TITLE

Trauma System Evaluation in Developing Countries: Applicability of American College of Surgeons/Committee on Trauma (ACS/COT) Basic Criteria

AUTHOR(S)
Latifi, Rifat; Ziemba, Michelle; Leppäniemi, Ari; Dasho, Erion; Dogjani, Agron; Shatri, Zhaneta; Kociraj, Agim; Oldashi, Fatos; Shosha, Lida
PUB. DATE
August 2014
SOURCE
World Journal of Surgery;Aug2014, Vol. 38 Issue 8, p1898
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Trauma continues to be a major health problem worldwide, particularly in the developing world, with high mortality and morbidity. Yet most developing countries lack an organized trauma system. Furthermore, developing countries do not have in place any accreditation process for trauma centers; thus, no accepted standard assessment tools exist to evaluate their trauma services. Aim: The aims of this study were to evaluate the trauma system in Albania, using the basic trauma criteria of the American College of Surgeons/Committee on Trauma (ACS/COT) as assessment tools, and to provide the Government with a situational analysis relative to these criteria. Materials and methods: We used the ACS/COT basic criteria as assessment tools to evaluate the trauma system in Albania. We conducted a series of semi-structured interviews, unstructured interviews, and focus groups with all stakeholders at the Ministry of Health, at the University Trauma Hospital (UTH) based in Tirana (the capital city), and at ten regional hospitals across the country. Results: Albania has a dedicated national trauma center that serves as the only tertiary center, plus ten regional hospitals that provide some trauma care. However, overall, its trauma system is in need of major reforms involving all essential elements in order to meet the basic requirements of a structured trauma system. Conclusion: The ACS/COT basic criteria can be used as assessment tools to evaluate trauma care in developing countries. Further studies are needed in other developing countries to validate the applicability of these criteria.
ACCESSION #
96797174

 

Related Articles

  • Fate of the Combined Adult and Pediatric Trauma Centers: Impact of Increased Pediatric Trauma Requirements. Johnson, Kevin N.; Harte, Melissa; Garcia-Filion, Pamela; Notrica, David M. // American Surgeon;Dec2014, Vol. 80 Issue 12, p1280 

    The article discusses a study which assessed the American College of Surgeons (ACS) verification level of adult and pediatric trauma centers in December 2006 compared with Feburary 2012. Topics covered include hanges in the ACS requirements for pediatric trauma center verification, and programs...

  • Experts call for pituitary 'centers of excellence'. Adams, Stacey L.; Calabro, Anthony; Costa, Samantha; Shafer, Emily; Taliercio, Adam // Endocrine Today;Jan2013, Vol. 11 Issue 1, p24 

    The article reports on the call by researchers for recognizing pituitary centers of excellence designation at hospitals and suggest a voluntary verification process, similar to that used by the American College of Surgeons for Trauma Center Verification.

  • United States Trauma.  // Trauma Industry Profile: United States;2002, pN.PAG 

    Presents a profile of the trauma industry in the United States. Background on Datamonitor, a business information company specializing in industry analysis; Executive summary of the industry; Market overview; Market value; Market segmentation; Competitive landscape; Leading companies in the...

  • trauma center.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p2366 

    An encyclopedia entry for "trauma center," which refers to a regional hospital capable of providing care for critically injured patients, is presented.

  • RWJ earns pediatric trauma designation. Caliendo, Melinda // njbiz;11/19/2012, p2 

    The article reports on the move by the American College of Surgeons to certify the Robert Wood Johnson University Hospital in New Jersey as a Pediatric Trauma Center, the first in the state.

  • Urgent assessment in emergency departments can reduce surgical decision time and overcrowding.  // Biomedical Market Newsletter;8/12/2011, Vol. 21, p780 

    The article presents the findings of a study published in the "Journal of the American College of Surgeons" which showed that using acute care emergency surgical service (ACCESS) in emergency departments (EDs) can lessen the patient's length of stay, overcrowding, and decision-making time.

  • The unwritten rules that saved Katie. Hackleman, Nancy // RN;Jan84, Vol. 47 Issue 1, p52 

    Discusses the experience of a registered nurse in a trauma center. Importance of listening to the patient's assessment; Need to accept the protocol when a patient deteriorates and no one takes action.

  • Survey Reveals Need To Strengthen Financial Viability Of State Trauma System: Texas Trauma System Viability. Rubin, Amir Dan; Clifton, Guy L. // Internet Journal of Healthcare Administration;2002, Vol. 1 Issue 2, p24 

    A survey of Texas's leading Level 1 and 2 Trauma Centers revealed the need to ensure financial stability of the state's trauma system. Many people do not realize the prevalence of traumatic injuries. Trauma is actually the leading cause of death in persons under 34 years of age, and is one of...

  • Helicopter Evacuation of Trauma Victims in Los Angeles: Does it Improve Survival? Talving, Peep; Teixeira, Pedro G. R.; Barmparas, Galinos; DuBose, Joseph; Inaba, Kenji; Lam, Lydia; Demetriades, Demetrios // World Journal of Surgery;Nov2009, Vol. 33 Issue 11, p2469 

    The purpose of this study was to investigate the relationship between the method of transport after injury and survival among trauma patients admitted to a Level 1 trauma facility in Los Angeles, California. The trauma registry of LAC+USC Medical Center was reviewed to identify all injured...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics