A 3-Country Assessment of Traumatic Brain Injury Practices and Capacity
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DULF, Diana, COMAN, Madalina Adina, TADEVOSYAN, Artashes E., CHIKHLADZE, Nino N., CEBANU, Serghei, PEEK-ASA, Corinne L.. A 3-Country Assessment of Traumatic Brain Injury Practices and Capacity. In: World Neurosurgery, 2021, nr. 146, pp. e517-e526. ISSN 1878-8750. DOI: https://doi.org/10.1016/j.wneu.2020.10.115
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World Neurosurgery
Numărul 146 / 2021 / ISSN 1878-8750 /ISSNe 1878-8769

A 3-Country Assessment of Traumatic Brain Injury Practices and Capacity


Pag. e517-e526

Dulf Diana1, Coman Madalina Adina1, Tadevosyan Artashes E.2, Chikhladze Nino N.3, Cebanu Serghei4, Peek-Asa Corinne L.5
1 Babeș-Bolyai University,
2 State Medical University of Yerevan „Mhitar Gerats“,
3 Ivane Javakhishvili Tbilisi State University,
4 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
5 University of Iowa, Iowa City
Disponibil în IBN: 3 aprilie 2021


Background: The World Health Organization predicts a striking rise in the burden of traumatic brain injury (TBI) burden in the next decades. A disproportionately large increase is predicted in low- and middle-income countries, which have brain injury rates 3 times higher than high-income countries. The aim of this study was to identify current TBI practices and treatment capacity in 3 low- and middle-income countries: Republic of Armenia, Georgia, and Republic of Moldova. Methods: After a national inventory of hospitals treating TBI, a situational analysis was conducted in the highest volume adult and pediatric hospital in each country. The situational analysis included key informant interviews with content analysis and a quantitative checklist of treatment resources. Results: All 3 countries follow international, national, and hospital protocols for TBI treatment, and the in-hospital management of patients with TBI is similar to international standards in all 3 countries. Although health care specialists were well trained, however, lack of proper equipment, a scant number of hospitals outside the capital region, lack of specialized personnel in regional areas, and lack of rehabilitation services were mentioned as difficulties in interviews from all 3 countries. Conclusions: Particular gaps were found in pre-hospital and rehabilitative care, as well as national leadership and data collection. Surveillance and standardized data collection are important measures to fill treatment gaps and reduce the burden of TBI. 

Acute care, Low- and middle-income countries, Pre-hospital care, Rehabilitation services, traumatic brain injury