Factors affecting mortality in major trauma patients in Trinidad and Tobago – A view from the developing world

Varachhia, Saleem; Maharaj, Vidya Ramcharitar; Paul, Joanne; Robertson, Paul L.; Nunes, Paula; Sammy, Ian

doi:10.1177/1460408619885505

Cited by 1 publication

(1 citation statement)

References 43 publications

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“…A 2017 Trinidad study at a rural emergency department found that “the median door-to-ECG time was 10 min, with 52.5% of patients achieving a door-to-ECG time of less than 10 min. The median door-to-needle time was 70 minutes, with only 8.2% of patients having a door-to-needle time of less than 30 minutes” [ 38 ]. In 2019, among AMI patients, 57.5% of patients received thrombolysis within 30 min [ 14 ].…”

Section: Reviewmentioning

confidence: 99%

Cardiovascular Disease in the Caribbean: Risk Factor Trends, Care and Outcomes Still Far From Expectations

Bahall

2024

Cureus

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Cardiovascular diseases (CVD) are a major public health concern in the Caribbean. Cardiovascular care in the Caribbean revealed encouraging improvements but still less than expectations. This study aims to gain insight into CVD and identify gaps in cardiovascular care in the Caribbean compared to high-income countries. More specifically, this review reports on the epidemiology, CVD risk factors, management practices, and patient outcomes (quality of life (QOL) and mortality). A systematic review of peer-reviewed articles was conducted to assess the CVD of individuals in the Caribbean from 1959 to 2022.Us ing multiple search engines and keywords, a systematic review of relevant peer-reviewed CVD articles was conducted using the necessary inclusion and exclusion criteria. Relevant data of studies were classified by title, publication year, location, type and size of samples, and results. Further analysis grouped patients by epidemiological profile, CVD risk, management, and selected outcomes (quality of life and inpatient mortality). From the initial review of 1,553 articles, 36 were analyzed from Trinidad and Tobago (20), Barbados (4), Jamaica (7), along with the Bahamas (2), British Virgin Islands (1), Bonaire (1), and one article from a Caribbean study. The social environment of fast food, sedentary jobs, and stress determinants are postulated to be precursors for an increase in CV risks. CVD in the Caribbean reveals a high prevalence of CV risks, suboptimal care, poor compliance, and high inpatient mortality compared with high-income countries. Greater efforts are required to improve CVD care at all stages, including in the social environment.

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Section: Reviewmentioning

confidence: 99%

Cardiovascular Disease in the Caribbean: Risk Factor Trends, Care and Outcomes Still Far From Expectations

Bahall

2024

Cureus

View full text Add to dashboard Cite

show abstract

Factors affecting mortality in major trauma patients in Trinidad and Tobago – A view from the developing world

Cited by 1 publication

References 43 publications

Cardiovascular Disease in the Caribbean: Risk Factor Trends, Care and Outcomes Still Far From Expectations

Cardiovascular Disease in the Caribbean: Risk Factor Trends, Care and Outcomes Still Far From Expectations

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