ArticleNeurosurgery2019
Temporal Delays Along the Neurosurgical Care Continuum for Traumatic Brain Injury Patients at a Tertiary Care Hospital in Kampala, Uganda.
Article in Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
- Access to quality trauma care after injury in Pakistan: a systematic review and narrative synthesis.BMJ open · 2025Pooled it
- Impact of Rural Trauma Team Development Education on Prehospital Time, Referral-to-Dispatch Interval, and Neurological and Musculoskeletal Injury Outcomes: Cluster Randomized Controlled Trial.JMIR human factors · 2026Trial
- Long-Term Mortality and Quality of Life Among Adults With Mild Traumatic Brain Injury.JAMA network open · 2026Article
- Understanding Barriers to Effective Injury Care by Medical Trainees and Traffic Law Enforcement First Responders in Low-Income Contexts in Uganda (Motor Registry Project Part 2): Convergent Mixed Methods Analysis.JMIR human factors · 2026Article
- The top 100 most cited peer-reviewed publications on global neurosurgery: Mapping research trends and gaps over four decades.Acta neurochirurgica · 2026Review
- Experiences of family caregivers of patients with traumatic brain injury: a study in the Tamale metropolis.BMC research notes · 2025Article
- Traumatic brain injuries in a district level emergency department in Cape Town: describing patients' journey from arrival to CT scan and neurosurgery.BMC emergency medicine · 2025Article
- Functional outcomes in depressed skull fractures: the role of surgical timing and perioperative clinical radiological predictors.Neurosurgical review · 2025Article
- Myelomeningocele in the Pediatric Neurosurgery Department at Bernard Mevs Hospital in Haiti: A Retrospective Analysis.Neurosurgery practice · 2025Article
- The Impact of Time from Diagnosis to Operating Room on Functional Outcomes in Patients with Traumatic Brain Injury: A Retrospective Study.Neurotrauma reports · 2025Article
- Changes in serum concentration of perioperative inflammatory cytokines following the timing of surgery among mild-moderate traumatic brain injury patients and factors associated.Frontiers in neurology · 2024Article
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- Neurotrauma from fall accidents in Ethiopia.Brain & spine · 2024Article
- Article
- Article
- Door-to-Skin Time in Patient Undergoing Emergency Trauma Craniotomy.The Malaysian journal of medical sciences : MJMS · 2023Article
- Machine learning models to predict traumatic brain injury outcomes in Tanzania: Using delays to emergency care as predictors.PLOS global public health · 2023Article
- Affordability impacts therapeutic intensity of acute management of severe traumatic brain injury patients: An exploratory study in Tanzania.Brain & spine · 2023Article
- Incidence and Predictors of Mortality Among Patients with Traumatic Brain Injury at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: A Retrospective Follow-Up Study.Patient related outcome measures · 2023Article
- Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundSignificant care continuum delays between acute traumatic brain injury (TBI) and definitive surgery are associated with poor outcomes. Use of the "3 delays" model to evaluate TBI outcomes in low- and middle-income countries has not been performed.
objectiveTo describe the care continuum, using the 3 delays framework, and its association with TBI patient outcomes in Kampala, Uganda.
methodsProspective data were collected for 563 TBI patients presenting to a tertiary hospital in Kampala from 1 June to 30 November 2016. Four time intervals were constructed along 5 time points: injury, hospital arrival, neurosurgical evaluation, computed tomography (CT) results, and definitive surgery. Time interval differences among mild, moderate, and severe TBI and their association with mortality were analyzed.
resultsSignificant care continuum differences were observed for interval 3 (neurosurgical evaluation to CT result) and 4 (CT result to surgery) between severe TBI patients (7 h for interval 3 and 24 h for interval 4) and mild TBI patients (19 h for interval 3 and 96 h for interval 4). These postarrival delays were associated with mortality for mild (P = .05) and moderate TBI (P = .03) patients. Significant hospital arrival delays for moderate TBI patients were associated with mortality (P = .04).
conclusionDelays for mild and moderate TBI patients were associated with mortality, suggesting that quality improvement interventions could target current triage practices. Future research should aim to understand the contributors to delays along the care continuum, opportunities for more effective resource allocation, and the need to improve prehospital logistical referral systems.
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