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Published in: World Journal of Emergency Surgery 1/2021

Open Access 01-12-2021 | Care | Research article

A consensus statement for trauma surgery capacity building in Latin America

Authors: Mohini Dasari, Erica D. Johnson, Jorge H. Montenegro, Dylan P. Griswold, Maria Fernanda Jiménez, Juan Carlos Puyana, Andres M. Rubiano, On behalf of the Cartagena Consensus

Published in: World Journal of Emergency Surgery | Issue 1/2021

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Abstract

Background

Trauma is a significant public health problem in Latin America (LA), contributing to substantial death and disability in the region. Several LA countries have implemented trauma registries and injury surveillance systems. However, the region lacks an integrated trauma system. The consensus conference’s goal was to integrate existing LA trauma data collection efforts into a regional trauma program and encourage the use of the data to inform health policy.

Methods

We created a consensus group of 25 experts in trauma and emergency care with previous data collection and injury surveillance experience in the LA. region. Experts participated in a consensus conference to discuss the state of trauma data collection in LA. We utilized the Delphi method to build consensus around strategic steps for trauma data management in the region. Consensus was defined as the agreement of ≥ 70% among the expert panel.

Results

The consensus conference determined that action was necessary from academic bodies, scientific societies, and ministries of health to encourage a culture of collection and use of health data in trauma. The panel developed a set of recommendations for these groups to encourage the development and use of robust trauma information systems in LA. Consensus was achieved in one Delphi round.

Conclusions

The expert group successfully reached a consensus on recommendations to key stakeholders in trauma information systems in LA. These recommendations may be used to encourage capacity building in trauma research and trauma health policy in the region.
Literature
1.
go back to reference Byass. P DCM, Graham WJ, Laflamme L, McCaw-Binns A, Sankoh OA, Tollman SM, et al. Reflections on the global burden of disease 2010 estimates. PLoS Med. 2013;10(7):e1001477.CrossRef Byass. P DCM, Graham WJ, Laflamme L, McCaw-Binns A, Sankoh OA, Tollman SM, et al. Reflections on the global burden of disease 2010 estimates. PLoS Med. 2013;10(7):e1001477.CrossRef
2.
go back to reference Gosselin RA, Spiegel DA, Coughlin R, Zirkle LG. Injuries: the neglected burden in developing countries. Bull World Health Organ. 2009;87(4):246–246a.CrossRef Gosselin RA, Spiegel DA, Coughlin R, Zirkle LG. Injuries: the neglected burden in developing countries. Bull World Health Organ. 2009;87(4):246–246a.CrossRef
4.
go back to reference CD LDM. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.CrossRef CD LDM. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.CrossRef
5.
go back to reference JC PJP, Rubiano AM, Montenegro JH, Estebanez GO, Sanchez AI, Vega-Rivera F. Drugs, violence, and trauma in Mexico and the USA. Med Princ Pract. 2017;26(4):309–15.CrossRef JC PJP, Rubiano AM, Montenegro JH, Estebanez GO, Sanchez AI, Vega-Rivera F. Drugs, violence, and trauma in Mexico and the USA. Med Princ Pract. 2017;26(4):309–15.CrossRef
6.
go back to reference K.O. Mock C, Joshipura M, Nguyen S, Arreola-Risa C. Strengthening trauma and critical care globally. Curr Opin Crit Care. 2005;11(6):568–75.CrossRef K.O. Mock C, Joshipura M, Nguyen S, Arreola-Risa C. Strengthening trauma and critical care globally. Curr Opin Crit Care. 2005;11(6):568–75.CrossRef
7.
go back to reference WHO. In: W.H. Organization (Ed.), editor. Preventing injuries and violence: a guide for ministries of health; 2007. WHO. In: W.H. Organization (Ed.), editor. Preventing injuries and violence: a guide for ministries of health; 2007.
8.
go back to reference O’Reilly GM CP, Joshipura M. Global trauma registry mapping: a scoping review. Injury. 2012;43(7):1148–53.CrossRef O’Reilly GM CP, Joshipura M. Global trauma registry mapping: a scoping review. Injury. 2012;43(7):1148–53.CrossRef
9.
go back to reference LN FALG, Egoavil EH, Rodriguez Castro MJ, Valderrama R, Isquith-Dicker LN, Herrera-Matta J, et al. Mixed-methods assessment of trauma and acute care surgical quality improvement programs in Peru. World J Surg. 2017;41(4):963–9.CrossRef LN FALG, Egoavil EH, Rodriguez Castro MJ, Valderrama R, Isquith-Dicker LN, Herrera-Matta J, et al. Mixed-methods assessment of trauma and acute care surgical quality improvement programs in Peru. World J Surg. 2017;41(4):963–9.CrossRef
10.
go back to reference LN RPDLG, Figueroa JF, Artunduaga MA, Huaman Egoavil E, Rodriguez Castro MJA, Foianini JE, et al. Status of trauma quality improvement programs in the Andean region: what foundation do we have to build on. Injury. 2017;48(9):1985–93.CrossRef LN RPDLG, Figueroa JF, Artunduaga MA, Huaman Egoavil E, Rodriguez Castro MJA, Foianini JE, et al. Status of trauma quality improvement programs in the Andean region: what foundation do we have to build on. Injury. 2017;48(9):1985–93.CrossRef
11.
go back to reference JH RAM, Solano KY, Cabrera MA, Rubiano AM. Mortalidad Prevenible en trauma: un Estudio de Reuniones de Análisis de Mortalidad en un hospital Universitario en Colombia. Panam J Trauma Crit Care Emerg Surg. 2014;3(2):59–67.CrossRef JH RAM, Solano KY, Cabrera MA, Rubiano AM. Mortalidad Prevenible en trauma: un Estudio de Reuniones de Análisis de Mortalidad en un hospital Universitario en Colombia. Panam J Trauma Crit Care Emerg Surg. 2014;3(2):59–67.CrossRef
12.
go back to reference BC LWN, Kable R, Haley K, Ameh EA. History and development of trauma registry: lessons from developed to developing countries. World J Emerg Surg. 2006;1:32.CrossRef BC LWN, Kable R, Haley K, Ameh EA. History and development of trauma registry: lessons from developed to developing countries. World J Emerg Surg. 2006;1:32.CrossRef
13.
go back to reference AM PJR, Mock CN, Bullock MR, Adelson PD. Strengthening neurotrauma care systems in low and middle-income countries. Brain Inj. 2013;27(3):262–72.CrossRef AM PJR, Mock CN, Bullock MR, Adelson PD. Strengthening neurotrauma care systems in low and middle-income countries. Brain Inj. 2013;27(3):262–72.CrossRef
15.
go back to reference MR NAR, Schiff MA. The identification of criteria to evaluate prehospital trauma care using the Delphi technique. J Trauma. 2007;62(3):708–13.CrossRef MR NAR, Schiff MA. The identification of criteria to evaluate prehospital trauma care using the Delphi technique. J Trauma. 2007;62(3):708–13.CrossRef
16.
go back to reference Hoogervorst EM, van Beeck EF, Goslings JC, Bezemer PD, Bierens JJ. Developing process guidelines for trauma care in the Netherlands for severely injured patients: results from a Delphi study. BMC Health Serv Res. 2013;13:79.CrossRef Hoogervorst EM, van Beeck EF, Goslings JC, Bezemer PD, Bierens JJ. Developing process guidelines for trauma care in the Netherlands for severely injured patients: results from a Delphi study. BMC Health Serv Res. 2013;13:79.CrossRef
17.
go back to reference M ASD, Garbett M, Zargaran E, Machain G, Hameed M, Puyana JC. Implementing electronic surgical registries in lower-middle income countries: experiences in Latin America. Ann Glob Health. 2016;82(4):639–43.CrossRef M ASD, Garbett M, Zargaran E, Machain G, Hameed M, Puyana JC. Implementing electronic surgical registries in lower-middle income countries: experiences in Latin America. Ann Glob Health. 2016;82(4):639–43.CrossRef
18.
go back to reference M GMD, Miller E, Machain GM, Puyana JC. Implementation of a hospital electronic surgical registry in a lower-middle-income country. World J Surg. 2016;40(12):2840–6.CrossRef M GMD, Miller E, Machain GM, Puyana JC. Implementation of a hospital electronic surgical registry in a lower-middle-income country. World J Surg. 2016;40(12):2840–6.CrossRef
19.
go back to reference FJ BVB-E, Puyana JC. Evaluating data quality in trauma registries. J Trauma Acute Care Surg. 2016;81(5):992–3. FJ BVB-E, Puyana JC. Evaluating data quality in trauma registries. J Trauma Acute Care Surg. 2016;81(5):992–3.
20.
go back to reference FJ RCB-E, Puyana JC. Trauma care and surveillance: international “eCapacity” efforts and Honduras experience. World J Surg. 2017;41(9):2415–6.CrossRef FJ RCB-E, Puyana JC. Trauma care and surveillance: international “eCapacity” efforts and Honduras experience. World J Surg. 2017;41(9):2415–6.CrossRef
21.
go back to reference PR DDC, Starling SV, Moritz M, Ladeira RM. Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients. Rev Col Bras Cir. 2014;41(4):251–5.CrossRef PR DDC, Starling SV, Moritz M, Ladeira RM. Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients. Rev Col Bras Cir. 2014;41(4):251–5.CrossRef
22.
go back to reference JG dCT P, Perlingeiro JA, Solda SC, Assef JC, Goncalves AC, Zuffo BM, et al. Implementation of the trauma registry as a tool for quality improvement in trauma care in a Brazilian hospital: the first 12 months. Rev Col Bras Cir. 2015;42(4):265–72.CrossRef JG dCT P, Perlingeiro JA, Solda SC, Assef JC, Goncalves AC, Zuffo BM, et al. Implementation of the trauma registry as a tool for quality improvement in trauma care in a Brazilian hospital: the first 12 months. Rev Col Bras Cir. 2015;42(4):265–72.CrossRef
23.
go back to reference A RAR, Zogg CK, Herrera-Escobar JP, Appelson JR, Pino LF, Aboutanous MB, et al. Comparison of epidemiology of the injuries and outcomes in two first-level trauma centers in Colombia using the pan-American trauma registry system. World J Surg. 2017;41(9):2224–30.CrossRef A RAR, Zogg CK, Herrera-Escobar JP, Appelson JR, Pino LF, Aboutanous MB, et al. Comparison of epidemiology of the injuries and outcomes in two first-level trauma centers in Colombia using the pan-American trauma registry system. World J Surg. 2017;41(9):2224–30.CrossRef
24.
go back to reference Ordonez CA, Morales M, Rojas-Mirquez JC, Bonilla-Escobar FJ, Badiel M, Minan Arana F, et al. Trauma registry of the pan-American trauma society: one year of experience in two hospitals in Southwest Colombia. Colomb Med (Cali). 2016;47(3):148–54.CrossRef Ordonez CA, Morales M, Rojas-Mirquez JC, Bonilla-Escobar FJ, Badiel M, Minan Arana F, et al. Trauma registry of the pan-American trauma society: one year of experience in two hospitals in Southwest Colombia. Colomb Med (Cali). 2016;47(3):148–54.CrossRef
25.
go back to reference Ordonez CA, Pino LF, Tejada JW, Badiel M, Loaiza JH, Mata LV, et al. Experience of two first level hospitals in the southwest region of Colombia on the implementation of the Panamerican trauma society international trauma registry. Rev Col Bras Cir. 2012;39(4):255–62.CrossRef Ordonez CA, Pino LF, Tejada JW, Badiel M, Loaiza JH, Mata LV, et al. Experience of two first level hospitals in the southwest region of Colombia on the implementation of the Panamerican trauma society international trauma registry. Rev Col Bras Cir. 2012;39(4):255–62.CrossRef
27.
go back to reference O DCOGS, Clavel-Arcas C, Montoya J, Serpas M, Morán de García S, et al. Sistema de Información de Lesiones de Causa Externa (SILEX): un proyecto exitoso en El Salvador. Rev Panam Salud Publica. 2008;24(6):390–69.CrossRef O DCOGS, Clavel-Arcas C, Montoya J, Serpas M, Morán de García S, et al. Sistema de Información de Lesiones de Causa Externa (SILEX): un proyecto exitoso en El Salvador. Rev Panam Salud Publica. 2008;24(6):390–69.CrossRef
28.
go back to reference AM SAR, Puyana JC, Fabio A, Adelson PD, The Colombian Neurotrauma Consortium: a pilot project for a T.B.I. In: Neurotrauma Jo, editor. Registry in a low-middle income country. Orlando: The 26th Annual National Neurotrauma Symposium; 2008. p. 853–935. AM SAR, Puyana JC, Fabio A, Adelson PD, The Colombian Neurotrauma Consortium: a pilot project for a T.B.I. In: Neurotrauma Jo, editor. Registry in a low-middle income country. Orlando: The 26th Annual National Neurotrauma Symposium; 2008. p. 853–935.
29.
go back to reference Charry JD, Rubiano AM, Nikas CV, Ortiz JC, Puyana JC, Carney N, et al. Results of early cranial decompression as an initial approach for damage control therapy in severe traumatic brain injury in a hospital with limited resources. J Neurosci Rural Pract. 2016;7(1):7–12.CrossRef Charry JD, Rubiano AM, Nikas CV, Ortiz JC, Puyana JC, Carney N, et al. Results of early cranial decompression as an initial approach for damage control therapy in severe traumatic brain injury in a hospital with limited resources. J Neurosci Rural Pract. 2016;7(1):7–12.CrossRef
33.
go back to reference WHO. Global Alliance for Care of the Injured; 2018. WHO. Global Alliance for Care of the Injured; 2018.
Metadata
Title
A consensus statement for trauma surgery capacity building in Latin America
Authors
Mohini Dasari
Erica D. Johnson
Jorge H. Montenegro
Dylan P. Griswold
Maria Fernanda Jiménez
Juan Carlos Puyana
Andres M. Rubiano
On behalf of the Cartagena Consensus
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
World Journal of Emergency Surgery / Issue 1/2021
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-021-00347-2

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