Medicine - Surgery
Defining the burden of injury and care of the injured patient in low and middle income countries: a case study of South Africa and Cameroon
In recent years, the global health community has recognized that injury is a leading cause of death and disability in low- and middle-income countries. Despite this recognition, few studies have explored trauma care outcomes for injured patients in developing countries. As such, little is known about the capacity to care for and the morbidity of the injured patient in these settings. The development of a hospital-based surveillance system that incorporates patient outcomes upon discharge is critical to the development of a more nuanced understanding of the burden of injury in low and middle income countries. Using a multi-institutional team approach, including the Johns Hopkins School of Public Health and Johns Hopkins Hospital Departments of Surgery and Emergency Medicine, this project will implement hospital-based surveillance systems and evaluate hospital-based outcomes of injured patients at the Red Cross Hospital, Cape Town, South Africa, and the Hôpital Central, Yaoundé, Cameroon. To date, no project in Africa has used a three point approach to retrospectively evaluate a trauma surveillance system, prospectively capture trauma care data, and apply it to intervention planning. This study thus presents a unique opportunity to research the full impact of a trauma surveillance system. This project will further develop Dr. Stevens’ career, as he applies his skills as a trauma surgeon and public health researcher to understand the burden of injury and improve the care of injured patients in developing countries. This grant will serve as the foundation for future funding opportunities, including the development of an NIH R01 grant.
Adnan Hyder, SPH, IH