Evidence map›Paper›PMID 41288733›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Impact of primary trauma care (PTC) training on post-trauma recovery: a pre-post intervention study of health-related outcomes in Vietnam.

Ba Tuan Nguyen, Lam Toi Phung, Thanh Long Giang, Ngoc Quynh Le, C Leigh Blizzard, Andrew J Palmer, Huu Tu Nguyen, Nick Cooling, Marcus Skinner, Haydn Perndt and 1 more

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Ba Tuan NguyenHanoi Medical University, 1 st Ton That Tung Street, Hanoi, 10000, Vietnam. Nguyenbatuan@hmu.edu.vn.
Lam Toi PhungFaculty of Public Health, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.
Thanh Long GiangFaculty of Economics, National Economics University, Hanoi, Vietnam.
Ngoc Quynh LeTasmanian Health Service Hobart, Hobart, TAS, Australia.
C Leigh BlizzardMenzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.
Andrew J PalmerMenzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.
Huu Tu NguyenHanoi Medical University, 1 st Ton That Tung Street, Hanoi, 10000, Vietnam.
Nick CoolingTasmanian Health Service Hobart, Hobart, TAS, Australia.
Marcus SkinnerTasmanian Health Service Hobart, Hobart, TAS, Australia.
Haydn PerndtTasmanian Health Service Hobart, Hobart, TAS, Australia.
Mark R NelsonMenzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStructured trauma training programs have been proven to reduce in-hospital mortality and improve clinical decision-making in resource-limited settings. However, the broader impact of such interventions on patient recovery outcomes remains unclear. This study aimed to evaluate whether implementation of a Primary Trauma Care (PTC) course improved post-trauma health-related outcomes, including quality of life, among road traffic injury (RTI) survivors in Vietnam.

methodsWe conducted a prospective pre-post intervention study at two provincial hospitals in Vietnam between July 2021 and September 2022. Trauma patients admitted before and after the implementation of the Primary Trauma Care (PTC) course were assessed 30 days after admission. Health-related quality of life (HRQoL) was evaluated using the EQ-5D-5 L index and the Visual Analog Scale (VAS), both overall and stratified by Injury Severity Score (ISS) subgroups. To examine the association between the intervention and HRQoL outcomes, we applied multivariate Tobit regression models, adjusting for potential confounders.

resultsA total of 3,565 patients were included (1,994 pre-PTC and 1,571 post-PTC). Overall, there were no statistically significant differences in EQ-5D index (0.80 vs. 0.81, p = 0.16) or EQ-VAS (87.21 vs. 87.23, p = 0.94) between pre- and post-intervention groups. Stratified analyses showed a modest improvement in EQ-5D among patients with minor injuries (ISS 1-8), whereas no significant changes were observed in patients with more severe injuries.

conclusionImplementation of the PTC course was associated with stable post-discharge recovery outcomes among trauma survivors. A modest improvement in EQ-5D was seen in patients with minor injuries (ISS 1-8), while no deterioration was observed in more severe groups. These results suggest that structured trauma training can reduce mortality without compromising, and potentially improving, early recovery in less severely injured patients.

Indexed as

Accidents, TrafficPrimary Health CareQuality of LifeWounds and InjuriesAdultFemaleHumansInjury Severity ScoreMaleMiddle AgedProspective StudiesVietnamEQ-5DLMICPrimary trauma care (PTC)RecoveryRoad traffic injuryTrauma trainingVietnam

Identifiers

PMID41288733

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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.