Evidence map›Paper›PMID 40729473›Full record

ArticleWorld journal of surgery2025

Evaluating Gulf Cooperation Council Trauma Care Infrastructure: A Scoping Review of Key Components and Gaps.

Lubna Khan, Abbas Karim, Hachem Bey, Saud Naji Alzaid, Hani Ahmed Al-Qadhi, Yousif Habib Alabboudi, Ruben Peralta, Husham Bakry, Thamer Nouh, Shahin Mohseni and 1 more

Abstract readScoping Review
In one paragraph

Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

11 authors.

Lubna KhanBaylor College of Medicine, Houston, Texas, USA.
Abbas KarimUniversity of Texas Medical Branch, Galveston, Texas, USA.
Hachem BeyBaylor College of Medicine, Houston, Texas, USA.
Saud Naji AlzaidDepartment of Surgery, College of Medicine, Kuwait University, Kuwait, Kuwait.
Hani Ahmed Al-QadhiSultan Qaboos University Hospital, Muscat, Oman.
Yousif Habib AlabboudiMohamed Bin Rashid University, Dubai, UAE.
Ruben PeraltaHamad General Hospital and Hamad Medical Corporation, Doha, Qatar.
Husham BakryGeneral Surgery, King Hamad University Hospital, Busaiteen, Bahrain.
Thamer NouhKing Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-7118-7453
Shahin MohseniJahra Governance, Al Jahra Hospital, Jahra, Kuwait.ORCID https://orcid.org/0000-0001-7097-487X
Hassan MashbariJazan University, Jazan, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma systems are multifaceted frameworks that optimize patient care and outcomes. The development of trauma systems has been a regional priority in the Gulf Cooperation Council (GCC), yet implementation varies across countries. These variations contribute to measurable differences in system performance and patient outcomes. A systematic mapping of these disparities can guide efforts to harmonize standards and enhance trauma-care delivery throughout the region.

methodsA scoping review was conducted per PRISMA-ScR guidelines. PubMed, Scopus, and the Cochrane Library databases were searched for English-language publications (2000-2024) on prehospital emergency care, hospital-based trauma management, or post-hospital rehabilitation in GCC countries. Two reviewers independently screened and charted eligible studies; articles addressing only clinical outcomes without system-level discussion were excluded. Gray literature sources included Ministry of Health (MOH) websites, local news reports, and expert opinion.

resultsOf 1758 studies, 51 were fully screened, and 43 met the inclusion criteria. All GCC countries, except for UAE, operate a single centralized EMS system via a uniform national emergency number. Fleet sizes range from 36 ambulances in Bahrain to over 1379 in Saudi Arabia, with mean response times ranging from 5.3 min in Qatar to 15 min nationally in Kuwait. Formal trauma centers are limited in the region: Bahrain has no formal trauma centers, Qatar and Kuwait each have one dedicated trauma center (level 1 and 2 equivalent, respectively), Oman has two (level 2 and level 3 equivalent), Saudi Arabia has two (level 1 equivalent), and the UAE has nine (levels 1-3 equivalent). Local trauma registries exist in all countries, with a national trauma registry only in Qatar. Posthospital rehabilitation, although variable in resources, is delivered through MOH networks in all countries and supplemented by private providers.

conclusionDespite progress, gaps persist in trauma center accreditations, national registry development, and formation of integrated rehabilitation networks. Concerted improvements could further enhance trauma care delivery in the region with a desired improvement in overall outcomes.

Indexed as

Emergency Medical ServicesTrauma CentersWounds and InjuriesHumansMiddle Eastinjuryprehospital carerehabilitationtrauma care deliverytrauma systems

Identifiers

PMID40729473
PMCPMC12515026

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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.