ArticlePloS one2022
Neurotrauma clinicians' perspectives on the contextual challenges associated with traumatic brain injury follow up in low-income and middle-income countries: A reflexive thematic analysis.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence-based approaches to cranial cerebrospinal fluid leaks in low- and middle-income countries: a systematic review of the literature.Neurosurgical review · 2024Pooled it
- Pediatric Traumatic Brain Injury and Healthcare-associated Infections: A Prospective Study on Determinants of Mortality Using Least Absolute Shrinkage and Selection Operator Regression.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Article
- Score to scan: Is there a link between Glasgow Coma Scale score and CT neuroimaging findings in trauma?SA journal of radiology · 2026Article
- The role of advocacy and policy in advancing global neurosurgery.Annals of medicine and surgery (2012) · 2025Review
- Current status of neurotrauma management in resource-limited settings.Annals of medicine and surgery (2012) · 2025Review
- Navigating goals of care discussion in palliative care: A qualitative study applying Bourdieu's theory of practice.Palliative care and social practice · 2025Article
- Long-Term Functional Recovery after Severe Traumatic Brain Injury with Type II Diffuse Injury.Neurotrauma reports · 2025Article
- Article
- Neurotrauma from fall accidents in Ethiopia.Brain & spine · 2024Article
- Cerebral Net Water Uptake in Posttraumatic Cerebral Ischemia.Advances in experimental medicine and biology · 2023Article
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Authors and funding
14 authors.
Funding
Abstract
backgroundTraumatic brain injury (TBI) is a major global health issue, but low- and middle-income countries (LMICs) face the greatest burden. Significant differences in neurotrauma outcomes are recognised between LMICs and high-income countries. However, outcome data is not consistently nor reliably recorded in either setting, thus the true burden of TBI cannot be accurately quantified.
objectiveTo explore the specific contextual challenges of, and possible solutions to improve, long-term follow-up following TBI in low-resource settings.
methodsA cross-sectional, pragmatic qualitative study, that considered knowledge subjective and reality multiple (i.e. situated within the naturalistic paradigm). Data collection utilised semi-structured interviews, by videoconference and asynchronous e-mail. Data were analysed using Braun and Clarke's six-stage Reflexive Thematic Analysis.
results18 neurosurgeons from 13 countries participated in this study, and data analysis gave rise to five themes: Clinical Context: What must we understand?; Perspectives and Definitions: What are we talking about?; Ownership and Beneficiaries: Why do we do it?; Lost to Follow-up: Who misses out and why?; Processes and Procedures: What do we do, or what might we do?
conclusionThe collection of long-term outcome data plays an imperative role in reducing the global burden of neurotrauma. Therefore, this was an exploratory study that examined the contextual challenges associated with long-term follow-up in LMICs. Where technology can contribute to improved neurotrauma surveillance and remote assessment, these must be implemented in a manner that improves patient outcomes, reduces clinical burden on physicians, and does not surpass the comprehension, capabilities, or financial means of the end user. Future research is recommended to investigate patient and family perspectives, the impact on clinical care teams, and the full economic implications of new technologies for follow-up.
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