INITIatE: International Collaboration to increase Traumatic Brain Injury Surveillance in Europe

INITIatE：国际合作加强欧洲创伤性脑损伤监测

• 批准号: 9408955
• 负责人: CORINNE PEEK-ASA
• 金额: $ 16.04万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9408955
• 关键词: Accident and Emergency department; Admission activity; Affect; Age; Area; Armenia; Brain Injuries; Caring; Case Study; Central Asia; Characteristics; Child; Childhood; Clinical; Clinical Trials; Code; Collaborations; Country; Craniocerebral Trauma; Data; Data Analyses; Data Base Management; Data Collection; Data Quality; Databases; Degree program; Development; Diagnosis; Dictionary; Doctor of Philosophy; Employee Strikes; Ensure; Europe; European; European Union; Evaluation; Family; Follow-Up Studies; Foundations; Funding; Gender; Glasgow Coma Scale; Goals; Grant; Guidelines; Head; Health; Health Policy; Hospitals; Incidence; Income; Individual; Information Systems; Injury; International; Intervention Trial; Iowa; Knowledge; Lead; Life; Location; Longevity; Longitudinal Studies; Maps; Measures; Medical; Middle East; Modeling; Moldova; Monitor; Occupational; Outcome; Patients; Phase; Practice Guidelines; Prevalence; Prevention; Prevention Research; Prevention program; Procedures; Process; Program Development; Protocols documentation; Public Health; Registries; Reporting; Research; Research Activity; Research Infrastructure; Research Methodology; Risk Factors; Romania; Russia; Scanning; Severities; Site; Solid; Standardization; Surveillance Program; System; Training; Training Activity; Training Programs; Translating; Trauma; Traumatic Brain Injury; Traumatic Brain Injury recovery; Treatment Protocols; Treatment outcome; United States; United States National Institutes of Health; Universities; Work; World Health Organization; base; comparative; disability; evidence base; experience; improved; injured; injury burden; injury prevention; innovation; intervention program; low and middle-income countries; low income country; member; pediatric trauma; population based; prevent; prospective; screening; standard care; young adult

The burden of Traumatic Brain Injury (TBI) disproportionately affects low and middle income countries (LMIC), in which TBI prevalence is high and patients are twice as likely to die from their TBI as those in high income countries. LMICs in Eastern European and Central Asia are characterized by growing economies but relatively poor health infrastructures. Consequently, health needs are great, as is potential for improvement. The University of Iowa's Injury Prevention Research Center and Babes-Bolyai University's Center for Health Policy and Public Health located in Cluj-Napoca, Romania are collaborating on this proposed transnational project to increase research capacity in three LMICs, focusing on traumatic brain injury (TBI) data capacity. The project will capitalize on an existing network of research collaborations held by Babes-Bolyai University at three academic centers and hospitals located in Armenia, Georgia, and Moldova: three countries strategically located between Europe, Russia, and the Middle East. The goal of the project is to strengthen institutional research capacity and partnerships among participating countries and to lay a solid foundation on which to build evidence-based prospective research to reduce the incidence and reduce the consequences of TBI. The specific aims are to: 1) identify and describe current TBI data collection practices; 2) develop a comparable TBI registry system; and 3) to conduct comparative analyses of TBI data. The project will be implemented in a number of phases, each of which integrates participatory practices. The first phase will involve an environmental scan and comparative map that identifies current TBI reporting practices and capacity. A comprehensive registry protocol will next be developed by the research team, and implementation of the registry will occur through a monitored process to ensure high data quality. Comparative data analysis to identify the prevalence, patient and injury characteristics, and treatments and procedures will then be conducted. After completing the scope of work outlined in this proposal, we anticipate that our partner countries will have high quality, comparable TBI data and will be ready to initiate clinical and intervention trials. The proposal is innovative in that it will engage US and European experts along with practitioners in LMICs to improve TBI data infrastructure and research capacity using successful models. The project builds on a successful model of collaboration and a team with more than 25 years of experience in research and training activities, including the training of international scholars in research methodology, development of injury registry and surveillance programs, and the development of several international masters and PhD degree programs.

创伤性脑损伤（TBI）的负担不成比例地影响中低收入人群