Conectar
Worldwide, there are 15 established trauma databases collecting data to better understand the patterns of injury and effectiveness of interventions, but interpreting the information is hampered by the varied approaches. The aim of this study was to determine the impact, practices, evolution in design and methods of analysis that are standardised and comparable within registries.
A thematic analysis using a narrative synthesis was used to develop threads for future study and identify the limitations in current practice.
PubMed, Ovid, Scopus and EMBASE were searched on the 2 October 2025. At the same time, ChatGPT (Open artificial intelligence) identified the most cited articles in orthopaedic trauma registries, cross-referencing lists as a form of triangulation to aid in snowballing references.
The review included 174 papers from trials and observational studies that analyse data from established trauma orthopaedic registries published in English.
Two independent reviewers used standardised methods to search, screen and code included studies assessing the papers using the Strengthening the Reporting of Observational Studies in Epidemiology checklist to assess the observational and cohort studies and the Downs and Black Quality Criteria for the remaining papers.
Outcome measures other than mortality are poorly collected, undermining the value of registries. Trauma patients reported considerable impairment 6 and 12 months after injury. Association between level of trauma care and mortality is evident for major trauma populations, but does not hold for general trauma populations. Level I trauma centres produce improved survival in severely injured, but this association could not be proven for non-fatal outcomes in general populations. There is a disparity between resources allocated to save and salvage cases within major trauma units, and hence, routine cases often have lower priority and delayed care.
There is a need to develop a standardised and reproducible method to evaluate data quality in trauma registries. National performance guidelines and trauma centre audits are integral steps towards optimum results. Routine collection of postinjury outcome measures beyond mortality will enable the development of quality improvement metrics that better reflect patient outcomes.
by Eunice Lobo, Joshua Jeong, Giridhara Rathnaiah Babu, Debarati Mukherjee, Onno C. P. van Schayck, Prashanth Nuggehalli Srinivas
BackgroundCaregiver engagement is crucial for early child development; however, research on paternal involvement remains limited, particularly in urban settings of the Global South. This exploratory study aimed to understand how fathers’ lived experiences and aspirations, along with systemic inequities, shape their parenting practices in urban poor settings in Bangalore, South India.
MethodsTen fathers of children aged 4–6 years from low socio-economic backgrounds in the MAASTHI birth cohort were purposively selected for in-depth interviews, conducted using a pre-tested topic guide in Hindi and Kannada. All interviews were transcribed, translated, and analysed using a thematic analysis approach.
ResultsFathers prioritized their children’s education and safety, often viewing financial provision as their primary role due to ingrained gender norms and economic hardship. Most worked long hours in informal employment, thereby limiting their participation in daily caregiving, which was typically handled by their mothers. Fathers’ own childhood experiences influenced their parenting, with those who experienced adversity often aiming to break intergenerational cycles by being more emotionally present and supportive. While structural barriers limited involvement, many fathers expressed a strong desire to be more engaged, thereby challenging traditional roles. Safety concerns in their neighbourhoods further shaped protective parenting practices. Despite these constraints, some fathers reported that they preferred spending time with their families and participated in co-parenting through shared decision-making and engaging in play.
ConclusionThis study highlights the intersectionality between gender, socio-economic status, and intergenerational adversity in shaping fathering practices. To promote inclusive caregiving, early childhood programmes must actively include fathers and address both individual and structural barriers that constrain their involvement.
FreshRSS 