The impact of traumatic brain injury on economic productivity in the Caribbean

Rolle, Myron L.; Garba, Deen L.; Kharbat, Abdurrahman F.; Bhebhe, Arnold; Mwenge, Felix; Nahed, Brian V.; Kerry, Vanessa B.

doi:10.1016/j.bas.2023.101755

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Low-and middle-income countries (LMICs) bear a disproportionate share of this trauma burden (3). Physiological functioning, socioeconomic outcomes, psychological well-being, and overall quality of life remain affected post-discharge and improving them to pre-injury levels are part of the recovery process for trauma patients (4)(5)(6)(7)(8). The healthcare system can play a crucial role in this recovery process and ameliorate these consequences of trauma (9).…”

Section: Introductionmentioning

confidence: 99%

Patient-reported outcomes relevant to post-discharge trauma patients in urban India

David,

Gerdin Wärnberg

2024

Preprint

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Trauma is a major global health burden with long-term consequences to patients. Patient-reported outcomes (PROs) are increasingly being recognized and utilized to improve trauma care. It is imperative to identify the PROs that are most relevant, applicable, and suitable to a context. However, there is limited research on PROs in trauma care in low- and middle-income countries, like India, that bear disproportionate burden of global trauma. This paper aims to examine PROs considered to be most relevant for trauma patients after discharge in the context of urban India. We conducted semi-structured qualitative interviews of 11 adult post discharge trauma patients, across demographic and injury groups, and two persons working with trauma patients from five tertiary-care public hospitals in the Indian cities of Mumbai and Kolkata. We performed thematic analysis to identify themes within the participants responses on PROs important to them based on their experiences. Four themes emerged in the analysis of the participant interviews. The need for full physical functioning, the need to address psychological consequences, the need to alleviate economic cost of trauma, and the need for social interactions. Outcomes related to these themes were most relevant to the participants. The findings of this paper can help researchers and clinicians select appropriate PROs, based on the four themes, for trauma research and to improve trauma care in urban India. Future research should focus on PROs relevant to specific demographic and injury groups in India and other LMICs.

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Section: Introductionmentioning

confidence: 99%

Patient-reported outcomes relevant to post-discharge trauma patients in urban India

David,

Gerdin Wärnberg

2024

Preprint

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Severe traumatic brain injury: acute treatment based on cerebral perfusion pressure

Alexandro Turrubiates Hernández,

María Mora Martínez,

Angélica Reyes Pérez

et al. 2024

Contemporary Approach to Trauma and Emergency Surgery

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Severe traumatic brain injury is a cause of disability with economic and social repercussions. Prehospital care is a fundamental part with important attention to avoid hypoxemia, hyperventilation, and hypotension with airway protection. During the primary evaluation, a clinical examination is performed focused on classifying according to their severity, neurological involvement, and extracranial lesions and providing a prognosis. Invasive or non-invasive intracranial pressure monitoring aims to direct management to maintain adequate cerebral perfusion pressure, which should be individualized in each patient, as this depends on the status of self-regulation.

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The impact of traumatic brain injury on economic productivity in the Caribbean

Cited by 2 publications

References 28 publications

Patient-reported outcomes relevant to post-discharge trauma patients in urban India

Patient-reported outcomes relevant to post-discharge trauma patients in urban India

Severe traumatic brain injury: acute treatment based on cerebral perfusion pressure

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