Document Type
Article
Publication Date
8-19-2024
Abstract
OBJECTIVE: To evaluate the leading challenges in developing countries' traumatic spinal cord injury (TSCI) care.
METHODS: We conducted a systematic search in electronic databases of PubMed, SCOPUS, Web of Science, EMBASE, and Cochrane Library on 16 April 2023. Studies that investigated challenges associated with the management of TSCI in developing countries were eligible for review. We extracted related outcomes and categorized them into four distinct parts: injury prevention, pre-hospital care, in-hospital care, and post-hospital care.
RESULTS: We identified 82 articles that met the eligibility criteria including 13 studies on injury prevention, 25 on pre-hospital care, 32 on in-hospital care, and 61 on post-hospital care. Challenges related to post-hospital problems including the personal, financial, and social consequences of patients' disabilities and the deficiencies in empowering people with TSCI were foremost studied. Lack of trained human resources, insufficient public education and delays in care delivery were barriers in the acute and chronic management of TSCI. A well-defined pre-hospital network and standard guidelines for the management of acute neurotrauma are needed. Critical challenges in injury prevention include deficiencies in infrastructure and supportive legislation.
CONCLUSION: Studies focusing on injury prevention and pre-hospital care in TSCI management in developing countries warrant further investigation. It is imperative to develop systematic and evidence-based initiatives that are specifically tailored to the unique circumstances of each country to address these challenges effectively. By understanding the primary obstacles, policymakers and healthcare providers can establish goals for improving education, planning, legislation, and resource allocation.
Recommended Citation
Ranjbar Hameghavandi, Mohammad Hosein; Khodadoust, Elaheh; Hassan Zadeh Tabatabaei, Mahgol Sadat; Farahbakhsh, Farzin; Ghodsi, Zahra; Rostamkhani, Sabra; Ghashghaie, Shahryar; Abbaszade, Mahkame; Arbabi, Arash; Hossieni, Seyedeh Maede; Sadeghi-Naini, Mohsen; Atlasi, Rasha; Kankam, Samuel Berchi; Vaccaro, Alexander; Guest, James; Fehlings, Michael; and Rahimi-Movaghar, Vafa, "Challenges in Traumatic Spinal Cord Injury Care in Developing Countries - A Scoping Review" (2024). Department of Neurosurgery Faculty Papers. Paper 239.
https://jdc.jefferson.edu/neurosurgeryfp/239
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PubMed ID
39224559
Language
English
Included in
Health Services Administration Commons, Neurology Commons, Orthopedics Commons, Surgery Commons, Wounds and Injuries Commons
Comments
This article, first published by Frontiers Media, is the author's final published version in Frontiers in Public Health, Volume 12, 2024, Article number 1377513.
The published version is available at https://doi.org/10.3389/fpubh.2024.1377513.
Copyright © 2024 Ranjbar Hameghavandi, Khodadoust, Hassan Zadeh Tabatabaei, Farahbakhsh, Ghodsi, Rostamkhani, Ghashghaie, Abbaszade, Arbabi, Hossieni, Sadeghi-Naini, Atlasi, Kankam, Vaccaro, Guest, Fehlings and Rahimi-Movaghar.