ArticleWorld journal of surgery2013
An assessment of the hospital disease burden and the facilities for the in-hospital care of trauma in KwaZulu-Natal, South Africa.
Article in World journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Organised trauma systems and designated trauma centres for improving outcomes in injured patients.The Cochrane database of systematic reviews · 2025Pooled it
- Guidelines for Enhanced Recovery After Trauma and Intensive Care (ERATIC): Enhanced Recovery After Surgery (ERAS) and International Association for Trauma Surgery and Intensive Care (IATSIC) Society Recommendations: Part 3: Trauma Ethics and Systems Aspects.World journal of surgery · 2025Guideline
- Uptake of the World Health Organization's trauma care guidelines: a systematic review.Bulletin of the World Health Organization · 2016Pooled it
- Emergency care capacity of private primary healthcare facilities in Gauteng, South Africa.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- Hand therapy: Inclusive care by South African physiotherapists.The South African journal of physiotherapy · 2023Article
- How Health Care Practitioners experience emergencies at Primary Health Care facilities - Kinks in the chain of survival.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Article
- Concurrent cranial and cervical spine injuries by associated injury mechanisms in traumatic brain injury patients.SA journal of radiology · 2022Article
- Taking hold of hand trauma in KwaZulu-Natal, South Africa.African health sciences · 2021Article
- Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa.Critical care (London, England) · 2021Review
- Trauma patients at the Helderberg District Hospital emergency centre, South Africa: A descriptive study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Impact of lockdown measures implemented during the Covid-19 pandemic on the burden of trauma presentations to a regional emergency department in Kwa-Zulu Natal, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Interpretation of emergency CT scans in polytrauma: trauma surgeon vs radiologist.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Article
- Critical Care Society of Southern Africa adult patient blood management guidelines: 2019 Round-table meeting, CCSSA Congress, Durban, 2018.The Southern African journal of critical care : the official journal of the Critical Care Society · 2020Article
- The burden of trauma presenting to the government referral hospital in Freetown, Sierra Leone: An observational study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- Burden, Characteristics and Process of Care Among the Pediatric and Adult Trauma Patients in Botswana's Main Hospitals.World journal of surgery · 2018Article
- Rationale and design of the violence, injury and trauma observatory (VITO): the Cape Town VITO pilot studies protocol.BMJ open · 2017Article
- Setting the research and implementation agenda for equitable access to surgical care in South Africa.BMJ global health · 2017Review
- The needs of families accompanying injured patients into the emergency department in a tertiary hospital in Gauteng.Curationis · 2016Article
- Endotracheal tube cuff pressures and tube position in critically injured patients on arrival at a referral centre: Avoidable harm?African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma is a significant cause of morbidity and mortality in South Africa. The present study was designed to review the hospital trauma disease burden in light of the facilities available for the care of the injured in KwaZulu-Natal (KZN), South Africa's most populous province. The primary outcomes were the annual hospital burden of trauma in KZN, determined through data extrapolation, and evaluation of the data in light of available hospital facilities within the province of KZN, a developing province. The data were obtained through review of the trauma load in relation to all emergency cases at all levels of hospitals.
methodsHospital administrators in KZN were requested to submit trauma caseloads for the months of March and September 2010. Caseloads were reviewed to determine the trauma load for the province per category using two extrapolation methods to determine the predicted range of annual incidence of trauma, intentional versus non-intentional trauma ratios and population-related incidence of trauma. The results were GIS mapped to demonstrate variations across districts. Hospital data were obtained from assessments of structure, process, and personnel undertaken prior to a major sporting event. These were compared to the ideal facilities required for accreditation of trauma care facilities of the Trauma Society of South Africa and other established documents.
resultsData were obtained from 36 of the 47 public hospitals in KZN that manage acute emergency cases. The predicted annual trauma incidence in KZN ranges from 124,000 to 125,000, or 12.9 per 1,000 population. This would imply a national public hospital trauma load on the order of at least 750,000 cases per year. Most hospitals are required to treat trauma; however, within KZN many hospitals do not have adequate personnel, medical equipment, or structural integrity to be formally accredited as trauma care facilities in terms of existing criteria.
conclusionsThere is a significant trauma load that consumes vital emergency center resources. Most hospitals will need extensive upgrading to provide appropriate care for trauma. An inclusive trauma system needs to be formalized and funded, especially in light of the planned National Health Insurance for South Africa.
Indexed as
Identifiers
23250389What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.