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Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India

INTRODUCTION: Prehospital notification of injured patients enables prompt and timely care in hospital through adequate preparation of trauma teams, space, equipment and consumables necessary for resuscitation, and may improve outcomes. In India, anecdotal reports suggest that prehospital notificatio...

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Autores principales: Mitra, Biswadev, Mathew, Joseph, Gupta, Amit, Cameron, Peter, O'Reilly, Gerard, Soni, Kapil Dev, Kaushik, Gaurav, Howard, Teresa, Fahey, Madonna, Stephenson, Michael, Kumar, Vineet, Vyas, Sharad, Dharap, Satish, Patel, Pankaj, Thakor, Advait, Sharma, Naveen, Walker, Tony, Misra, Mahesh Chandra, Gruen, Russell, Fitzgerald, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Open 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541604/
https://www.ncbi.nlm.nih.gov/pubmed/28716784
http://dx.doi.org/10.1136/bmjopen-2016-014073
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author Mitra, Biswadev
Mathew, Joseph
Gupta, Amit
Cameron, Peter
O'Reilly, Gerard
Soni, Kapil Dev
Kaushik, Gaurav
Howard, Teresa
Fahey, Madonna
Stephenson, Michael
Kumar, Vineet
Vyas, Sharad
Dharap, Satish
Patel, Pankaj
Thakor, Advait
Sharma, Naveen
Walker, Tony
Misra, Mahesh Chandra
Gruen, Russell
Fitzgerald, Mark
author_facet Mitra, Biswadev
Mathew, Joseph
Gupta, Amit
Cameron, Peter
O'Reilly, Gerard
Soni, Kapil Dev
Kaushik, Gaurav
Howard, Teresa
Fahey, Madonna
Stephenson, Michael
Kumar, Vineet
Vyas, Sharad
Dharap, Satish
Patel, Pankaj
Thakor, Advait
Sharma, Naveen
Walker, Tony
Misra, Mahesh Chandra
Gruen, Russell
Fitzgerald, Mark
author_sort Mitra, Biswadev
collection PubMed
description INTRODUCTION: Prehospital notification of injured patients enables prompt and timely care in hospital through adequate preparation of trauma teams, space, equipment and consumables necessary for resuscitation, and may improve outcomes. In India, anecdotal reports suggest that prehospital notification, in those few places where it occurs, is unstructured and not linked to a well-defined hospital response. The aim of this manuscript is to describe, in detail, a study protocol for the evaluation of a formalised approach to prehospital notification. METHODS AND ANALYSIS: This is a longitudinal prospective cohort study of injured patients being transported by ambulance to major trauma centres in India. In the preintervention phase, prospective data on patients will be collected on prehospital assessment, notification, inhospital assessment, management and outcomes and recorded in a new tailored multihospital trauma registry. All injured patients arriving by ambulance and allocated to a red or yellow priority category will be eligible for inclusion. The intervention will be a prehospital notification application to be used by ambulance clinicians to notify emergency departments of the impending arrival of a patient. The proportion of eligible patients arriving to hospital after notification will be the primary outcome measure. Secondary outcomes evaluated will be availability of a trauma cubicle, presence of a trauma team on patient arrival, time to first chest X-ray and inhospital mortality. PROGRESS: Ethical approval has been obtained from the All India Institute of Medical Sciences, New Delhi and site-specific approval granted by relevant trauma services. The trial has also been registered with the Monash University Human Research and Ethics Committee; Project number: CF16/1814 – 2016000929. Results will be fed back to prehospital and hospital clinicians via a series of reports and presentations. These will be used to facilitate discussions about service redesign and implementation. It is expected that evidence for improved outcomes will enable widespread adoption of this intervention among centres in all settings with less established tools for prehospital assessment and notification. TRIAL REGISTRATION NUMBER: NCT02877342; Pre-results.
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spelling pubmed-55416042017-08-18 Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India Mitra, Biswadev Mathew, Joseph Gupta, Amit Cameron, Peter O'Reilly, Gerard Soni, Kapil Dev Kaushik, Gaurav Howard, Teresa Fahey, Madonna Stephenson, Michael Kumar, Vineet Vyas, Sharad Dharap, Satish Patel, Pankaj Thakor, Advait Sharma, Naveen Walker, Tony Misra, Mahesh Chandra Gruen, Russell Fitzgerald, Mark BMJ Open Emergency Medicine INTRODUCTION: Prehospital notification of injured patients enables prompt and timely care in hospital through adequate preparation of trauma teams, space, equipment and consumables necessary for resuscitation, and may improve outcomes. In India, anecdotal reports suggest that prehospital notification, in those few places where it occurs, is unstructured and not linked to a well-defined hospital response. The aim of this manuscript is to describe, in detail, a study protocol for the evaluation of a formalised approach to prehospital notification. METHODS AND ANALYSIS: This is a longitudinal prospective cohort study of injured patients being transported by ambulance to major trauma centres in India. In the preintervention phase, prospective data on patients will be collected on prehospital assessment, notification, inhospital assessment, management and outcomes and recorded in a new tailored multihospital trauma registry. All injured patients arriving by ambulance and allocated to a red or yellow priority category will be eligible for inclusion. The intervention will be a prehospital notification application to be used by ambulance clinicians to notify emergency departments of the impending arrival of a patient. The proportion of eligible patients arriving to hospital after notification will be the primary outcome measure. Secondary outcomes evaluated will be availability of a trauma cubicle, presence of a trauma team on patient arrival, time to first chest X-ray and inhospital mortality. PROGRESS: Ethical approval has been obtained from the All India Institute of Medical Sciences, New Delhi and site-specific approval granted by relevant trauma services. The trial has also been registered with the Monash University Human Research and Ethics Committee; Project number: CF16/1814 – 2016000929. Results will be fed back to prehospital and hospital clinicians via a series of reports and presentations. These will be used to facilitate discussions about service redesign and implementation. It is expected that evidence for improved outcomes will enable widespread adoption of this intervention among centres in all settings with less established tools for prehospital assessment and notification. TRIAL REGISTRATION NUMBER: NCT02877342; Pre-results. BMJ Open 2017-07-17 /pmc/articles/PMC5541604/ /pubmed/28716784 http://dx.doi.org/10.1136/bmjopen-2016-014073 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Emergency Medicine
Mitra, Biswadev
Mathew, Joseph
Gupta, Amit
Cameron, Peter
O'Reilly, Gerard
Soni, Kapil Dev
Kaushik, Gaurav
Howard, Teresa
Fahey, Madonna
Stephenson, Michael
Kumar, Vineet
Vyas, Sharad
Dharap, Satish
Patel, Pankaj
Thakor, Advait
Sharma, Naveen
Walker, Tony
Misra, Mahesh Chandra
Gruen, Russell
Fitzgerald, Mark
Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
title Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
title_full Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
title_fullStr Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
title_full_unstemmed Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
title_short Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
title_sort protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in india
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541604/
https://www.ncbi.nlm.nih.gov/pubmed/28716784
http://dx.doi.org/10.1136/bmjopen-2016-014073
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