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A study of almost 9,000 injury patients across Africa and South Asia has found that nearly half were dead or disabled after three months—highlighting the need for smarter, locally tailored trauma-care systems.
Publishing its findings in The Lancet Global Health, the international research group led by University of Birmingham experts reveals that the biggest influences on survival and recovery are not just the injuries themselves, but how people move through the health care system.
Injuries cause an estimated 4.4 million deaths annually worldwide, with 90% occurring in LMICs. This is the first large multicountry study to examine mortality and disability outcomes among hospitalized injury patients across low- or middle-income countries (LMIC).
The study reveals that access to appropriate care, the route patients take to the hospital and the type of services available all play an important role in these outcomes.
Analyzing data from 8,858 patients treated in 19 urban and rural hospitals across Ghana, Pakistan, Rwanda and South Africa, the Global Health Group on Equitable Access to Quality Health Care for Injured People in Four Low- or Middle-Income Countries (Equi-injury) reveals an enormous and often overlooked global health burden:
Lead author Professor Justine Davies, from the University of Birmingham, said, "One of our most surprising findings was that measures often assumed to improve outcomes—such as ambulance transport and rapid transfer to major hospitals, which are similar to highly centralized trauma services—were not consistently linked with better recovery or survival.
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