背景
评估 ATLS 在低收入和中等收入国家有效性的研究是有限的。我们跟踪了通过 ATLS 印度计划认证的 ATLS 提供商十多年（2009 年至 2019 年），旨在衡量知识、技能、态度和他们随时间流失的收益。
方法
该调查工具是根据已发表的 ATLS 文献开发的，并使用 Delphi 方法即兴创作。随机选择的 ATLS 提供商通过电子邮件以 Google 表格的形式发送了调查工具，以及一份目的声明。结果以描述方式呈现。
结果
在研究期间，ATLS India 培训了 7,847 名提供者。使用计算机生成的随机数表为调查选择了 2500 家供应商。一千三十名医生（41.2%）做出了回应。知识（n = 1,013 [98.3%]）、心理运动技能（n = 986 [95.7%]）、组织技能（n = 998 [96.9%]）、整体创伤管理（n = 1,013 [98.7%]）和报告了自信（n = 939 [91%]）。大多数（904 [87.8%]）开始以个人身份在工作场所颁布 ATLS。大多数 (>60%) 受访者的这些好处持续了 2 年以上。超过 40% 的人报告认知（n = 492 [47.8%]）、精神运动（n = 433 [42%]）和组织效益（n = 499 [48.4%]）持续超过 3 年。提高自信心，在工作场所颁布ATLS，与提供者相比，ATLS 学院的组织技能的保留更为明显。发现所有其他益处在两个亚组中都具有可比性。缺乏训练有素的员工（n = 660 [64.1%]）和态度问题（n = 495 [48.1%]）是在工作场所实施 ATLS 的主要障碍。超过三分之一的受访者（n = 373 [36.2%]）可以列举一个或多个 ATLS 原则是挽救生命或肢体的事件。
结论
在印度情景中，ATLS 的认知、心理运动、组织和情感影响绝对是积极的。在建立正式的创伤系统之前，ATLS 仍然是资源受限环境中重伤患者的最佳希望。
"点击查看英文标题和摘要"
Does ATLS Training Work? 10-Year Follow-Up of ATLS India Program
Background
Studies evaluating the efficacy of ATLS in low- and middle-income countries are limited. We followed up ATLS providers certified by the ATLS India program over a decade (2009 to 2019), aiming to measure the benefits in knowledge, skills, attitude and their attrition over time.
Methods
The survey instrument was developed taking a cue from published literature on ATLS and improvised using the Delphi method. Randomly selected ATLS providers were sent the survey instrument via email as a Google form, along with a statement of purpose. Results are presented descriptively.
Results
ATLS India trained 7,847 providers over the study period. 2500 providers were selected for the survery using computer-generated random number table. One thousand and thirty doctors (41.2%) responded. Improvement in knowledge (n = 1,013 [98.3%]), psychomotor skills (n = 986 [95.7%]), organizational skills (n = 998 [96.9%]), overall trauma management (n = 1,013 [98.7%]) and self-confidence (n = 939 [91%]) were reported. Majority (904 [87.8%]) started ATLS promulgation at workplace in personal capacity. These benefits lasted beyond 2 years in majority (>60%) of respondents. More than 40% reported cognitive (n = 492 [47.8%]), psychomotor (n = 433 [42%]), and organizational benefits (n = 499 [48.4%]) lasting beyond 3 years. Improvement in self-confidence, ATLS promulgation at the workplace, and retention of organizational skills were more pronounced in ATLS faculties than providers. All other benefits were found to be comparable in both sub-groups. Lack of trained staff (n = 660 [64.1%]) and attitude issues (n = 495 [48.1%]) were the major impediments in implementing ATLS at the workplace. More than a third of respondents (n = 373 [36.2%]) could enumerate one or more incidents where ATLS principles were life- or limb- saving.
Conclusions
Cognitive, psychomotor, organizational, and affective impact of ATLS is overwhelmingly positive in the Indian scenario. Until formal trauma systems are established, ATLS remains the best hope for critically injured patients in resource-contrained settings.
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