ArticleWorld journal of emergency medicine2017
Improving hospital-based trauma care for road traffic injuries in Malawi.
Article in World journal of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Health system assessment for access to care after injury in low- or middle-income countries: A mixed methods study from Northern Malawi.PLoS medicine · 2024Article
- Article
- The Socioeconomic consequences of femoral shaft fracture for patients in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- Novel application of multi-facility process map analysis for rapid injury care health system assessment in Northern Malawi.BMJ open · 2023Article
- Article
- Characteristics of road traffic mortality and distribution of healthcare resources in Thailand.Scientific reports · 2022Article
- Epidemiology of adult trauma injuries in Malawi: results from a multisite trauma registry.Injury epidemiology · 2022Article
- The Malawi Orthopaedic Association/AO Alliance guidelines and standards for open fracture management in Malawi: a national consensus statement.Malawi medical journal : the journal of Medical Association of Malawi · 2020Article
- Establishment of trauma registry at Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi and mapping of high risk geographic areas for trauma.World journal of emergency medicine · 2019Article
- The global need for essential emergency and critical care.Critical care (London, England) · 2018Article
- Trauma care in Malawi: A call to action.Malawi medical journal : the journal of Medical Association of Malawi · 2017Article
- An Assessment of Open Fracture Management in Hospitals in Malawi Before and Immediately After Implementing Open Fracture Guidelines.JB & JS open accessArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe mortality rate from road traffic injuries has increased in sub-Saharan Africa as the number of motor vehicles increase. This study examined the capacity of hospitals along Malawi's main north-south highway to provide emergency trauma care.
methodsStructured interviews and checklists were used to evaluate the infrastructure, personnel, supplies, and equipment at all four of Malawi's central hospitals, ten district hospitals, and one mission hospital in 2014. Most of these facilities are along the main north-south highway that spans the country.
resultsBetween July 2013 and March 2014, more than 9 200 road traffic injuries (RTIs) and 100 RTI deaths were recorded by the participating hospitals. All of the hospitals reported staff shortages, especially during nights and weekends. Few clinicians had completed formal training in emergency trauma management, and healthcare workers reported gaps in knowledge and skills, especially at district hospitals. Most central hospitals had access to the critical supplies and medications necessary for trauma care, but district hospitals lacked some of the supplies and equipment needed for diagnosis, treatment, and personal protection.
conclusionThe mortality and disability burden from road traffic injuries in Malawi (and other low-income countries in sub-Saharan Africa) can be reduced by ensuring that every central and district hospital has a dedicated trauma unit with qualified staff who have completed primary trauma care courses and have access to the equipment necessary to save lives.
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