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Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol

INTRODUCTION: The introduction of trauma systems that began in the 1970s resulted in improved trauma care and a decreased rate of morbidity and mortality of trauma patients. Worldwide, little is known about the effectiveness of trauma care system at different stages of development, from establishing...

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Autores principales: Alharbi, Rayan Jafnan, Lewis, Virginia, Shrestha, Sumina, Miller, Charne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183269/
https://www.ncbi.nlm.nih.gov/pubmed/34083344
http://dx.doi.org/10.1136/bmjopen-2020-047439
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author Alharbi, Rayan Jafnan
Lewis, Virginia
Shrestha, Sumina
Miller, Charne
author_facet Alharbi, Rayan Jafnan
Lewis, Virginia
Shrestha, Sumina
Miller, Charne
author_sort Alharbi, Rayan Jafnan
collection PubMed
description INTRODUCTION: The introduction of trauma systems that began in the 1970s resulted in improved trauma care and a decreased rate of morbidity and mortality of trauma patients. Worldwide, little is known about the effectiveness of trauma care system at different stages of development, from establishing a trauma centre, to implementing a trauma system and as trauma systems mature. The objective of this study is to extract and analyse data from research that evaluates mortality rates according to different stages of trauma system development globally. METHODS AND ANALYSIS: The proposed review will comply with the checklist of the ‘Preferred reporting items for systematic review and meta-analysis’. In this review, only peer-reviewed articles written in English, human-related studies and published between January 2000 and December 2020 will be included. Articles will be retrieved from MEDLINE, EMBASE and CINAHL. Additional articles will be identified from other sources such as references of included articles and author lists. Two independent authors will assess the eligibility of studies as well as critically appraise and assess the methodological quality of all included studies using the Cochrane Risk of Bias for Non-randomised Studies of Interventions tool. Two independent authors will extract the data to minimise errors and bias during the process of data extraction using an extraction tool developed by the authors. For analysis calculation, effect sizes will be expressed as risk ratios or ORs for dichotomous data or weighted (or standardised) mean differences and 95% CIs for continuous data in this systematic review. ETHICS AND DISSEMINATION: This systematic review will use secondary data only, therefore, research ethics approval is not required. The results from this study will be submitted to a peer-review journal for publication and we will present our findings at national and international conferences. PROSPERO REGISTRATION NUMBER: CRD42019142842.
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spelling pubmed-81832692021-06-17 Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol Alharbi, Rayan Jafnan Lewis, Virginia Shrestha, Sumina Miller, Charne BMJ Open Emergency Medicine INTRODUCTION: The introduction of trauma systems that began in the 1970s resulted in improved trauma care and a decreased rate of morbidity and mortality of trauma patients. Worldwide, little is known about the effectiveness of trauma care system at different stages of development, from establishing a trauma centre, to implementing a trauma system and as trauma systems mature. The objective of this study is to extract and analyse data from research that evaluates mortality rates according to different stages of trauma system development globally. METHODS AND ANALYSIS: The proposed review will comply with the checklist of the ‘Preferred reporting items for systematic review and meta-analysis’. In this review, only peer-reviewed articles written in English, human-related studies and published between January 2000 and December 2020 will be included. Articles will be retrieved from MEDLINE, EMBASE and CINAHL. Additional articles will be identified from other sources such as references of included articles and author lists. Two independent authors will assess the eligibility of studies as well as critically appraise and assess the methodological quality of all included studies using the Cochrane Risk of Bias for Non-randomised Studies of Interventions tool. Two independent authors will extract the data to minimise errors and bias during the process of data extraction using an extraction tool developed by the authors. For analysis calculation, effect sizes will be expressed as risk ratios or ORs for dichotomous data or weighted (or standardised) mean differences and 95% CIs for continuous data in this systematic review. ETHICS AND DISSEMINATION: This systematic review will use secondary data only, therefore, research ethics approval is not required. The results from this study will be submitted to a peer-review journal for publication and we will present our findings at national and international conferences. PROSPERO REGISTRATION NUMBER: CRD42019142842. BMJ Publishing Group 2021-06-03 /pmc/articles/PMC8183269/ /pubmed/34083344 http://dx.doi.org/10.1136/bmjopen-2020-047439 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Emergency Medicine
Alharbi, Rayan Jafnan
Lewis, Virginia
Shrestha, Sumina
Miller, Charne
Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
title Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
title_full Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
title_fullStr Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
title_full_unstemmed Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
title_short Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
title_sort effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183269/
https://www.ncbi.nlm.nih.gov/pubmed/34083344
http://dx.doi.org/10.1136/bmjopen-2020-047439
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