Evidence map›Paper›PMID 38756826›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2024

Understanding the factors that influence CT utilization for mild traumatic brain injury in a low resource setting - a qualitative study using the Theoretical Domains Framework.

Harriet Nalubega Kisembo, Richard Malumba, Henry Sematimba, Racheal Ankunda, Irene Dorothy Nalweyiso, Elsie-Kiguli Malwadde, Elizeus Rutebemberwa, Simon Kasasa, Dina Husseiny Salama, Michael Grace Kawooya

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In one paragraph

Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Harriet Nalubega KisemboMakerere University, College of Health Sciences, School of Medicine.
Richard MalumbaErnest cook Ultrasound Research and Education Institute, Mengo Hospital, Kampala, Uganda.
Henry SematimbaErnest cook Ultrasound Research and Education Institute, Mengo Hospital, Kampala, Uganda.
Racheal AnkundaErnest cook Ultrasound Research and Education Institute, Mengo Hospital, Kampala, Uganda.
Irene Dorothy NalweyisoDepartment of Radiology, Mulago National Referral and Teaching Hospital, Kampala, Uganda.
Elsie-Kiguli MalwaddeAfrican Centre for Global Health and Social Transformation (ACHEST), Kampala, Uganda.
Elizeus RutebemberwaSchool of Public Health, Department of Health Policy & Management, Makerere University, Kampala, Uganda.
Simon KasasaDepartment of Epidemiology & Biostatistics, School of Public Health, Makerere University, Kampala, Uganda.
Dina Husseiny SalamaNational Center for Radiation Research and Technology, Cairo, Egypt.
Michael Grace KawooyaErnest cook Ultrasound Research and Education Institute, Mengo Hospital, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In low resource settings (LRS), utilization of Computed Tomography scan (CTS) for mild traumatic brain injuries (mTBIs) presents unique challenges and considerations given the limited infrastructure, financial resources, and trained personnel. The Theoretical Domains Framework (TDF) offers a comprehensive theoretical lens to explore factors influencing the decision-making to order CTS for mTBI by imaging referrers (IRs). Objectives: The primary objective was to explore IRs' beliefs about factors influencing CT utilization in mTBIs using TDF in Uganda.Differences in the factors influencing CTS ordering behavior across specialties, levels of experience, and hospital category were also explored. Materials and Methods: In-depth semi-structured interviews guided by TDF were conducted among purposively selected IRs from 6 tertiary public and private hospitals with functional CTS services. A thematic analysis was performed with codes and emerging themes developed based on the TDF. Results: Eleven IRs including medical officers, non-neurosurgeon specialists and neurosurgeons aged on average 42 years (SD+/-12.3 years) participated.Identified factors within Conclusion: Using TDF, IRs identified several factors believed to influence decision making to order CTS in mTBI in a LRS. The findings can inform stakeholders to develop targeted strategies and evidence-based interventions to optimize CT utilization in mTBI such as; educational programs, workflow modifications, decision support tools, and infrastructure improvements, among others.

Indexed as

Computerized tomography utilizationDecision makingImaging referrersLow resource settingMild traumatic head injuryTheoretical Domain Framework

Identifiers

PMID38756826
PMCPMC11096711

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.