Prehospital clinical practice guidelines for unintentional injuries: a scoping review and prioritisation process
Dublin Core
Title
Prehospital clinical practice guidelines for unintentional injuries: a scoping review and prioritisation process
Subject
Injuries, Prehospital care, Clinical practice guidelines, Scoping review, Prioritisation
Description
Background Globally, millions of people die and many more develop disabilities resulting from injuries each year.
Most people who die from injuries do so before they are transported to hospital. Thus, reliable, pragmatic, and evidence-based prehospital guidance for various injuries is essential. We systematically mapped and described prehospital clinical practice guidelines (CPGs) for injuries in the global context, as well as prioritised injury topics for guidance
development and adolopment.
Methods This study was sequentially conducted in three phases: a scoping review for CPGs (Phase I), identifcation
and refnement of gaps in CPGs (Phase II), and ranking and prioritisation of gaps in CPGs (Phase III). For Phase I, we
searched PubMed, SCOPUS, and Trip Database; guideline repositories and websites up to 23rd May 2021. Two authors
in duplicate independently screened titles and abstract, and full-text as well as extracted data of eligible CPGs. Guidelines had to meet 60% minimum methodological quality according to rigour of development domain in AGREE II. The
second and third phases involved 17 participants from 9 African countries and 1 from Europe who participated in a
virtual stakeholder engagement workshop held on 5 April 2022, and followed by an online ranking process.
Results Fifty-eight CPGs were included out of 3,427 guidance documents obtained and screened. 39/58 (67%)
were developed de novo compared to 19 that were developed using alternative approaches. Twenty-fve out of 58
guidelines (43%) were developed by bodies in countries within the WHO European Region, while only one guideline
was targeted to the African context. Twenty-fve (43%) CPGs targeted emergency medical service providers, while
13 (22%) targeted frst aid providers (laypeople). Forty-three CPGs (74%) targeted people of all ages. The 58 guidance
documents contained 32 injury topics. Injuries linked to road trafc accidents such as traumatic brain injuries and
chest injuries were among the top prioritised topics for future guideline development by the workshop participants.
Conclusion This study highlights the availability, gaps and priority injury topics for future guideline development/
adolopment, especially for the African context. Further research is needed to evaluate the recommendations in the 58
included CPGs for possible adaptation to the African context.
Most people who die from injuries do so before they are transported to hospital. Thus, reliable, pragmatic, and evidence-based prehospital guidance for various injuries is essential. We systematically mapped and described prehospital clinical practice guidelines (CPGs) for injuries in the global context, as well as prioritised injury topics for guidance
development and adolopment.
Methods This study was sequentially conducted in three phases: a scoping review for CPGs (Phase I), identifcation
and refnement of gaps in CPGs (Phase II), and ranking and prioritisation of gaps in CPGs (Phase III). For Phase I, we
searched PubMed, SCOPUS, and Trip Database; guideline repositories and websites up to 23rd May 2021. Two authors
in duplicate independently screened titles and abstract, and full-text as well as extracted data of eligible CPGs. Guidelines had to meet 60% minimum methodological quality according to rigour of development domain in AGREE II. The
second and third phases involved 17 participants from 9 African countries and 1 from Europe who participated in a
virtual stakeholder engagement workshop held on 5 April 2022, and followed by an online ranking process.
Results Fifty-eight CPGs were included out of 3,427 guidance documents obtained and screened. 39/58 (67%)
were developed de novo compared to 19 that were developed using alternative approaches. Twenty-fve out of 58
guidelines (43%) were developed by bodies in countries within the WHO European Region, while only one guideline
was targeted to the African context. Twenty-fve (43%) CPGs targeted emergency medical service providers, while
13 (22%) targeted frst aid providers (laypeople). Forty-three CPGs (74%) targeted people of all ages. The 58 guidance
documents contained 32 injury topics. Injuries linked to road trafc accidents such as traumatic brain injuries and
chest injuries were among the top prioritised topics for future guideline development by the workshop participants.
Conclusion This study highlights the availability, gaps and priority injury topics for future guideline development/
adolopment, especially for the African context. Further research is needed to evaluate the recommendations in the 58
included CPGs for possible adaptation to the African context.
Creator
Desmond Kuupiel, Nasreen S. Jessani, Jody Bofa, Celeste Naude, Emmy De Buck, Philippe Vandekerckhove and Michael McCaul
Publisher
BMC Emergency Medicine
Date
(2023) 23:27
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Desmond Kuupiel, Nasreen S. Jessani, Jody Bofa, Celeste Naude, Emmy De Buck, Philippe Vandekerckhove and Michael McCaul, “Prehospital clinical practice guidelines for unintentional injuries: a scoping review and prioritisation process,” Repository Horizon University Indonesia, accessed April 27, 2025, https://repository.horizon.ac.id/items/show/4324.