ArticlePloS one2020
Maturation process and international accreditation of trauma system in a rapidly developing country.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 34 citations in OpenAlex.
- Depression and Social Support Among Hospitalized Patients with Traumatic Spinal Cord Injury: A Prospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Building a world-class emergency medicine system: Qatar's strategic evolution and outcomes.Qatar medical journal · 2026Review
- Evaluating Gulf Cooperation Council Trauma Care Infrastructure: A Scoping Review of Key Components and Gaps.World journal of surgery · 2025Article
- Clinical patterns and predictors of trauma-related mortality over 13 years: a retrospective analysis from a Level 1 National trauma center.World journal of emergency surgery : WJES · 2025Article
- Validation of the FASILA Score for Predicting Interventions and Outcomes in Traumatic Abdominal and Pelvic Injuries: A Prospective Clinical Study.World journal of surgery · 2025Article
- Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2025Article
- Clinical Significance of Rotational Thromboelastometry (ROTEM) for Detection of Early Coagulopathy in Trauma Patients: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2025Article
- Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Presentations and management of hospitalized patients with upper extremity fractures at a level 1 trauma center: a 5-year observational study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Observational
- What trauma patients need: the European dilemma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Pre- and post-implementation protocol for non-operative management of grade III-V splenic injuries: An observational study.Heliyon · 2024Article
- Maturation of trauma systems in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Trauma Quality Improvement Program: A Retrospective Analysis from A Middle Eastern National Trauma Center.Healthcare (Basel, Switzerland) · 2023Article
- Impact of ecological stages on the soil microbiota and soil abiotic factors in tropical and subtropical Brazilian regions.Archives of microbiology · 2023Article
- Acute Changes in Body Muscle Mass and Fat Depletion in Hospitalized Young Trauma Patients: A Descriptive Retrospective Study.Diseases (Basel, Switzerland) · 2023Article
- Patterns, mechanism of injury and outcome of pediatric trauma at a level 1 trauma centre: a descriptive retrospective analysis.Frontiers in pediatrics · 2023Article
- The impact of emergency department length of stay on the outcomes of trauma patients requiring hospitalization: a retrospective observational study.World journal of emergency medicine · 2023Article
- Work-related injuries in Qatar for 1 year: an initial report from the work-related injury unified registry for Qatar.Qatar medical journal · 2022Article
- Gender Discrepancy in Patients with Traumatic Brain Injury: A Retrospective Study from a Level 1 Trauma Center.BioMed research international · 2022Article
- Platelet-Lymphocyte and Neutrophil-Lymphocyte Ratio for Prediction of Hospital Outcomes in Patients with Abdominal Trauma.BioMed research international · 2022Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs trauma systems mature, they are expected to improve patient care, reduce in-hospital complications and optimize outcomes. Qatar has a single trauma center, at the Hamad General Hospital, which serves as the hub for the trauma system that was verified as a level 1 trauma system by the Accreditation Canada International Distinction program in 2014. We hypothesized that this international accreditation was a major step, in the maturation process of the Qatar trauma system, that has positively impacted patient care, reduced complications and improved outcomes of trauma patients in such a rapidly developing country.
methodsA retrospective analysis of data was conducted for all trauma patients who were admitted between 2010 and 2018. Data were obtained from the level 1 trauma center registry at Hamad Medical Corporation. Patients were divided into Group 1- pre-accreditation (admitted from January 2010 to October 2014) and Group 2- post-accreditation (admitted from November 2014 to December 2018). Patients' characteristics and in-hospital outcomes were analyzed and compared. Data included patients' demographics; injury types, mechanism and injury severity scores, interventions, hospital stay, complications and mortality (pre-hospital and in-hospital). Time series analysis for mortality was performed using expert modeler.
resultsData from a total of 15,864 patients was collected and analyzed. Group 2 patients had more severe injuries in comparison to Group 1 (p<0.05). However, Group 2, had a lower complication rate (ventilator associated pneumonia (VAP)) and a shorter mean hospital length of stay (p<0.05). The overall mortality was 8%. In Group 2; the pre-hospital mortality was higher (52% vs. 41%, p = 0.001), while in-hospital mortality was lower (48% vs. 59%) compared to Group 1 (p = 0.001).
conclusionsThe international recognition and accreditation of the trauma center in 2014 was the key factor in the maturation of the trauma system that improved the in-hospital outcomes. Accreditation also brought other benefits including a reduction in VAP and hospital length of stay. However, further studies are required to explore the maturation process of all individual components of the trauma system including the prehospital setting.
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