The Impact of Trauma System Implementation on Patient Quality of Life and Economic Burden: A Systematic Review Study Protocol.
Economic Burden
Morbidity
Quality of Life
Trauma Systems
Journal
International journal of surgery protocols
ISSN: 2468-3574
Titre abrégé: Int J Surg Protoc
Pays: England
ID NLM: 101758186
Informations de publication
Date de publication:
2023
2023
Historique:
received:
26
09
2022
accepted:
28
12
2022
entrez:
6
3
2023
pubmed:
7
3
2023
medline:
7
3
2023
Statut:
epublish
Résumé
Trauma accounts for 10% of global mortality, with increasing rates disproportionally affecting low- and middle-income countries. In an attempt to improve clinical outcomes after injury, trauma systems have been implemented in multiple countries over recent years. However, whilst many studies have subsequently demonstrated improvements in overall mortality outcomes, less is known about the impact trauma systems have on morbidity, quality of life, and economic burden. This systematic review seeks to assess the existing evidence base for trauma systems with these outcome measures. This review will include any study that assesses the impact implementation of a trauma system has on patient morbidity, quality of life, or economic burden. Any comparator study, including cohort, case-control, and randomised controlled studies, will be included, both retrospective or prospective in nature. Studies conducted from any region in the world and involving any age of patient will be included. We will collect data on any morbidity outcomes, health-related quality of life measures, or health economic assessments reported. We predict a high heterogeneity in these outcomes used and will therefore keep inclusion criteria broad. Previous reviews have shown the significant improvements that can be achieved in mortality outcomes with the implementation of an organised trauma system, however the wider impact they can have on morbidity outcomes, quality of life measures, and the economic burden of trauma, is less well described. This systematic review will present all available data on these outcomes, helping to better characterise both the societal and economic impact of trauma system implementation. Trauma systems are known to improve mortality rates, however less in known on the impact they have on morbidity outcomes, quality of life, and economic burdenWe aim to perform a systematic review to identify any comparator study that assesses the impact implementation of a trauma system on these outcomesUnderstanding the impact trauma systems can have on wider parameters, such as economic and quality of life outcomes, is crucial to allow governments globally to appropriately allocate often limited healthcare resources.
Sections du résumé
Background
UNASSIGNED
Trauma accounts for 10% of global mortality, with increasing rates disproportionally affecting low- and middle-income countries. In an attempt to improve clinical outcomes after injury, trauma systems have been implemented in multiple countries over recent years. However, whilst many studies have subsequently demonstrated improvements in overall mortality outcomes, less is known about the impact trauma systems have on morbidity, quality of life, and economic burden. This systematic review seeks to assess the existing evidence base for trauma systems with these outcome measures.
Methods
UNASSIGNED
This review will include any study that assesses the impact implementation of a trauma system has on patient morbidity, quality of life, or economic burden. Any comparator study, including cohort, case-control, and randomised controlled studies, will be included, both retrospective or prospective in nature. Studies conducted from any region in the world and involving any age of patient will be included. We will collect data on any morbidity outcomes, health-related quality of life measures, or health economic assessments reported. We predict a high heterogeneity in these outcomes used and will therefore keep inclusion criteria broad.
Discussion
UNASSIGNED
Previous reviews have shown the significant improvements that can be achieved in mortality outcomes with the implementation of an organised trauma system, however the wider impact they can have on morbidity outcomes, quality of life measures, and the economic burden of trauma, is less well described. This systematic review will present all available data on these outcomes, helping to better characterise both the societal and economic impact of trauma system implementation.
Highlights
UNASSIGNED
Trauma systems are known to improve mortality rates, however less in known on the impact they have on morbidity outcomes, quality of life, and economic burdenWe aim to perform a systematic review to identify any comparator study that assesses the impact implementation of a trauma system on these outcomesUnderstanding the impact trauma systems can have on wider parameters, such as economic and quality of life outcomes, is crucial to allow governments globally to appropriately allocate often limited healthcare resources.
Identifiants
pubmed: 36875324
doi: 10.29337/ijsp.187
pmc: PMC9983497
doi:
Types de publication
Journal Article
Langues
eng
Pagination
84-89Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
Copyright: © 2023 The Author(s).
Déclaration de conflit d'intérêts
The authors have no competing interests to declare.
Références
BMJ Open. 2021 Jan 19;11(1):e037667
pubmed: 33468455
Afr J Paediatr Surg. 2010 Sep-Dec;7(3):129-33
pubmed: 20859013
J Trauma Nurs. 2007 Apr-Jun;14(2):93-7
pubmed: 17579329
J Trauma. 2006 Feb;60(2):371-8; discussion 378
pubmed: 16508498
BMJ Glob Health. 2018 Mar 25;3(2):e000768
pubmed: 29607105
Lancet Neurol. 2017 Dec;16(12):987-1048
pubmed: 29122524
Curr Probl Surg. 2021 Jan;58(1):100849
pubmed: 33431134
Chin Med J (Engl). 2015 May 20;128(10):1301-5
pubmed: 25963348
Injury. 2013 Nov;44(11):1448-52
pubmed: 23021368
World J Surg. 2018 May;42(5):1327-1339
pubmed: 29071424
BMC Med Res Methodol. 2012 Nov 27;12:181
pubmed: 23185978
World J Emerg Surg. 2021 Jul 13;16(1):38
pubmed: 34256793
BMJ Open. 2022 May 9;12(5):e059935
pubmed: 35534061
World J Surg. 2015 Jun;39(6):1397-405
pubmed: 25651957
Inj Prev. 2008 Apr;14(2):143
pubmed: 18388240
Lancet Neurol. 2008 Aug;7(8):728-41
pubmed: 18635021
World J Surg. 2012 May;36(5):959-63
pubmed: 22419411
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
J Neurotrauma. 2021 May 15;38(10):1411-1440
pubmed: 26537996
EClinicalMedicine. 2018 Aug 05;2-3:13-21
pubmed: 31193723
BMJ. 2020 Jan 16;368:l6890
pubmed: 31948937