Paediatric trauma education in low- and middle-income countries: A systematic literature review. J Glob Health 2022 Dec 29;12:04078
Date
12/30/2022Pubmed ID
36580057Pubmed Central ID
PMC9801138DOI
10.7189/jogh.12.04078Scopus ID
2-s2.0-85145242274 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
BACKGROUND: Trauma-specific training improves clinician comfort and reduces patient morbidity and mortality; however, curricular content, especially with regard to paediatric trauma, varies greatly by region and income status. We sought to understand how much paediatric education is included in trauma curricula taught in low- and middle-income countries (LMICs).
METHODS: We conducted a systematic literature review in October 2020 and in July 2022 based on PRISMA guidelines, utilizing seven databases: MEDLINE, Scopus, Web of Science, CINAHL, Cochrane Reviews, Cochrane Trials, and Global Index Medicus. Reports were limited to those from World Bank-designated LMICs. Key information reviewed included use of a trauma curriculum, patient-related outcomes, and provider/participant outcomes.
RESULTS: The search yielded 2008 reports, with 987 included for initial screening. Thirty-nine of these were selected for review based on inclusion criteria. Sixteen unique trauma curricula used in LMICs were identified, with only two being specific to paediatric trauma. Seven of the adult-focused trauma programmes included sections on paediatric trauma. Curricular content varied significantly in educational topics and skills assessed. Among the 39 included curricula, 33 were evaluated based on provider-based outcomes and six on patient-based outcomes. All provider-based outcome reports showed increased knowledge acquisition and comfort. Four of the five patient-based outcome reports showed reduction in trauma-related morbidity and mortality.
CONCLUSION: Trauma curricula in LMICs positively impact provider knowledge and may decrease trauma-related morbidity and mortality; however, there is significant variability in existing trauma curricula regarding to paediatric-specific content. Trauma education in LMICs should expand paediatric-specific education, as this population appears to be underserved by most existing curricula.
Author List
Rivas JA, Bartoletti J, Benett S, Strong Y, Novotny TE, Schultz MLAuthors
Jane A. Rivas MD Assistant Professor in the Pediatrics department at Medical College of WisconsinMegan L. Schultz MD Assistant Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
ChildCurriculum
Developing Countries
Educational Status
Humans
