Commentary Unpicking the Gordian knot: A systems approach to traumatic brain injury care in low-income and middle-income countries

0Citations
Citations of this article
11Readers
Mendeley users who have this article in their library.

Abstract

### Summary box The Global Burden of Diseases, Injuries and Risk Factors Study showed that in 2010 trauma accounted for 9% of the world’s deaths—around 5 million people—while also resulting in millions of non-fatal injuries with resultant disability. Around 90% of injury-related deaths occurred in low-income and middle-income countries (LMICs), which also saw the greatest rise in these injuries due to road traffic collisions.1 More recent global health estimates from WHO for 2015 show a similar picture.2 As a disease subtype, traumatic brain injury (TBI) is one of the most devastating, with clinical, societal and economic sequelae.3 It is also startlingly common with an estimated 50 million or more cases per year; enough for half of the world’s population to suffer a TBI in their lifetime and again disproportionately affecting lower-income regions.4 TBI is a heterogeneous condition, which can be difficult to both manage and prognosticate in even the best resourced settings and involves an array of prehospital, acute treatment and rehabilitation services.4 5 These are interdependent meaning improvement in any one area of care may not be reflected in overall clinical outcome. While aggressive treatment of TBI can minimise disability in many patients, prevention of mortality can also result in …

Cite

CITATION STYLE

APA

Bashford, T., John Clarkson, P., Menon, D. K., & Hutchinson, P. J. A. (2018, March 1). Commentary Unpicking the Gordian knot: A systems approach to traumatic brain injury care in low-income and middle-income countries. BMJ Global Health. BMJ Publishing Group. https://doi.org/10.1136/bmjgh-2018-000768

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free