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Background <p>Structured trauma training programs have been proven to reduce in-hospital mortality and improve clinical decision-making in resource-limited settings. However, the broader impact of such interventions on patient recovery outcomes remains unclear. This study aimed to evaluate whether implementation of a Primary Trauma Care (PTC) course improved post-trauma health-related outcomes, including quality of life, among road traffic injury (RTI) survivors in Vietnam.</p> Methods <p>We conducted a prospective pre–post intervention study at two provincial hospitals in Vietnam between July 2021 and September 2022. Trauma patients admitted before and after the implementation of the Primary Trauma Care (PTC) course were assessed 30 days after admission. Health-related quality of life (HRQoL) was evaluated using the EQ-5D-5&#xa0;L index and the Visual Analog Scale (VAS), both overall and stratified by Injury Severity Score (ISS) subgroups. To examine the association between the intervention and HRQoL outcomes, we applied multivariate Tobit regression models, adjusting for potential confounders.</p> Results <p>A total of 3,565 patients were included (1,994 pre-PTC and 1,571 post-PTC). Overall, there were no statistically significant differences in EQ-5D index (0.80 vs. 0.81, <i>p</i> = 0.16) or EQ-VAS (87.21 vs. 87.23, <i>p</i> = 0.94) between pre- and post-intervention groups. Stratified analyses showed a modest improvement in EQ-5D among patients with minor injuries (ISS 1–8), whereas no significant changes were observed in patients with more severe injuries.</p> Conclusion <p>Implementation of the PTC course was associated with stable post-discharge recovery outcomes among trauma survivors. A modest improvement in EQ-5D was seen in patients with minor injuries (ISS 1–8), while no deterioration was observed in more severe groups. These results suggest that structured trauma training can reduce mortality without compromising, and potentially improving, early recovery in less severely injured patients.</p>

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Impact of primary trauma care (PTC) training on post-trauma recovery: a pre-post intervention study of health-related outcomes in Vietnam

  • 期刊论文

  • 发表日期：

    2025年11月25日

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  • Ba Tuan Nguyen,
  • Lam Toi Phung,
  • Thanh Long Giang,
  • Ngoc Quynh Le,
  • C. Leigh Blizzard,
  • Andrew J. Palmer,
  • Huu Tu Nguyen,
  • Nick Cooling,
  • Marcus Skinner,
  • Haydn Perndt,
  • Mark R. Nelson

摘要

Background

Structured trauma training programs have been proven to reduce in-hospital mortality and improve clinical decision-making in resource-limited settings. However, the broader impact of such interventions on patient recovery outcomes remains unclear. This study aimed to evaluate whether implementation of a Primary Trauma Care (PTC) course improved post-trauma health-related outcomes, including quality of life, among road traffic injury (RTI) survivors in Vietnam.

Methods

We conducted a prospective pre–post intervention study at two provincial hospitals in Vietnam between July 2021 and September 2022. Trauma patients admitted before and after the implementation of the Primary Trauma Care (PTC) course were assessed 30 days after admission. Health-related quality of life (HRQoL) was evaluated using the EQ-5D-5 L index and the Visual Analog Scale (VAS), both overall and stratified by Injury Severity Score (ISS) subgroups. To examine the association between the intervention and HRQoL outcomes, we applied multivariate Tobit regression models, adjusting for potential confounders.

Results

A total of 3,565 patients were included (1,994 pre-PTC and 1,571 post-PTC). Overall, there were no statistically significant differences in EQ-5D index (0.80 vs. 0.81, p = 0.16) or EQ-VAS (87.21 vs. 87.23, p = 0.94) between pre- and post-intervention groups. Stratified analyses showed a modest improvement in EQ-5D among patients with minor injuries (ISS 1–8), whereas no significant changes were observed in patients with more severe injuries.

Conclusion

Implementation of the PTC course was associated with stable post-discharge recovery outcomes among trauma survivors. A modest improvement in EQ-5D was seen in patients with minor injuries (ISS 1–8), while no deterioration was observed in more severe groups. These results suggest that structured trauma training can reduce mortality without compromising, and potentially improving, early recovery in less severely injured patients.