Trauma Care in India: Capacity Assessment Survey From Five Centers.
J Surg Res
; 252: 156-168, 2020 08.
Article
in En
| MEDLINE
| ID: mdl-32278970
ABSTRACT
BACKGROUND:
India is in the process of strengthening the trauma care system, and assessment of the current situation using standard guidelines has immense use. This study reports the status of trauma care facilities in India, with a broad framework of guidelines for essential trauma care by the World Health Organization. MATERIALS ANDMETHODS:
This study is part of a multicentric intervention study to standardize structured trauma care services in five Indian cities. Thirty trauma care facilities (five level I, 10 level II, and 15 level III facilities) were included. Data on the availability of equipment and manpower were collected. Availability of knowledge + skills and equipment + supplies was assessed based on the guidelines for essential trauma care by World Health Organization.RESULTS:
There is almost 100% availability of services and equipment in level I hospitals, but availability varied between 50% and 100% at level II facilities. Very fewer number of services are available at level III facilities. Inadequacy of equipment is reported in level II and III facilities. Only level I facilities have required human resources. Availability of resources in terms of knowledge and equipment of different skills indicated that overall optimal level is observed in level I hospitals. Level II facilities are more deficient in nursing and paramedic staff, and level III facilities reported deficiencies in all categories.CONCLUSIONS:
A significant imbalance between recommended resources and the resources that are available in the trauma care facilities was noted. Hence, the study warrants urgent strengthening of trauma care facilities, particularly of level II and III facilities.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Trauma Centers
/
Wounds and Injuries
/
Equipment and Supplies, Hospital
/
Health Workforce
/
Health Services Accessibility
Type of study:
Clinical_trials
/
Guideline
Limits:
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
J Surg Res
Year:
2020
Type:
Article