ArticleWorld journal of surgery2015
Assessment of the availability of technology for trauma care in India.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessing trauma care systems in low-income and middle-income countries: a systematic review and evidence synthesis mapping the Three Delays framework to injury health system assessments.BMJ global health · 2021Pooled it
- Uptake of the World Health Organization's trauma care guidelines: a systematic review.Bulletin of the World Health Organization · 2016Pooled it
- Early and safer triage in elderly traumatic brain injury using a portable NIRS - based device: clinical evaluation of CEREBOEmergency radiology · 2026Article
- Access to operative fracture fixation resources and implants in orthopaedic trauma care in low- and middle-income countries: a systematic review.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Emergency imaging protocols for pregnant patients: a multi-institutional and multi- specialty comparison of physician education.Emergency radiology · 2024Article
- Emergency preparedness capacity of a university hospital in Ghana: a cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Orthopaedic and trauma care in low-resource settings: the burden and its challenges.International orthopaedics · 2022Review
- 3D-printed activated charcoal inlet filters for oxygen concentrators: A circular economy approach.Development engineering · 2022Article
- Correcting data imbalance for semi-supervised COVID-19 detection using X-ray chest images.Applied soft computing · 2021Article
- A framework for designing medical devices resilient to low-resource settings.Globalization and health · 2021Article
- Surgical and Trauma Capacity Assessment in Rural Haryana, India.Annals of global health · 2021Article
- Improving Uncertainty Estimation With Semi-Supervised Deep Learning for COVID-19 Detection Using Chest X-Ray Images.IEEE access : practical innovations, open solutions · 2021Article
- Assessment of diagnostics capacity in hospitals providing surgical care in two Latin American states.EClinicalMedicine · 2020Article
- Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990-2017.The Lancet. Public health · 2020Article
- Estimating obstetric and gynecologic surgical rate: A benchmark of surgical capacity building in Ghana.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020Article
- Barriers to Timely Presentation of Patients with Surgical Conditions at Tamale Teaching Hospital in Northern Ghana.World journal of surgery · 2019Article
- Exploring the Relationship Between Surgical Capacity and Output in Ghana: Current Capacity Assessments May Not Tell the Whole Story.World journal of surgery · 2018Article
- Cost-Effectiveness of a Locally Organized Surgical Outreach Mission: Making a Case for Strengthening Local Non-Governmental Organizations.World journal of surgery · 2017Article
- Learning from 2523 trauma deaths in India- opportunities to prevent in-hospital deaths.BMC health services research · 2017Observational
- Consensus recommendations for essential vascular care in low- and middle-income countries.Journal of vascular surgery · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe sought to assess the status of availability of technology for trauma care in a state in India and to identify factors contributing to both adequate levels of availability and to deficiencies. We also sought to identify potential solutions to deficiencies in terms of health system management and product development.
methodsThirty-two technology-related items were selected from the World Health Organization's Guidelines for Essential Trauma Care. The status of these items was assessed at 43 small and large hospitals in Gujarat State. Site visits utilized direct inspection and interviews with administrative, clinical, and bioengineering staff.
resultsMany specific individual items could be better supplied, including many that were very low cost (e.g., chest tubes). Many deficiencies arose because of mismatch of resources, such as availability of equipment in the absence of personnel trained to use it. Several locally manufactured items were fairly well supplied: pulse oximetry, image intensification, and X-ray machines. Ventilators were often deficient because of inadequate numbers of units and frequent breakdowns.
conclusionsAvailability of a range of lower-cost items could be improved by better organization and planning, such as: better procurement and stock management; eliminating mismatch of resources, including optimizing training for use of existing resources; and by strengthening service contracts and in-house repair capabilities. From a product development viewpoint, there is a need for lower cost, more durable, and easier to repair ventilators. Promoting increased capacity for local manufacturing should also be considered as a potential method to decrease cost and increase availability of a range of equipment.
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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.