Se Jin Choi1, Moon Young Oh1, Na Rae Kim1, Yoo Joong Jung1, Young Sun Ro2, Sang Do Shin3. 1. Seoul National University College of Medicine, Seoul, Korea. 2. Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea. 3. Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.
Abstract
OBJECTIVE: The study aims to compare the trauma care systems in Asian countries. METHODS: Asian countries were categorised into three groups; 'lower middle-income country', 'upper middle-income country' and 'high-income country'. The Medline/PubMed database was searched for articles published from January 2005 to December 2014 using relevant key words. Articles were excluded if they examined a specific injury mechanism, referred to a specific age group, and/or did not have full text available. We extracted information and variables on pre-hospital and hospital care factors, and regionalised system factors and compared them across countries. RESULTS: A total of 46 articles were identified from 13 countries, including Pakistan, India, Vietnam and Indonesia from lower middle-income countries; the Islamic Republic of Iran, Thailand, China, Malaysia from upper middle-income countries; and Saudi Arabia, the Republic of Korea, Japan, Hong Kong and Singapore from high-income countries. Trauma patients were transported via various methods. In six of the 13 countries, less than 20% of trauma patients were transported by ambulance. Pre-hospital trauma teams primarily comprised emergency medical technicians and paramedics, except in Thailand and China, where they included mainly physicians. In Iran, Pakistan and Vietnam, the proportion of patients who died before reaching hospital exceeded 50%. In only three of the 13 countries was it reported that trauma surgeons were available. In only five of the 13 countries was there a nationwide trauma registry. CONCLUSION: Trauma care systems were poorly developed and unorganised in most of the selected 13 Asian countries, with the exception of a few highly developed countries.
OBJECTIVE: The study aims to compare the trauma care systems in Asian countries. METHODS: Asian countries were categorised into three groups; 'lower middle-income country', 'upper middle-income country' and 'high-income country'. The Medline/PubMed database was searched for articles published from January 2005 to December 2014 using relevant key words. Articles were excluded if they examined a specific injury mechanism, referred to a specific age group, and/or did not have full text available. We extracted information and variables on pre-hospital and hospital care factors, and regionalised system factors and compared them across countries. RESULTS: A total of 46 articles were identified from 13 countries, including Pakistan, India, Vietnam and Indonesia from lower middle-income countries; the Islamic Republic of Iran, Thailand, China, Malaysia from upper middle-income countries; and Saudi Arabia, the Republic of Korea, Japan, Hong Kong and Singapore from high-income countries. Traumapatients were transported via various methods. In six of the 13 countries, less than 20% of traumapatients were transported by ambulance. Pre-hospital trauma teams primarily comprised emergency medical technicians and paramedics, except in Thailand and China, where they included mainly physicians. In Iran, Pakistan and Vietnam, the proportion of patients who died before reaching hospital exceeded 50%. In only three of the 13 countries was it reported that trauma surgeons were available. In only five of the 13 countries was there a nationwide trauma registry. CONCLUSION:Trauma care systems were poorly developed and unorganised in most of the selected 13 Asian countries, with the exception of a few highly developed countries.
Authors: Syaribah Noor Brice; Justin J Boutilier; Daniel Gartner; Paul Harper; Vincent Knight; Jen Lloyd; Aryono Djuned Pusponegoro; Asti Puspita Rini; Jonathan Turnbull-Ross; Mark Tuson Journal: BMC Health Serv Res Date: 2022-05-13 Impact factor: 2.908
Authors: John Whitaker; Nollaig O'Donohoe; Max Denning; Dan Poenaru; Elena Guadagno; Andrew J M Leather; Justine I Davies Journal: BMJ Glob Health Date: 2021-05
Authors: Son Ngoc Do; Chinh Quoc Luong; Dung Thi Pham; My Ha Nguyen; Tra Thanh Ton; Quoc Trong Ai Hoang; Dat Tuan Nguyen; Thao Thi Ngoc Pham; Hanh Trong Hoang; Dai Quoc Khuong; Quan Huu Nguyen; Tuan Anh Nguyen; Tung Thanh Tran; Long Duc Vu; Chi Van Nguyen; Bryan Francis McNally; Marcus Eng Hock Ong; Anh Dat Nguyen Journal: BMC Emerg Med Date: 2021-11-23