4.4 Article

A consensus statement for trauma surgery capacity building in Latin America

Journal

WORLD JOURNAL OF EMERGENCY SURGERY
Volume 16, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s13017-021-00347-2

Keywords

Trauma; Trauma registry; Injury surveillance; Latin America; Consensus statements; Acute care; TBI; LMICs

Funding

  1. National Institutes of Health (NIH) R25 grant [5R25TW009714-02]
  2. Gates Cambridge Trust

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Trauma is a significant public health issue in Latin America, but the region lacks an integrated trauma system. Experts reached a consensus that action is needed from academic bodies, scientific societies, and ministries of health to encourage the collection and use of health data in trauma. The recommendations developed by the panel may help to promote capacity building in trauma research and health policy in the region.
Background Trauma is a significant public health problem in Latin America (LA), contributing to substantial death and disability in the region. Several LA countries have implemented trauma registries and injury surveillance systems. However, the region lacks an integrated trauma system. The consensus conference's goal was to integrate existing LA trauma data collection efforts into a regional trauma program and encourage the use of the data to inform health policy. Methods We created a consensus group of 25 experts in trauma and emergency care with previous data collection and injury surveillance experience in the LA. region. Experts participated in a consensus conference to discuss the state of trauma data collection in LA. We utilized the Delphi method to build consensus around strategic steps for trauma data management in the region. Consensus was defined as the agreement of >= 70% among the expert panel. Results The consensus conference determined that action was necessary from academic bodies, scientific societies, and ministries of health to encourage a culture of collection and use of health data in trauma. The panel developed a set of recommendations for these groups to encourage the development and use of robust trauma information systems in LA. Consensus was achieved in one Delphi round. Conclusions The expert group successfully reached a consensus on recommendations to key stakeholders in trauma information systems in LA. These recommendations may be used to encourage capacity building in trauma research and trauma health policy in the region.

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