Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
Challenges in Traumatic Spinal Cord Injury Care in Developing Countries – a Scoping Review Publisher Pubmed



Mh Ranjbar Hameghavandi Mohammad HOSSEIN ; E Khodadoust ELAHEH ; Ms Hassan Zadeh Tabatabaei Mahgol SADAT ; F Farahbakhsh FARZIN ; Z Ghodsi ZAHRA ; S Rostamkhani SABRA ; S Ghashghaie SHAHRYAR ; M Abbaszade MAHKAME ; A Arbabi ARASH ; Sm Hossieni Seyedeh MAEDE
Authors

Source: Frontiers in Public Health Published: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. © 2024 Elsevier B.V., All rights reserved.
Related Docs
View other Related Docs
1. Direct Cost of Illness for Spinal Cord Injury: A Systematic Review, Global Spine Journal (2022)
2. Feasibility and Data Quality of the National Spinal Cord Injury Registry of Iran (Nscir-Ir): A Pilot Study, Archives of Iranian Medicine (2017)
3. An International Survey of the Structure and Process of Care for Traumatic Spinal Cord Injury in Acute and Rehabilitation Facilities: Lessons Learned From a Pilot Study, BMC Health Services Research (2022)
Experts (# of related papers)
View all Related Experts
Vafa Rahimi-Movaghar (16)
Zahra Azadmanjir (9)
Other Related Docs
4. Epidemiology of Traumatic Spinal Cord Injuries in Iran; a Systematic Review Andmeta-Analysis, Archives of Academic Emergency Medicine (2022)
5. Pre-Hospital and Post-Hospital Quality of Care in Traumatic Spinal Column and Cord Injuries in Iran, Global Spine Journal (2025)
6. Sustaining the National Spinal Cord Injury Registry of Iran (Nscir-Ir) in a Regional Center: Challenges and Solutions, Iranian Journal of Public Health (2020)
7. Incidence of Traumatic Spinal Cord Injury Worldwide: A Systematic Review, European Spine Journal (2015)
8. The Global Spine Care Initiative: Care Pathway for People With Spine-Related Concerns, European Spine Journal (2018)
9. The Global Spine Care Initiative: World Spine Care Executive Summary on Reducing Spine-Related Disability in Low- and Middle-Income Communities, European Spine Journal (2018)
10. Improving Quality of Care in Traumatic Spinal Column/Spinal Cord Injuries (Tsc/Sci) in Iran: A Policy Brief, Spinal Cord Series and Cases (2024)
11. Evaluating Prehospital Care of Patients With Potential Traumatic Spinal Cord Injury: Scoping Review, European Spine Journal (2022)
12. Post-Discharge Follow-Up of Patients With Spine Trauma in the National Spinal Cord Injury Registry of Iran During the Covid-19 Pandemic: Challenges and Lessons Learned, Chinese Journal of Traumatology - English Edition (2024)
13. The Global Spine Care Initiative: Methodology, Contributors, and Disclosures, European Spine Journal (2018)
14. Development of a Comprehensive Assessment Tool to Measure the Quality of Care for Individuals With Traumatic Spinal Cord Injuries, Spinal Cord Series and Cases (2023)
15. Quality of In-Hospital Care in Traumatic Spinal Column and Cord Injuries (Tsc/Sci) in I.R Iran, European Spine Journal (2024)
16. Adopting Clinical Practice Guidelines for Pharmacologic Managementofacutespinalcordinjuryfromadeveloped World Context to a Developing Global Region, Archives of Iranian Medicine (2022)
17. Incidence of Traumatic Spinal Cord Injury Worldwide: A Systematic Review, Data Integration, and Update, World Neurosurgery: X (2023)
18. National Spinal Cord Injury Registry of Iran (Nscir-Ir) – a Critical Appraisal of Its Strengths and Weaknesses, Chinese Journal of Traumatology - English Edition (2019)
19. The Data Set Development for the National Spinal Cord Injury Registry of Iran (Nscir-Ir): Progress Toward Improving the Quality of Care, Spinal cord series and cases (2020)
20. A Systematic Review and Meta-Analysis of the Global Epidemiology of Pediatric Traumatic Spinal Cord Injuries, European Journal of Pediatrics (2023)