Current trauma care system in Saudi Arabia: A scoping literature review

被引:17
作者
Alharbi, Rayan Jafnan [1 ,2 ]
Lewis, Virginia [4 ]
Mosley, Ian [3 ]
Miller, Charne [1 ]
机构
[1] La Trobe Univ, Alfred Hlth Clin Sch, Prahran, Vic, Australia
[2] Jazan Univ, Dept Emergency Med Serv, Jazan, Saudi Arabia
[3] La Trobe Univ, Sch Nursing & Midwifery, Bundoora, Vic, Australia
[4] La Trobe Univ, Australian Inst Primary Care & Ageing, Sch Nursing & Midwifery, Bundoora, Vic, Australia
关键词
Trauma system; Prehospital care; Trauma center; Injury; Saudi Arabia; ROAD-TRAFFIC INJURIES; MAJOR TRAUMA; DEFINITIVE CARE; CENTER CLOSURES; OUTCOMES; TIME; REGIONALIZATION; IMPLEMENTATION; MORTALITY; TRANSPORT;
D O I
10.1016/j.aap.2020.105653
中图分类号
TB18 [人体工程学];
学科分类号
1201 ;
摘要
Background: Trauma is one of the leading causes of death worldwide with millions of people dying each year, particularly in low or middle-income countries. This paper describes and evaluates the current trauma system (TS) in Saudi Arabia (SA). Methods: A scoping literature review was performed, incorporating an extensive search of Medline and Embase databases for refereed literature, as well as a search of grey literature to locate unpublished articles or reports in English or Arabic. All publications were assessed against the World Health Organization (WHO) Trauma System Maturity Index (TSMI) and American College of Surgeon's (ACS) criteria. Results: Despite local injury prevention efforts, Motor Vehicle Crashes (MVC) remain the primary cause of injuries in SA. Prehospital trauma care in SA aligns with level III care as described in the WHO TSMI classification system, based on the presence of formal emergency medical services and universal access to care. With respect to the ACS classification, no clear written guidelines, either for field triage or trauma destination protocols such as trauma bypass, were identified in prehospital trauma care. The role of secondary and tertiary facilities in treating trauma patients is unclear, with no clear referral linkages, suggesting a level I to III grading of SA's trauma care facilities. Currently, there is no national or regional electronic trauma registry, no quality assurance program, and active involvement in research projects related to injuries is limited. Conclusion: The current SA TS has strengths but there are key features missing in comparison to other systems globally. As MVCs remain a leading cause of death/disability, efforts to reduce the prevalence and impact of MVC burden in SA through development of a stronger national TS are warranted.
引用
收藏
页数:9
相关论文
共 66 条
  • [1] Al Naami MY, 2001, SAUDI MED J, V22, P438
  • [2] Emergency medical service rescue times in Riyadh
    Al-Ghamdi, AS
    [J]. ACCIDENT ANALYSIS AND PREVENTION, 2002, 34 (04) : 499 - 505
  • [3] Al-Naami MY, 2010, ANN SAUDI MED, V30, P50, DOI [10.4103/0256-4947.59374, 10.5144/0256-4947.59374]
  • [4] Quality improvement data analysis of a mass casualty event
    Al-Naami, MY
    Al-Faki, AA
    Sadik, AA
    [J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2003, 34 (11): : 857 - 861
  • [5] Alanazi F., 2015, E MEDITERR HLTH J, V21
  • [6] Trauma profile at a tertiary intensive care unit in Saudi Arabia
    Aldawood, Abdulaziz S.
    Alsultan, Mohammad
    Haddad, Samir
    Alqahtani, Saad M.
    Tamim, Hani
    Arabi, Yaseen M.
    [J]. ANNALS OF SAUDI MEDICINE, 2012, 32 (05) : 498 - 501
  • [7] Long-term disabilities after traumatic head injury (THI): a retrospective analysis from a large level-I trauma center in Saudi Arabia
    Alghnam S.
    AlSayyari A.
    Albabtain I.
    Aldebasi B.
    Alkelya M.
    [J]. Injury Epidemiology, 4 (1)
  • [8] Outcomes of road traffic injuries before and after the implementation of a camera ticketing system: a retrospective study from a large trauma center in Saudi Arabia
    Alghnam, Suliman
    Alkelya, Muhamad
    Alfraidy, Moath
    Al-bedah, Khalid
    Albabtain, Ibrahim Tawfiq
    Alshenqeety, Omar
    [J]. ANNALS OF SAUDI MEDICINE, 2017, 37 (01) : 1 - 9
  • [9] Alghnam Suliman, 2014, Inj Epidemiol, V1, P21
  • [10] Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia
    Alghnam, Suliman
    Alkelya, Muhamad
    Al-Bedah, Khalid
    Al-Enazi, Saleem
    [J]. ANNALS OF SAUDI MEDICINE, 2014, 34 (04) : 291 - 296