Publications by authors named "Pascal Joackim"
Article Synopsis
- Quality health care in low and middle-income countries is limited by financing, particularly affecting patients with severe traumatic brain injury (sTBI).
- A study in Dar-es-Salaam, Tanzania, analyzed the impact of patients' ability to pay on their critical care management, separating patients into those who could afford care and those who couldn't.
- Results indicated that while those who could pay had access to CT scans significantly more often, mechanical ventilation rates were similar across both groups, highlighting the financial disparities in access to optimal care.
Objective: Given the high burden of neurotrauma in low- and middle-income countries (LMICs), in this observational study, the authors evaluated the treatment and outcomes of patients with severe traumatic brain injury (TBI) accessing care at the national neurosurgical institute in Tanzania.
Methods: A neurotrauma registry was established at Muhimbili Orthopaedic Institute, Dar-es-Salaam, and patients with severe TBI admitted within 24 hours of injury were included. Detailed emergency department and subsequent medical and surgical management of patients was recorded.