Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India
Introduction: Prehospital notification of injured patients enables prompt and timely care in hospital through adequate preparation of trauma teams, space, equipment and consumables necessary for resuscitation, and may improve outcomes. In India, anecdotal reports suggest that prehospital notificatio...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2018
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| Online Access: | https://hdl.handle.net/10356/107559 http://hdl.handle.net/10220/45364 |
| _version_ | 1811691575119446016 |
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| author | Mitra, Biswadev Mathew, Joseph Gupta, Amit Cameron, Peter O'Reilly, Gerard Soni, Kapil Dev Kaushik, Gaurav Howard, Teresa Fahey, Madonna Stephenson, Michael Kumar, Vineet Vyas, Sharad Dharap, Satish Patel, Pankaj Thakor, Advait Sharma, Naveen Walker, Tony Misra, Mahesh Chandra Gruen, Russell Fitzgerald, Mark |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Mitra, Biswadev Mathew, Joseph Gupta, Amit Cameron, Peter O'Reilly, Gerard Soni, Kapil Dev Kaushik, Gaurav Howard, Teresa Fahey, Madonna Stephenson, Michael Kumar, Vineet Vyas, Sharad Dharap, Satish Patel, Pankaj Thakor, Advait Sharma, Naveen Walker, Tony Misra, Mahesh Chandra Gruen, Russell Fitzgerald, Mark |
| author_sort | Mitra, Biswadev |
| collection | NTU |
| description | Introduction: Prehospital notification of injured patients enables prompt and timely care in hospital through adequate preparation of trauma teams, space, equipment and consumables necessary for resuscitation, and may improve outcomes. In India, anecdotal reports suggest that prehospital notification, in those few places where it occurs, is unstructured and not linked to a well-defined hospital response. The aim of this manuscript is to describe, in detail, a study protocol for the evaluation of a formalised approach to prehospital notification. Methods and analysis: This is a longitudinal prospective cohort study of injured patients being transported by ambulance to major trauma centres in India. In the preintervention phase, prospective data on patients will be collected on prehospital assessment, notification, inhospital assessment, management and outcomes and recorded in a new tailored multihospital trauma registry. All injured patients arriving by ambulance and allocated to a red or yellow priority category will be eligible for inclusion. The intervention will be a prehospital notification application to be used by ambulance clinicians to notify emergency departments of the impending arrival of a patient. The proportion of eligible patients arriving to hospital after notification will be the primary outcome measure. Secondary outcomes evaluated will be availability of a trauma cubicle, presence of a trauma team on patient arrival, time to first chest X-ray and inhospital mortality. Progress: Ethical approval has been obtained from the All India Institute of Medical Sciences, New Delhi and site-specific approval granted by relevant trauma services. The trial has also been registered with the Monash University Human Research and Ethics Committee; Project number: CF16/1814 – 2016000929. Results will be fed back to prehospital and hospital clinicians via a series of reports and presentations. These will be used to facilitate discussions about service redesign and implementation. It is expected that evidence for improved outcomes will enable widespread adoption of this intervention among centres in all settings with less established tools for prehospital assessment and notification. |
| first_indexed | 2024-10-01T06:22:04Z |
| format | Journal Article |
| id | ntu-10356/107559 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T06:22:04Z |
| publishDate | 2018 |
| record_format | dspace |
| spelling | ntu-10356/1075592020-11-01T05:23:30Z Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India Mitra, Biswadev Mathew, Joseph Gupta, Amit Cameron, Peter O'Reilly, Gerard Soni, Kapil Dev Kaushik, Gaurav Howard, Teresa Fahey, Madonna Stephenson, Michael Kumar, Vineet Vyas, Sharad Dharap, Satish Patel, Pankaj Thakor, Advait Sharma, Naveen Walker, Tony Misra, Mahesh Chandra Gruen, Russell Fitzgerald, Mark Lee Kong Chian School of Medicine (LKCMedicine) Department of Surgery Accident and Emergency Medicine Ambulance Introduction: Prehospital notification of injured patients enables prompt and timely care in hospital through adequate preparation of trauma teams, space, equipment and consumables necessary for resuscitation, and may improve outcomes. In India, anecdotal reports suggest that prehospital notification, in those few places where it occurs, is unstructured and not linked to a well-defined hospital response. The aim of this manuscript is to describe, in detail, a study protocol for the evaluation of a formalised approach to prehospital notification. Methods and analysis: This is a longitudinal prospective cohort study of injured patients being transported by ambulance to major trauma centres in India. In the preintervention phase, prospective data on patients will be collected on prehospital assessment, notification, inhospital assessment, management and outcomes and recorded in a new tailored multihospital trauma registry. All injured patients arriving by ambulance and allocated to a red or yellow priority category will be eligible for inclusion. The intervention will be a prehospital notification application to be used by ambulance clinicians to notify emergency departments of the impending arrival of a patient. The proportion of eligible patients arriving to hospital after notification will be the primary outcome measure. Secondary outcomes evaluated will be availability of a trauma cubicle, presence of a trauma team on patient arrival, time to first chest X-ray and inhospital mortality. Progress: Ethical approval has been obtained from the All India Institute of Medical Sciences, New Delhi and site-specific approval granted by relevant trauma services. The trial has also been registered with the Monash University Human Research and Ethics Committee; Project number: CF16/1814 – 2016000929. Results will be fed back to prehospital and hospital clinicians via a series of reports and presentations. These will be used to facilitate discussions about service redesign and implementation. It is expected that evidence for improved outcomes will enable widespread adoption of this intervention among centres in all settings with less established tools for prehospital assessment and notification. Published version 2018-07-30T04:45:51Z 2019-12-06T22:34:04Z 2018-07-30T04:45:51Z 2019-12-06T22:34:04Z 2017 Journal Article Mitra, B., Mathew, J., Gupta, A., Cameron, P., O'Reilly, G., Soni, K. D., et al. (2017). Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India. BMJ Open, 7(7), e014073-. https://hdl.handle.net/10356/107559 http://hdl.handle.net/10220/45364 10.1136/bmjopen-2016-014073 en BMJ Open © 2017 The Author(s). All rights reserved. No commercial use is permitted unless otherwise expressly granted.This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ 7 p. application/pdf |
| spellingShingle | Accident and Emergency Medicine Ambulance Mitra, Biswadev Mathew, Joseph Gupta, Amit Cameron, Peter O'Reilly, Gerard Soni, Kapil Dev Kaushik, Gaurav Howard, Teresa Fahey, Madonna Stephenson, Michael Kumar, Vineet Vyas, Sharad Dharap, Satish Patel, Pankaj Thakor, Advait Sharma, Naveen Walker, Tony Misra, Mahesh Chandra Gruen, Russell Fitzgerald, Mark Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India |
| title | Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India |
| title_full | Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India |
| title_fullStr | Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India |
| title_full_unstemmed | Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India |
| title_short | Protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in India |
| title_sort | protocol for a prospective observational study to improve prehospital notification of injured patients presenting to trauma centres in india |
| topic | Accident and Emergency Medicine Ambulance |
| url | https://hdl.handle.net/10356/107559 http://hdl.handle.net/10220/45364 |
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