Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon.
Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon.
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DOI：
10.1371/journal.pone.0180784
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Juillard C
中科院分区：
文献类型：
--
作者：
Chichom-Mefire A;Nwanna-Nzewunwa OC;Siysi VV;Feldhaus I;Dicker R;Juillard C
创伤是全世界发病和死亡的主要原因。描述喀麦隆创伤负担的数据有限。定期、前瞻性的伤害监测可以解决现有医院管理日志和医疗记录的缺陷。本研究旨在描述林贝地区医院 (LRH) 急诊科 (ED) 所见创伤的特征，并评估创伤登记处获得的数据的完整性。从 2008 年 1 月到 2013 年 10 月，我们使用战略设计的、与背景相关的创伤登记工具前瞻性地捕获了受伤患者的数据。记录了患者人口统计、损伤特征、获得护理的延迟和治疗结果等指标。进行了描述性、双变量和多变量统计分析。约 5,617 名年龄从 0.5 岁至 95 岁（中位年龄 26 岁）的受伤患者到 LRH 急诊室就诊； 67%为男性。学生（27%）是受影响最大的职业类别。道路交通伤害 (RTIs) (56%)、袭击 (22%) 和家庭伤害 (13%) 是伤害的主要原因。三分之二的 RTI 与摩托车有关。从事交通运输（AOR 4.42，p<0.001）和执法部门（AOR 1.73，p = 0.004）工作是患有 RTI 的重要预测因素。创伤登记显示所有数据的完整性显着改善（p<0.001），并且与之前的管理记录相比，随着时间的推移有所改善。然而，缺失数据的比例仍然在0.5%至8.2%之间，涉及呼吸频率或格拉斯哥昏迷量表。在资源有限的环境中实施适合具体情况的创伤登记是可行的。创伤登记处提供有价值的高质量数据，可以为创伤护理质量改进工作和政策制定提供信息。研究结果表明，需要制定伤害预防干预措施和政策，优先考虑高风险群体，例如 20-29 岁的群体以及需要经常公路旅行的职业群体。摩托车相关伤害的高发率令人担忧，需要积极主动的解决方案。
Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of trauma in Cameroon is limited. Regular, prospective injury surveillance can address the shortcomings of existing hospital administrative logs and medical records. This study aims to characterize trauma as seen at the emergency department (ED) of Limbe Regional Hospital (LRH) and assess the completeness of data obtained by a trauma registry. From January 2008 to October 2013, we prospectively captured data on injured patients using a strategically designed, context-relevant trauma registry instrument. Indicators around patient demographics, injury characteristics, delays in accessing care, and treatment outcomes were recorded. Descriptive, bivariate, and multivariate statistical analyses were conducted. About 5,617 patients, aged from 0.5-95years (median age of 26 years), visited the LRH ED with an injury; 67% were male. Students (27%) were the most affected occupation category. Road traffic injuries (RTIs) (56%), assault (22%), and domestic injuries (13%) were the leading causes of injury. Two-thirds of RTIs were motorcycle-related. Working in transportation (AOR 4.42, p<0.001) and law enforcement (AOR 1.73, p = 0.004) were significant predictors of having a RTI. The trauma registry showed a significant improvement in completeness of all data (p<0.001) and it improved over time compared with previous administrative records. However, proportions of missing data still ranged from 0.5% to 8.2% and involved respiratory rate or Glasgow Coma scale. Implementation of a context-appropriate trauma registry in resource-constrained settings is feasible. Providing valuable, high-quality data, the trauma registry can inform trauma care quality improvement efforts and policy development. Study findings indicate the need for injury prevention interventions and policies that will prioritize high-risks groups, such as those aged 20–29 years, and those in occupations requiring frequent road travel. The high incidence of motorcycle-related injuries is concerning and calls for a proactive solution.
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影响因子：
2.6
作者：
Juillard C;Etoundi Mballa GA;Bilounga Ndongo C;Stevens KA;Hyder AA
通讯作者：
Hyder AA
DOI：
10.1136/injuryprev-2015-041616
发表时间：
2016-02
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
--
作者：
Haagsma JA;Graetz N;Bolliger I;Naghavi M;Higashi H;Mullany EC;Abera SF;Abraham JP;Adofo K;Alsharif U;Ameh EA;Ammar W;Antonio CA;Barrero LH;Bekele T;Bose D;Brazinova A;Catalá-López F;Dandona L;Dandona R;Dargan PI;De Leo D;Degenhardt L;Derrett S;Dharmaratne SD;Driscoll TR;Duan L;Petrovich Ermakov S;Farzadfar F;Feigin VL;Franklin RC;Gabbe B;Gosselin RA;Hafezi-Nejad N;Hamadeh RR;Hijar M;Hu G;Jayaraman SP;Jiang G;Khader YS;Khan EA;Krishnaswami S;Kulkarni C;Lecky FE;Leung R;Lunevicius R;Lyons RA;Majdan M;Mason-Jones AJ;Matzopoulos R;Meaney PA;Mekonnen W;Miller TR;Mock CN;Norman RE;Orozco R;Polinder S;Pourmalek F;Rahimi-Movaghar V;Refaat A;Rojas-Rueda D;Roy N;Schwebel DC;Shaheen A;Shahraz S;Skirbekk V;Søreide K;Soshnikov S;Stein DJ;Sykes BL;Tabb KM;Temesgen AM;Tenkorang EY;Theadom AM;Tran BX;Vasankari TJ;Vavilala MS;Vlassov VV;Woldeyohannes SM;Yip P;Yonemoto N;Younis MZ;Yu C;Murray CJ;Vos T
通讯作者：
Vos T
影响因子：
2.6
作者：
Kesinger, Matthew Ryan;Puyana, Juan Carlos;Rubiano, Andres M.
通讯作者：
Rubiano, Andres M.
影响因子：
5
作者：
Beck, Laurie F.;Dellinger, Ann M.;O'Neil, Mary E.
通讯作者：
O'Neil, Mary E.
影响因子：
2.8
作者：
Kouo-Ngamby M;Dissak-Delon FN;Feldhaus I;Juillard C;Stevens KA;Ekeke-Monono M
通讯作者：
Ekeke-Monono M