Evaluating the Impact of World Health Organization Trauma Care Checklist on Clinical Outcome of Patients: A Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Improvement in Injury Severity Score (ISS)
研究概览
简要总结
This study is being conducted at the Department of Trauma and Orthopedics at Khyber Teaching Hospital, Peshawar. It will test whether using the World Health Organization (WHO) Trauma Care Checklist can help improve the care and recovery of patients who have experienced physical injuries (trauma).
Injuries are a major cause of death and disability, especially in countries like Pakistan. When someone is seriously injured, doctors must act quickly and carefully to save lives and prevent long-term problems. Checklists are simple tools that help healthcare providers make sure nothing is missed during treatment.
In this study, adult trauma patients will be randomly divided into two groups:
One group will receive the standard trauma care (Group A). The other group will receive trauma care with the help of the WHO checklist (Group B).
Doctors will compare the outcomes of both groups by looking at things like pain levels, injury severity, recovery progress, complications (like infections or organ problems), and overall satisfaction. The goal is to see if the checklist makes a meaningful difference in patient recovery and safety.
详细描述
Background
Trauma is one of the leading causes of mortality and long-term disability worldwide. In Pakistan, the burden of traumatic injuries is significant, especially among younger individuals. Contributing factors include road traffic accidents, workplace injuries, natural disasters, and violence. Despite being preventable and manageable in many cases, the lack of standardized emergency protocols and system-level interventions has resulted in suboptimal trauma care and increased complications. The WHO developed the TCC to support healthcare providers in delivering consistent, high-quality trauma care, especially in resource-limited settings.
Objective
This study aims to evaluate whether implementing the WHO Trauma Care Checklist during the initial assessment and management of trauma patients improves clinical outcomes compared to standard care alone. The primary hypothesis is that the checklist will help reduce complications, improve injury assessment accuracy, and enhance patient satisfaction.
Study Design and Setting
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 60 years old
- •Glasgow Coma Scale (GCC) equal to or more than 10
- •Consenting to participate in the study
排除标准
- •Patients who do not meet the inclusion criteria
- •Patients who refrain from continuing the study
- •Patients with the incomplete checklist
- •Pregnancy
- •History of chronic mental illness, lung or kidney disease
- •Undergoing chemotherapy.
- •Illicit drug dependency
研究组 & 干预措施
Standard Trauma Care
Patients receive routine trauma care adhering to the hospital's existing protocols without using the WHO Trauma Care Checklist. Treatment includes stabilization, diagnostics, surgical/non-surgical interventions, and post-operative care as per institutional standards.
WHO Trauma Care Checklist-Guided Care
Patients receive trauma care guided by the WHO Trauma Care Checklist. The checklist is systematically applied by trained clinicians at critical stages of care (e.g., admission, pre-operative, post-operative, and discharge phases) to ensure adherence to evidence-based practices, including airway management, hemorrhage control, infection prevention, and monitoring for complications.
干预措施: WHO Trauma Care Checklist (Other)
结局指标
主要结局
Improvement in Injury Severity Score (ISS)
时间窗: Assessed at admission and after initial management.
difference in ISS at admission and after initial management. A higher difference means a better outcome.
level of Pain
时间窗: Assessed after initial management.
Pain levels using the Visual Analogue Scale (VAS). A lower VAS score means better outcome.
Glasgow Coma Scale (GCS) Score
时间窗: Measured at presentation and 1 hour post-treatment.
Consciousness levels of participant. Average change/rise/fall. Higher GCS means better outcome
次要结局
- All-Cause Mortality Rate(1 month post-treatment.)
- Incidence of Post-Trauma Complications(1 month post-treatment)
- Number of Bed-Bound Days(From admission to discharge (up to 1 month))
- Patient Satisfaction Score(Assessed at 1 month follow-up.)
- Rate of Missed Injuries(Identified during 1-month follow-up.)
研究者
Rao Erbaz Hassan
Trainee Medical Officer
Khyber Teaching Hospital