Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)

BACKGROUND: The prevalence of trauma necessitates effective training for healthcare providers in Saudi Arabia. The Advanced Trauma Life Support (ATLS) program is pivotal, yet localized success rate data are lacking. OBJECTIVES: Determine the failure rate and identify factors influencing ATLS course...

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Main Authors: Fayez G. Aldarsouni, Hani Alkhulaiwi, Hosam Alruwaite, Shara Alsubaie, Faye Abdulkareem, Norah Alsubaie
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2024-11-01
Series:Annals of Saudi Medicine
Online Access:http://www.annsaudimed.net/doi/10.5144/0256-4947.2024.394
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author Fayez G. Aldarsouni
Hani Alkhulaiwi
Hosam Alruwaite
Shara Alsubaie
Faye Abdulkareem
Norah Alsubaie
author_facet Fayez G. Aldarsouni
Hani Alkhulaiwi
Hosam Alruwaite
Shara Alsubaie
Faye Abdulkareem
Norah Alsubaie
author_sort Fayez G. Aldarsouni
collection DOAJ
description BACKGROUND: The prevalence of trauma necessitates effective training for healthcare providers in Saudi Arabia. The Advanced Trauma Life Support (ATLS) program is pivotal, yet localized success rate data are lacking. OBJECTIVES: Determine the failure rate and identify factors influencing ATLS course success rates among physicianss in Saudi Arabia. DESIGN: A retrospective cohort. SETTING: Two major accredited ATLS training centers in Riyadh. PATIENTS AND METHODS: Participants who completed ATLS training at the Trauma Courses Office at the Ministry of National Guard Health Affairs from January 2019 to December 2020, and at the Clinical Skills and Simulation Center at King Saud University Medical City from December 2020 through January 2023. Particpitants were grouped as interns and all physicians other than interns, for the purpose of analysis. MAIN OUTCOME MEASURES: Success and failure rates were the primary outcomes, with failure identified as a score of less than 75% or below standard performance in the practical session. SAMPLE SIZE: 603 RESULTS: The overall failure rate for the ATLS courses was 36.6%. Analysis revealed age, pre-test scores, and attendance at a refresher course as significant predictors of success. Specifically, general practitioners and OMFS specialists had a higher odds of failing, while general surgeons and trauma-related specialties consultants were more likely to succeed. CONCLUSION: ATLS course failure is notably high, with specific specialties and levels demonstrating increased risk. Results indicate a need for tailored pre-course preparation and an extension of the course duration for less experienced participants to improve proficiency, especially for at-risk groups. LIMITATIONS: Retrospective design and other variables, such as emotional status, level of instructors, and level of motivation.
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spelling doaj-art-3fd27eb73c7b46dab061ed51611ddd352025-08-20T01:59:09ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662024-11-0144639440710.5144/0256-4947.2024.394Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)Fayez G. Aldarsouni0Hani Alkhulaiwi1Hosam Alruwaite2Shara Alsubaie3Faye Abdulkareem4Norah Alsubaie5From the Department of Trauma Surgery, King Saud Medical City, Riyadh, Saudi ArabiaFrom the Department of General Surgery, King Abdulaziz Medical City, Riyadh Saudi ArabiaFrom the Department of Surgical Oncology, King Fahad Medical City, Riyadh, Saudi ArabiaFrom the Department of Physical Therapy, King Fahad Medical City-Rehabilitation Hospital, Riyadh, Saudi ArabiaFrom the Department of Surgery, King Saud University Medical City, Riyadh, Saudi ArabiaFrom the Department of Surgery, King Saud University Medical City, Riyadh, Saudi ArabiaBACKGROUND: The prevalence of trauma necessitates effective training for healthcare providers in Saudi Arabia. The Advanced Trauma Life Support (ATLS) program is pivotal, yet localized success rate data are lacking. OBJECTIVES: Determine the failure rate and identify factors influencing ATLS course success rates among physicianss in Saudi Arabia. DESIGN: A retrospective cohort. SETTING: Two major accredited ATLS training centers in Riyadh. PATIENTS AND METHODS: Participants who completed ATLS training at the Trauma Courses Office at the Ministry of National Guard Health Affairs from January 2019 to December 2020, and at the Clinical Skills and Simulation Center at King Saud University Medical City from December 2020 through January 2023. Particpitants were grouped as interns and all physicians other than interns, for the purpose of analysis. MAIN OUTCOME MEASURES: Success and failure rates were the primary outcomes, with failure identified as a score of less than 75% or below standard performance in the practical session. SAMPLE SIZE: 603 RESULTS: The overall failure rate for the ATLS courses was 36.6%. Analysis revealed age, pre-test scores, and attendance at a refresher course as significant predictors of success. Specifically, general practitioners and OMFS specialists had a higher odds of failing, while general surgeons and trauma-related specialties consultants were more likely to succeed. CONCLUSION: ATLS course failure is notably high, with specific specialties and levels demonstrating increased risk. Results indicate a need for tailored pre-course preparation and an extension of the course duration for less experienced participants to improve proficiency, especially for at-risk groups. LIMITATIONS: Retrospective design and other variables, such as emotional status, level of instructors, and level of motivation.http://www.annsaudimed.net/doi/10.5144/0256-4947.2024.394
spellingShingle Fayez G. Aldarsouni
Hani Alkhulaiwi
Hosam Alruwaite
Shara Alsubaie
Faye Abdulkareem
Norah Alsubaie
Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)
Annals of Saudi Medicine
title Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)
title_full Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)
title_fullStr Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)
title_full_unstemmed Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)
title_short Advanced trauma life support training outcomes in Saudi Arabia: a four-year multicenter analysis of influential characteristics and factors (2019-2023)
title_sort advanced trauma life support training outcomes in saudi arabia a four year multicenter analysis of influential characteristics and factors 2019 2023
url http://www.annsaudimed.net/doi/10.5144/0256-4947.2024.394
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