Surgical Care during Humanitarian Crises: A Systematic Review of Published Surgical Caseload Data from Foreign Medical Teams

Nickerson, Jason; Chackungal, Smita; Knowlton, Lisa Marie; McQueen, Kelly; Burkle, Frederick M.

doi:10.1017/s1049023x12000556

Cited by 77 publications

(42 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Collection of data in these settings, however, is particularly difficult and remains anecdotal; a 2012 systematic review of surgical care in humanitarian crises collected studies too heterogeneous to provide actionable quantitative data, although qualitative analyses revealed a preponderance of orthopedic trauma. 5 M edecins Sans Fronti eres (MSF), also referred to as ''Doctors Without Borders,'' has provided operative care in the environments of conflict and disaster for more than 40 years in more than 70 countries. 7 As a global organization, MSF is divided into 5 distinct operational centers, one of which is the MSF Operational Centre Brussels (MSF-OCB).…”

mentioning

confidence: 99%

Operative trauma in low-resource settings: The experience of Médecins Sans Frontières in environments of conflict, postconflict, and disaster

Wong

Dominguez

Trelles

et al. 2015

Surgery

View full text Add to dashboard Cite

CitationOperative trauma in low-resource settings: Background. Conflicts and disasters remain prevalent in low-and middle-income countries, and injury remains a leading cause of death worldwide. The objective of this study was to describe the operative procedures performed for injury-related pathologies at facilities supported by M edecins Sans Fronti eres (MSF) to guide the planning of future responses. Methods. A retrospective review of a prospectively collected database of all MSF procedures performed between July 2008 and June 2014 for injury-related indications was completed. Individual data points included country of project and date of procedure; age, patient sex, and the American Society of Anesthesiologists' score of each patient; indication for surgery, including mechanism of injury; operative procedure; operative urgency; operative order; type of anesthesia; and intraoperative mortality. Injury severity was stratified according to operative order and urgency. Results. A total of 79,715 procedures were performed in MSF projects that met the inclusion criteria. Of these, 35,756 (44.9%) were performed specifically for traumatic indications across 17 countries. Even after excluding trauma centers, 29.4% (18,329/62,288) of operative cases were for injuries. Operative trauma procedures were performed most commonly for road traffic injuries (29.9%; 10,686/35,756). The most common procedure for acute trauma was extensive wound debridement (31.6%; 3,165/ 10,022) whereas burn dressings were the most frequent planned reoperation (27.1%; 4,361/16,078). Conclusion. Trauma remains an important component of the operative care provided in humanitarian assistance. This review of procedures performed by MSF in a variety of settings provides valuable insight into demographics of trauma patients, mechanisms of injury, and surgical capabilities required in planning resource allocation for future humanitarian missions in low-and middle-income countries. (Surgery 2015;157:850-6.)

show abstract

mentioning

confidence: 99%

Operative trauma in low-resource settings: The experience of Médecins Sans Frontières in environments of conflict, postconflict, and disaster

Wong

Dominguez

Trelles

et al. 2015

Surgery

View full text Add to dashboard Cite

show abstract

“…Such was also the case in a recent systematic review of a foreign medical team's surgical caseload data. 55 Hence, although broadening the country context for interpreting SCI EQ service delivery to include the legal, political and cultural pre-EQ status of disability and medical rehabilitation would have strengthened this review, interpretation of the available literature would not necessarily have been simplified. Given the significant variability of EQ setting contexts and of the local and foreign SCI rehabilitation responses, three EQs were considered sufficient to demonstrate general salient trends for indicating the significant need for stronger scientific research.…”

Section: Methodological Limitationsmentioning

confidence: 99%

Medical rehabilitation of spinal cord injury following earthquakes in rehabilitation resource-scarce settings: implications for disaster research

et al. 2013

View full text Add to dashboard Cite

Study design: Narrative literature review. Objectives: To (1) summarize epidemiological and scientific research on spinal cord injury (SCI) populations from three severe earthquakes (EQs) in rehabilitation resource-scarce settings; (2) summarize SCI rehabilitation services by local and foreign providers in response to these EQs and (3) provide implications including research gaps for a supporting global scientific research agenda. Setting: International. Methods: A literature review was conducted using PubMed to identify epidemiological studies reporting data on SCI survivors of the 2005 Kashmir EQ in Pakistan, the Sichuan EQ of 2008 in China and the 2010 Haiti EQ. A follow-up review on the SCI rehabilitation services provided by local and foreign providers in response to these EQs was also performed. Results: Review of the scientific literature revealed the qualitative trends in focused EQ victim epidemiological data, including SCI classification and types of medical complications. Selected EQ country narratives showed that post-disaster SCI rehabilitation services were expanded by adapting local resources with international assistance to manage the significant numbers of SCI survivors. The resulting SCI research was limited. Conclusion: A global disaster research agenda for SCI in EQs in rehabilitation resource-scarce settings is needed to strengthen the evidence base for improvement of clinical management and outcomes for SCI EQ survivors. Expansion of this limited narrative review into a systematic review to identify additional research gaps is a proposed next step. Effective disaster setting data management and research collaborations of foreign and local SCI disability and rehabilitation stakeholders will be required for agenda implementation.

show abstract

“…There is a lack of access to appropriate services in many countries, where fragmented healthcare systems are compromised by lack of financial and political support [4,5]. During disasters, often the existing local rehabilitation resources can be damaged and/or disrupted and can be quickly overwhelmed with an influx of injury/disease and require international humanitarian assistance [23] To date, there is no documentation of inclusion of the rehabilitation professionals in the emergency-response staffing configuration in any disasters in the Asia-Pacific region. The need for overall rehabilitation services in these countries during disasters is not well defined in terms of type, intensity and settings.…”

Section: Medical Rehabilitation In Disaster Settingsmentioning

confidence: 99%

“…On many occasions, rehabilitation services are integrated with other health services in public hospital systems, where there are no services for specific and complex disaster-related disabilities, such as spinal cord injury (SCI) [24]. Further, there is lack of disability-disaggregated data within general statistics for disaster zones [23].…”

Section: Medical Rehabilitation In Disaster Settingsmentioning

confidence: 99%

Medical Rehabilitation in Natural Disasters in the Asia-Pacific Region: The Way Forward

Khan¹,

FA²,

Amatya³

2015

IJNHS

View full text Add to dashboard Cite

Surgical Care during Humanitarian Crises: A Systematic Review of Published Surgical Caseload Data from Foreign Medical Teams

Cited by 77 publications

References 35 publications

Operative trauma in low-resource settings: The experience of Médecins Sans Frontières in environments of conflict, postconflict, and disaster

Operative trauma in low-resource settings: The experience of Médecins Sans Frontières in environments of conflict, postconflict, and disaster

Medical rehabilitation of spinal cord injury following earthquakes in rehabilitation resource-scarce settings: implications for disaster research

Medical Rehabilitation in Natural Disasters in the Asia-Pacific Region: The Way Forward

Contact Info

Product

Resources

About