Safety, quality & education

Anesthesia Trauma Guidelines: A Systematic Review of Global Accessibility and Quality

Anesth AnalgPublished Systematic review of clinical practice guidelines

Authors' conclusion

Though many countries and societies have contributed to the development of anesthesia CPGs for trauma, there has been a disproportionate lack of representation from LMICs, where the burden of trauma mortality is highest.

Study context

Population
Clinical practice guidelines (CPGs) for the anesthetic management of trauma, 2010 to 2023guidelines included
Participants
165 guidelines
Outcome
Accessibility and quality (NEATS) of anesthesia trauma CPGs
Methodological detailsPRISMA, NEATS quality appraisal, logistic regression, Search of 8 databases; 2426 articles identified
  • PRISMA
  • NEATS quality appraisal
  • Logistic regression
  • Search of 8 databases; 2426 articles identified

Pooled result

As reported in the abstract

Authors from Europe
61%
Authors from Africa
4%
CPGs with a first or last author from low- and middle-income countries (LMIC)
12%
Open access CPGs
70%
Average cost for paid access
US$36.61
Average NEATS score (of 5); overall quality moderately high
3.13

Further pooled results

Guideline development

Professional societies
122
Countries of authors
51
Languages identified (English most common)
8
Most common topics: blood and fluid management, shock, airway management

Original publication

Anesthesia Trauma Guidelines: A Systematic Review of Global Accessibility and Quality. Anesth Analg. Published 24 January 2025. doi:10.1213/ane.0000000000007392

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