

AB - Primary objective: To review basic elements to be considered in the development of effective neurotrauma care systems in low- and middle-income countries. Neurotrauma occurs more frequently in developing countries. The survival rate among neurotrauma patients depends in large part on the degree of sophistication of the trauma system. Research design: A critical review of the literature was undertaken. Results: In developing countries, there are difficulties in fully integrating the resources for care if the local and regional trauma systems are poorly structured. Factors like inadequate emergency and neurointensive care, low compensation compared with elective procedures or high medico-legal risks may result in a lack of interest from the few available neurosurgeons to be fully integrated in neurotrauma care. Appropriate structuring of trauma systems according to countries needs and their functionality is a key element that would facilitate the optimal use of resources for integral neurotrauma care. Conclusions: In order to implement an efficient trauma system, organization of low cost resources such as trauma registries and quality control programmes are required. The participation of medical associations in legislative and government processes is also an important factor for the appropriate development and organization of an effective trauma system in under-privileged areas.

KW - Neurotrauma

KW - Trauma registry

KW - Trauma surgery

KW - Trauma systems

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84874498779&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874498779&partnerID=8YFLogxK

U2 - 10.3109/02699052.2012.750742

DO - 10.3109/02699052.2012.750742

M3 - Article

VL - 27

SP - 262

EP - 272

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 3

ER -