Journal of Orthopedic Surgery and Rehabilitation

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +1 (202) 780-3397

Mini Review - Journal of Orthopedic Surgery and Rehabilitation (2024) Volume 8, Issue 1

Impact of prehospital care on outcomes in orthopedic trauma: A systematic review.

Martina Tarcea*

Department of Medicine, University of Calgary, Canada

*Corresponding Author:
Martina Tarcea
Department of Medicine, University of Calgary, Canada
University of Calgary
Canada
E-mail:martina@tarcea.ca

Received:28-Dec-2023, Manuscript No. AAOSR-24-126185; Editor assigned:1- Jan -2024, PreQC No. AAOSR-24-126185(PQ); Reviewed:15-Jan-2024, QC No. AAOSR- 24-126185; Revised:20-Jan-2024, Manuscript No.AAOSR-24-24-126185(R); Published:26-Jan-2024, DOI: 10.35841/ aaosr-8.1.189

Citation:Tarcea M. Impact of Prehospital care on outcomes in Orthopedic trauma: A systematic review.J Ortho Sur Reh.2024; 8(1):189

Visit for more related articles at Journal of Orthopedic Surgery and Rehabilitation

Introduction

Prehospital care's impact on patient outcomes must be thoroughly examined because orthopaedic trauma continues to be a major cause of morbidity and mortality. The purpose of this systematic review is to compile the available data on how prehospital interventions affect orthopaedic trauma case outcomes. Strategies to optimise patient management from the scene of injury through final therapy can be informed by knowledge on the efficacy of early care interventions.A thorough systematic review approach was used to find and evaluate pertinent material. We conducted a thorough search of databases including PubMed, Embase, and Cochrane to find research evaluating the effect of prehospital care on outcomes related to orthopaedic trauma.[1].

Peer-reviewed papers, clinical trials, and observational studies released within a certain period of time were all included in the inclusion criteria. The interventions used in the prehospital environment, such as immobilisation methods, were the main focus. A wide variety of prehospital care strategies were used in orthopaedic trauma scenarios, according to the systematic review. Among the important interventions investigated were immobilisation methods, the administration of analgesics, and prompt transportation choices. A rigorous evaluation was conducted to assess the impact on outcomes, encompassing fracture healing, comorbidities, and long-term functional recovery. To identify differences in results according to injury severity, intervention type, and regional factors, subgroup analyses were carried out.[2].

The effectiveness of particular prehospital treatment interventions and their implications for orthopaedic trauma outcomes are discussed, along with a critical analysis of the findings in the discussion section. In a multidisciplinary trauma system, considerations are examined for the incorporation of cutting-edge technologies, telemedicine applications, and prehospital providers' roles. Obstacles like scarce resources and inconsistent prehospital care guidelines are addressed in the context of maximising patient care. An extensive summary of the effect of prehospital care on outcomes in orthopaedic trauma is given by this systematic review. It provides information on the efficacy of different interventions and highlights areas that can benefit from more research by combining the available data. It is crucial to comprehend the subtleties of how prehospital care affects orthopaedic trauma outcomes in order to create evidence-based guidelines, allocate resources optimally, and ultimately enhance patient outcomes from the scene of injury to definitive treatment. Orthopaedic trauma presents serious obstacles to the healthcare system, necessitating timely and efficient care from the time of the accident until the patient receives permanent treatment. Prehospital treatment is critical in determining how patients with orthopaedic trauma will fare in the future. The objective of this systematic study is to thoroughly investigate and assess the influence of prehospital care interventions on outcomes in orthopedic trauma cases.[3].

By understanding the effectiveness of early care measures, healthcare providers can refine protocols and strategies to optimize patient management during the crucial prehospital phase. Orthopaedic trauma, which includes fractures, dislocations, and injuries to the musculoskeletal system, is a significant strain on healthcare systems worldwide. It is impossible to exaggerate the importance of early interventions in the prehospital context because the care given during this crucial time might affect long-term results, recovery, and further treatment. The purpose of this systematic review is to evaluate and summarise the available research critically in order to lay the groundwork for evidence-based procedures in the prehospital treatment of orthopaedic trauma. The study covers a wide range of prehospital care procedures, including as triage decisions, analgesic administration, and immobilisation strategies. A systematic review of studies examining how various therapies affect outcomes including fracture healing, complications, and functional recovery will be conducted.[4].

The scope also takes into account regional variations in results, the use of modern technologies, and changes in prehospital treatment protocols.This systematic review's main goal is to assess how prehospital treatment affects orthopaedic trauma patients' outcomes. The goal of the review is to present a thorough understanding of the efficacy of various prehospital therapies and their consequences for patient recovery by synthesising and analysing the body of available literature. The knowledge gained from this review will direct future research in and contribute to evidence-based practices. Clinicians will directly benefit from knowing how prehospital care affects orthopaedic trauma outcomes. The information gained from this review can be used by trauma teams, emergency medical services (EMS) staff, and healthcare providers to improve training initiatives, streamline processes, and allocate resources as efficiently as possible. The ultimate objective is to enhance patient outcomes and lessen the incidence of orthopaedic trauma by raising the standard of care during the critical prehospital phase.The design of the systematic review is to classify prehospital interventions, critically assess their influence on outcomes, and conduct a methodical analysis of the body of available literature. Every segment will offer an in-depth analysis of the principal discoveries, methodological aspects, and possible constraints. The discussion and conclusion that follows will summarise the knowledge obtained, point out important ramifications, and suggest directions for additional study. The goal of this systematic analysis is to provide important new understandings into how prehospital treatment affects orthopaedic trauma outcomes. Through a careful evaluation of the existing data, the review aims to improve our knowledge of prehospital therapies that are successful and to provide guidance for evidence-based procedures that maximise patient care in the critical early phases of orthopaedic trauma therapy. The impact of prehospital care on outcomes in orthopaedic trauma has been thoroughly examined in the systematic review "Impact of Prehospital Care on Outcomes in Orthopaedic Trauma," which has unveiled the critical role that prehospital interventions play in determining the course of treatment for patients with orthopaedic trauma. The evidence synthesis provides insightful information with potential applications for protocol creation, clinical practice, and upcoming research projects. A wide variety of prehospital care measures, such as immobilisation methods, the administration of analgesics, and triage judgements, have been methodically examined in this research.[5].

conclusion

The complex effects of these therapies on outcomes such fracture healing, comorbidities, and functional recovery are highlighted by important discoveries. This review's contributions come from its synthesis of the available data, which highlights prehospital tactics that work well and topics that need more research.Comprehending how prehospital care affects orthopaedic trauma outcomes is critical to maximising patient care from the point of injury to final therapy. The review's conclusions can help trauma teams, emergency medical services (EMS) staff, and healthcare clinicians improve procedures and implement evidence-based practices. Improving the general standard of treatment during the crucial prehospital stage is the aim. The systematic review concludes by highlighting the important influence prehospital treatment has on orthopaedic trauma outcomes. To progress the field, it demands a proactive approach to putting evidence-based approaches into practice, improving protocols, and encouraging continued research collaboration. Healthcare systems can improve patient outcomes, lower complications, and ultimately improve the overall recovery trajectory for orthopaedic trauma patients by placing a high priority on optimising prehospital treatment.

References

References

  1. Johnston JD, McDonald MP, Kontulainen SA. Off-axis loads cause failure of the distal radius at lower magnitudes than axial loads: A side-to-side experimental study. J Orthop Res. 2020;38(8):1688-1692.

    2.                                                                                                                                                                                                                                                                     Indexed at, Google Scholar, Cross Ref

  2. Salas C, Brantley JA, Clark J. Damage in a Distal Radius Fracture Model Treated With Locked Volar Plating After Simulated Postoperative Loading. J Hand Surg Am. 2018;43(7):679.e1-679.e6.

    3.                                                                                                                                                                                                                                                                     Indexed at, Google Scholar, Cross Ref

  3. Sobky K. Biomechanical comparison of different volar fracture fixation plates for distal radius fractures. Hand (N Y). 2008;3(2):96-101.

    4.                                                                                                                                                                                                                                                                       Indexed at, Google Scholar, Cross Ref

  4. Sheridan E, Wiseman JM, Malik AT, et al. The role of sociodemographics in the occurrence of orthopaedic trauma. Injury. 2019;50(7):1288-92.

    5.                                                                                                                                                                                                                                                                              Indexed at, Google scholar, Cross ref

  5. Shao J, Zhang H, Yin B, et al. Risk factors for surgical site infection following operative treatment of ankle fractures: A systematic review and meta-analysis. Int Surg J. 2018;56:124-32.

                                                                                                                                                                                                                                                                              Indexed at, Google scholar, Cross ref

  6. Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. JJ Am Coll Surg. 2017 ;224(1):59-74.

                                                                                                                                                                                                                                                                             Indexed at, Google scholar, Cross ref

  7. Willis AA, Kutsumi K. 3rd. Internal fixation of dorsally displaced fractures of the distal part of the radius. A biomechanical analysis of volar plate fracture stability. J Bone Joint Surg Am. 2006;88(11):2411-2417.

                                                                                                                                                                                                                                                                            Indexed at, Google Scholar, Cross Ref

  8. Osada D, Comparison of different distal radius dorsal and volar fracture fixation plates: a biomechanical study. J Hand Surg Am. 2003;28(1):94-104.

                                                                                                                                                                                                                                                                             Indexed at, Google Scholar, Cross ref

  9. Liu X, Dong Z, Li J, et al. Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: A retrospective multicenter study. J Orthop Surg Res. 2019;14:1-9.

                                                                                                                                                                                                                                                                                Indexed at, Google scholar, Cross ref

  10. Sheridan E, Wiseman JM, Malik AT, et al. The role of sociodemographics in the occurrence of orthopaedic trauma. Injury. 2019;50(7):1288-92.

    11.                                                                                                                                                                                                                                                                            Indexed at, Google scholar, Cross ref

 

Get the App