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Doctor’s Knowledge and Practices of Traumatic Brain Injury Management in Chinese Prehospital Settings

Published online by Cambridge University Press:  22 October 2015

Kou Kou ,
Xiang-Yu Hou ,
Jian-Dong Sun  and
Kevin Chu
Kou Kou
Affiliation:
School of Public Health and Social Work & Institute Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
Xiang-Yu Hou*
Affiliation:
School of Public Health and Social Work & Institute Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
Jian-Dong Sun
Affiliation:
School of Public Health and Social Work & Institute Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
Kevin Chu
Affiliation:
Royal Brisbane and Women’s Hospital Metro North Hospital and Health Service, Butterfield Street Herston, Queensland, Australia
*
Correspondence: Xiang-Yu Hou, MD, PhD School of Public Health and Social Work Institute Health and Biomedical Innovation Queensland University of Technology Victoria Park Road, Kelvin Grove Brisbane, Queensland 4059, Australia E-mail: x.hou@qut.edu.au
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Abstract

Objectives

The incidence and mortality of traumatic brain injury (TBI) has increased rapidly in the last decade in China. Appropriate ambulance service can reduce case-fatality rates of TBI significantly. This study aimed to explore the factors (age, gender, education level, clinical experience, professional title, organization, specialty before prehospital care, and training frequency) that could influence prehospital doctors’ knowledge level and practices in TBI management in China, Hubei Province.

Methods

A cross-sectional questionnaire survey was conducted in two cities in Hubei Province. The self-administered questionnaire consisted of demographic information and questions about prehospital TBI management. Independent samples t-test and one-way ANOVA were used to analyze group differences in the average scores in terms of demographic character. General linear regression was used to explore associated factors in prehospital TBI management.

Results

A total of 56 questionnaires were handed out and 52 (93%) were returned. Participants received the lowest scores in TBI treatment (0.64; SD=0.08) and the highest scores in TBI assessment (0.80; SD=0.14). According to the regression model, the education level was associated positively with the score of TBI identification (P=.019); participants who worked in the emergency department (ED; P=.011) or formerly practiced internal medicine (P=.009) tended to get lower scores in TBI assessment; participants’ scores in TBI treatment were associated positively with the training frequency (P=.011); and no statistically significant associated factor was found in the overall TBI management.

Conclusion

This study described the current situation of prehospital TBI management. The prehospital doctors’ knowledge level and practices in TBI management were quantified and the influential factors hidden underneath were explored. The results indicated that an appropriate continuing medical education (CME) program enables improvement of the quality of ambulance service in China.

KouK, HouXY, SunJD, ChuK. Doctor’s Knowledge and Practices of Traumatic Brain Injury Management in Chinese Prehospital Settings. Prehosp Disaster Med. 2015;30(6):560–568.

Keywords

Chinaemergency medicineprehospitaltraumatic brain injury
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 6 , December 2015 , pp. 560 - 568
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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