Assessing trauma care at the district and provincial hospital levels: a case study of hospitals in Kenya

作者：Wesson Hadley K H; Bachani Abdulgafoor M; Wekesa John Masasabi; Mburu Joseph; Hyder Adnan A; Stevens Kent A^*

来源：Injury-International Journal of the Care of the Injured, 2013, 44: S75-S80.

DOI：10.1016/S0020-1383(13)70217-1

• Trauma care
• Low and middle income countries
• Developing countries

Trauma is a major cause of death and disability worldwide, of which more than 90% occur in low- and middle-income countries. Given the magnitude of this inequality, there is a need to devise and use tools to assess the capacity of facility-based trauma care. This study used two tools, hospital flowcharts and the World Health Organization%26apos;s Trauma Care Checklist, to describe trauma care capacity at two hospitals in Kenya and ways in which this capacity can be strengthened. We found these hospitals had a large volume of trauma, but due to the lack of intensive care units, specialized trauma units, and axillary services, such as orthopedics and neurosurgery, the hospitals had a limited ability to provide definitive care for injured patients in critical condition. Additionally, organizational capabilities, such as trauma registries, trauma-specific training, and quality improvement programmes were lacking. The state of trauma care at district and provincial levels in Kenya demonstrates a strong case for national and global investment in clinical and systemic interventions.

• 出版日期2013-12