SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022
Barriers to Trauma Care in South and Central America: a systematic review.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. 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.
- Global challenges and perspectives in acute and emergency general surgery in low and middle-income countries: a scoping review.BMJ global health · 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
- Management preferences for hip fracture care in Latin America.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Reduction of in-hospital mortality after implementation of a pediatric trauma unit for children with moderate and severe trauma at Baca Ortiz Children's Hospital. Quito-Ecuador.Frontiers in pediatrics · 2026Article
- An Egocentric Life-Saving Interventional Procedure Dataset of Actions, Medical Questions, Maneuvers and Tools.Scientific data · 2025Article
- Variation in global trauma care: a survey of 187 hospitals across 51 countries.BMJ global health · 2025Article
- Cardiac arrest in children: emerging trends in resuscitation and outcomes in low-resource pediatric emergency departments.International journal of emergency medicine · 2025Review
- Strengthening trauma resuscitation education and training in low-resource settings: A call for global inclusion.Resuscitation plus · 2025Review
- Introduction of 7-day amotosalen/ultraviolet A light pathogen-reduced platelets in Honduras: Impact on platelet availability in a lower middle-income country.Vox sanguinis · 2024Article
- Factors associated with healthy aging in Latin American populations.Nature medicine · 2023Article
- Immediate identification and management of an open posterior knee dislocation: Important lessons from a case report.Trauma case reports · 2023Article
- Associations of Traumatic Injury with Abnormal Glucose Metabolism: A Population-Based Prospective Cohort Study.Clinical epidemiology · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTrauma is widespread in Central and South America and is a significant cause of morbidity and mortality. Providing high quality emergency trauma care is of great importance. Understanding the barriers to care is challenging; this systematic review aims to establish current the current challenges and barriers in providing high-quality trauma care within the 21 countries in the region.
methodsOVID Medline, Embase, EBM reviews and Global Health databases were systematically searched in October 2020. Records were screened by two independent researchers. Data were extracted according to a predetermined proforma. Studies of any type, published in the preceding decade were included, excluding grey literature and non-English records. Trauma was defined as blunt or penetrating injury from an external force. Studies were individually critically appraised and assessed for bias using the RTI item bank.
results57 records met the inclusion criteria. 20 countries were covered at least once. Nine key barriers were identified: training (37/57), resources and equipment (33/57), protocols (29/57), staffing (17/57), transport and logistics (16/57), finance (15/57), socio-cultural (13/57), capacity (9/57), public education (4/57).
conclusionNine key barriers negatively impact on the provision of high-quality trauma care and highlight potential areas for improving care in Central & South America. Many countries in the region, along with rural areas, are under-represented by the current literature and future research is urgently required to assess barriers to trauma management in these countries. No funding was received. CLINICAL
trial registrationPROSPERO CRD42020220380.
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