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Comparison of trauma care systems in Asian countries: A systematic literature review.
Emerg Med Australas. 2017 Dec; 29(6):697-711.EM

Abstract

OBJECTIVE

The study aims to compare the trauma care systems in Asian countries.

METHODS

Asian countries were categorised into three groups; 'lower middle-income country', 'upper middle-income country' and 'high-income country'. The Medline/PubMed database was searched for articles published from January 2005 to December 2014 using relevant key words. Articles were excluded if they examined a specific injury mechanism, referred to a specific age group, and/or did not have full text available. We extracted information and variables on pre-hospital and hospital care factors, and regionalised system factors and compared them across countries.

RESULTS

A total of 46 articles were identified from 13 countries, including Pakistan, India, Vietnam and Indonesia from lower middle-income countries; the Islamic Republic of Iran, Thailand, China, Malaysia from upper middle-income countries; and Saudi Arabia, the Republic of Korea, Japan, Hong Kong and Singapore from high-income countries. Trauma patients were transported via various methods. In six of the 13 countries, less than 20% of trauma patients were transported by ambulance. Pre-hospital trauma teams primarily comprised emergency medical technicians and paramedics, except in Thailand and China, where they included mainly physicians. In Iran, Pakistan and Vietnam, the proportion of patients who died before reaching hospital exceeded 50%. In only three of the 13 countries was it reported that trauma surgeons were available. In only five of the 13 countries was there a nationwide trauma registry.

CONCLUSION

Trauma care systems were poorly developed and unorganised in most of the selected 13 Asian countries, with the exception of a few highly developed countries.

Authors+Show Affiliations

Seoul National University College of Medicine, Seoul, Korea.Seoul National University College of Medicine, Seoul, Korea.Seoul National University College of Medicine, Seoul, Korea.Seoul National University College of Medicine, Seoul, Korea.Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea.Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

28782875

Citation

Choi, Se Jin, et al. "Comparison of Trauma Care Systems in Asian Countries: a Systematic Literature Review." Emergency Medicine Australasia : EMA, vol. 29, no. 6, 2017, pp. 697-711.
Choi SJ, Oh MY, Kim NR, et al. Comparison of trauma care systems in Asian countries: A systematic literature review. Emerg Med Australas. 2017;29(6):697-711.
Choi, S. J., Oh, M. Y., Kim, N. R., Jung, Y. J., Ro, Y. S., & Shin, S. D. (2017). Comparison of trauma care systems in Asian countries: A systematic literature review. Emergency Medicine Australasia : EMA, 29(6), 697-711. https://doi.org/10.1111/1742-6723.12840
Choi SJ, et al. Comparison of Trauma Care Systems in Asian Countries: a Systematic Literature Review. Emerg Med Australas. 2017;29(6):697-711. PubMed PMID: 28782875.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of trauma care systems in Asian countries: A systematic literature review. AU - Choi,Se Jin, AU - Oh,Moon Young, AU - Kim,Na Rae, AU - Jung,Yoo Joong, AU - Ro,Young Sun, AU - Shin,Sang Do, Y1 - 2017/08/07/ PY - 2017/01/10/received PY - 2017/05/03/revised PY - 2017/06/03/accepted PY - 2017/8/8/pubmed PY - 2018/7/31/medline PY - 2017/8/8/entrez KW - Asia KW - systems of care KW - trauma SP - 697 EP - 711 JF - Emergency medicine Australasia : EMA JO - Emerg Med Australas VL - 29 IS - 6 N2 - OBJECTIVE: The study aims to compare the trauma care systems in Asian countries. METHODS: Asian countries were categorised into three groups; 'lower middle-income country', 'upper middle-income country' and 'high-income country'. The Medline/PubMed database was searched for articles published from January 2005 to December 2014 using relevant key words. Articles were excluded if they examined a specific injury mechanism, referred to a specific age group, and/or did not have full text available. We extracted information and variables on pre-hospital and hospital care factors, and regionalised system factors and compared them across countries. RESULTS: A total of 46 articles were identified from 13 countries, including Pakistan, India, Vietnam and Indonesia from lower middle-income countries; the Islamic Republic of Iran, Thailand, China, Malaysia from upper middle-income countries; and Saudi Arabia, the Republic of Korea, Japan, Hong Kong and Singapore from high-income countries. Trauma patients were transported via various methods. In six of the 13 countries, less than 20% of trauma patients were transported by ambulance. Pre-hospital trauma teams primarily comprised emergency medical technicians and paramedics, except in Thailand and China, where they included mainly physicians. In Iran, Pakistan and Vietnam, the proportion of patients who died before reaching hospital exceeded 50%. In only three of the 13 countries was it reported that trauma surgeons were available. In only five of the 13 countries was there a nationwide trauma registry. CONCLUSION: Trauma care systems were poorly developed and unorganised in most of the selected 13 Asian countries, with the exception of a few highly developed countries. SN - 1742-6723 UR - https://www.unboundmedicine.com/medline/citation/28782875/Comparison_of_trauma_care_systems_in_Asian_countries:_A_systematic_literature_review_ L2 - https://doi.org/10.1111/1742-6723.12840 DB - PRIME DP - Unbound Medicine ER -