Hospital-based trauma registries in Uganda
Hospital-based trauma registries in Uganda
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DOI：
10.1097/00005373-200003000-00022
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发表时间：
2000-03-01
影响因子：
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通讯作者：
Lett, RR
中科院分区：
文献类型：
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作者：
Kobusingye, OC;Lett, RR
目的：为了在乌干达建立伤害监测系统，第一步是启动以医院为基础的创伤登记，及时生成有关Mulago和Kawolo医院伤害的原因、严重程度、发病率、死亡率和结果的相关数据。这将有助于确定这些医院人群的伤害模式和优先事项。登记册是基于一个最小的数据集和一个新的损伤严重程度的工具，坎帕拉创伤评分（KTS），登记册的有用性和质量的KTS presented.Methods：事故和急诊科的Mulago，一个城市1,500张病床，三级医院，和伤亡单位的Kawolo，100张病床的区级医院。医院中经过培训的工作人员使用一页19项登记表收集人口统计学、伤害事件和结局数据。登记处根据原因、频率和严重程度描述损伤，评价KTS的评分者间可靠性和预测有效性。登记对象包括所有受伤的人来上述医院。结果：结果是基于前5,210记录。性别分布为27.7%女性和71.3%男性。年龄小于5岁的占7.4%，而年龄大于55岁的占3.9%。入院患者占病例的37.3%，四分之三的伤害是无意的。KTS高度预测需要入院或死亡（成人，Az = 0.95 +/- 0.01;儿童，Az = 0.89 +/-0.01）。结论：创伤登记和损伤严重程度测量在撒哈拉以南非洲是可能的，也是有用的。建议资源有限的研究者使用这一最小数据集和KTS。
Objectives: Toward the establishment of an injury surveillance system in Uganda, the first step was to initiate hospital-based trauma registries that generate relevant and timely data on the causes, severity, morbidity, mortality, and outcomes of injuries at Mulago and Kawolo hospitals. This would help establish injury patterns and priorities in these hospital populations. The registries are based on a minimal data set and a new injury severity instrument, the Kampala Trauma Score (KTS), The usefulness of the registry and the qualities of the KTS are presented.Methods: The Accident and Emergency Department of Mulago, an urban 1,500-bed, tertiary hospital, and the Casualty Unit of Kawolo, a 100-bed district-level hospital. Trained staff in the hospitals used a one-page, 19-item registry form to collect data on demographic, injury incident, and outcome data. The registry describes injuries based on cause, frequency, and severity, The inter-rater reliability and the predictive validity of the KTS were evaluated. Registry subjects include all injured persons that come to the above hospitals.Results: Results are based on the first 5,210 records. Gender distribution was 27.7% female and 71.3% male. The younger than 5 gears old category was 7.4%, whereas 3.9% were older than 55 years old. Admitted patients composed 37.3% of cases, and three of four injuries were unintentional. The KTS is highly predictive of need for admission or death (adults, Az = 0.95 +/- 0.01; children, Az = 0.89 +/- 0,01),Conclusion: A trauma registry and injury severity measurement are both possible and useful in sub-Saharan Africa. This minimal data set and the KTS are recommended for investigators with similar resource constraints.