An Interventional Study on Comprehensive Emergency Care and Trauma Registry for Road Traffic Injuries in India: A Protocol

  • Bontha V Babu Division of Socio-Behavioural & Health Systems Research, Indian Council of Medical Research, New Delhi, India https://orcid.org/0000-0001-5096-2222
  • Karthik Viswanathan Department of Orthopaedics, PSMC-Shree Krishna Hospital, Anand, Gujarat, India
  • Aruna Ramesh Department of Emergency Medicine, M.S. Ramaiah Medical College, Bengaluru, India
  • Amit Gupta Division of Trauma Surgery and Critical Care, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
  • Sandeep Tiwari Department of General Surgery, King George's Medical University, Lucknow, India
  • Babu U Palatty Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, India
  • Salish Varghese Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, India
  • Yogita Sharma Division of Socio-Behavioural & Health Systems Research, Indian Council of Medical Research, New Delhi, India
Keywords: Accidents, Traffic, Advanced Trauma Life Support Care, Emergency Medical Services, India

Abstract

Road traffic injuries (RTIs) stands as one of the leading causes of mortality and morbidity across the globe. Effective injury surveillance systems and pre-hospital and in-hospital interventions set up in developing countries have shown promising results in controlling the problem. This study aimed to standardise and evaluate an evidence-based intervention for safety, efficacy and quality of post-crash pre-hospital and in-hospital trauma care services to improve the outcome in RTI victims. In addition, it establishes the android-based trauma registry for effective RTI surveillance.

This multi-centric, prospective, observational study is commissioned by the Indian Council of Medical Research (ICMR) as a National Task Force Project. This study is being conducted in five sites, viz., Anand, Bengaluru, Delhi, Lucknow and Thrissur located across India. Each centre will have a level I, two level II and three level III trauma hospitals. The study will be carried out in four phases namely: i) preparatory phase, ii) trauma registry establishment and pre-intervention data collection, iii) intervention and iv) impact evaluation. The preparatory phase, which lasts for four months includes the situational analysis pertaining to managing RTIs. Trauma registry will be initiated from the fifth month. Pre-intervention data will be collected for six months. The intervention will be conducted for six months in the form of prehospital notification, training for trauma care providers and trauma care quality improvement. Post-intervention data collection will continue for 12 months and the impact of the intervention will be assessed. The primary outcome measure will be early preventable mortality, defined as death at 24 hours after admission for patients with a calculated probability of survival >50% based on their injury severity score.

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Published
2019-08-11
How to Cite
Babu, B., Viswanathan, K., Ramesh, A., Gupta, A., Tiwari, S., Palatty, B., Varghese, S., & Sharma, Y. (2019). An Interventional Study on Comprehensive Emergency Care and Trauma Registry for Road Traffic Injuries in India: A Protocol. Advanced Journal of Emergency Medicine, 3(4), e50. https://doi.org/10.22114/ajem.v0i0.232
Section
Ongoing research (selected proposal)