||Bovell, T(aut); Rambaran, N(aut); Forget, N(aut).|
||A pilot study of a trauma registry at the Georgetown Public Hospital, Georgetown, Guyana|
||In: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75].
(West Indian Medical Journal Supplement).
||OBJECTIVE: To complete a pilot study to initiate a trauma registry in Guyana. DESIGN AND METHODS: A trauma registry form was developed and customized locally, based on the Kampala trauma score. A convenience sample of trauma patients was collected over a 49 day period. The inclusion criteria were international code of diseases (ICD) 9 codes 800 to 957. The form recorded triage vital signs, Injury severity score (ISS), details of the event, alcohol and drug use. The forms were completed by the treating physician at the time of the encounter and the data was entered in a spreadsheet. RESULTS: Data from 34 patients were analyzed. The most common causes of injuries were due to falls (26.5%) and road traffic accidents (14.8%), with 38% of injuries occurring on roadways. Bony pelvis and extremities (62%) were the most common site of serious injuries, followed by the head/neck/face (15%). Only 3 persons admitted to alcohol use. No IPV (intimate partner violence) cases were detected. There were 4 stab wounds and no guns shot wounds recorded. CONCLUSION: A trauma registry can capture data that can lead to improved trauma care. However, there were numerous limitations, most notably the low number of forms completed compared to the study population. To implement a working trauma registry we will need to capture all cases. Suggestions to increase the number of patients include converting the form into a mobile telephone application or training data entry clerks. Successful implementation would require support from all stakeholders.|
Ferimentos e Lesões
Índices de Gravidade do Trauma
| Tipo de Publ:
||TT2.1 - Library|