ArticleInternational journal of emergency medicine2024
Impact of advanced trauma life support training on 30-day mortality in severely injured patients at a Kenyan tertiary center: a retrospective matched case-control study.
Article in International journal of emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of trauma life support training on patient outcomes: a systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- Feasibility of a cluster randomised trial on the effect of trauma life support training: a pilot study in India.BMJ open · 2025Trial
- Strengthening trauma care in low- and middle-income countries through guideline adaptation and scalable system reforms.World journal of methodology · 2026Review
- Article
- Trauma Training for Emergency Department Physicians in Low- and Middle-Income Countries: A Scoping Review.AEM education and training · 2026Article
- Eye-Tracking Analysis of Attention Disruptions Under Realistic Interruptions During Trauma Management; A Cross-sectional Study in a Simulated Virtual Reality.Archives of academic emergency medicine · 2026Article
- Article
- x-ABC versus ABC: shifting paradigms in early trauma resuscitation.Trauma surgery & acute care open · 2025Review
- Urban traffic accidents in Isfahan city: a study of prehospital response time intervals.International journal of emergency medicine · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTrauma is a leading cause of mortality worldwide, particularly in low and middle-income countries (LMICs) like Kenya. This study evaluates the impact of Advanced Trauma Life Support (ATLS) training on 30-day mortality outcomes in severely injured patients at a tertiary care center in Kenya.
methodsA retrospective matched case-control study was conducted at Aga Khan University Hospital, Nairobi. The study included adult patients (≥ 18 years) with polytrauma (Injury Severity Score [ISS] > 15) from 2011 to 2022. Propensity score matching was used to pair 81 post-ATLS cases with 81 pre-ATLS controls based on age and ISS. Data analysis was performed using R Statistical language (version 4.3.0).
resultsThe 30-day mortality rate decreased significantly from 17% (95% CI: 9.4-27.4%) pre-ATLS to 6% (95% CI: 2.0-13.5%) post-ATLS (p = 0.028). No significant differences were found in baseline characteristics between the two groups. Road traffic accidents were the primary cause of trauma in both groups (72% pre-ATLS vs. 78% post-ATLS).
conclusionATLS training significantly reduced 30-day mortality in severely injured patients, demonstrating its effectiveness even in resource-limited settings. Further prospective randomized studies are recommended to confirm these findings and evaluate long-term outcomes.
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