Cassidy Laura D
Department of Surgery, The Medical College of Wisconsin, Milwaukee, WI 53226, USA.
J Trauma. 2009 Aug;67(2 Suppl):S172-8. doi: 10.1097/TA.0b013e3181af0aeb.
Improving trauma care and preparing for a disaster require data collection and analysis. Trauma registries capture data for research, measure trauma system outcomes, and support quality improvement through assessment of the appropriateness and effectiveness of the trauma system.
The purpose of this article is to evaluate the role of trauma registries in disaster planning for the pediatric population by: (1) describing the history and current state of pediatric trauma registries; (2) providing examples of functioning trauma registries and their application to assist in disaster planning; and (3) a summary of the applicability to pediatric disaster planning as well as recommendations for future efforts.
The National Pediatric Trauma Registry was discontinued in 2002. A detailed plan and design have been developed for the National Trauma Registry for Children; however, the funding has not been available to implement. The National Trauma Data Bank is the largest repository of trauma records in the United States; however, it has not focused specifically on pediatric data collection. The most highly reported use of trauma registry data for studying mass casualties and disaster planning has been conducted outside of the United States and related to terrorist attacks.
Aggregating existing data from state trauma registries or using the National Trauma Data Bank may facilitate development of statistical models to help predict survival, injury patterns, and important physiological thresholds. However, representative pediatric-specific trauma registry data are needed to obtain an adequate sample size in pediatric population to extrapolate data to represent the scale of a disaster.
改善创伤护理以及为灾难做准备需要进行数据收集和分析。创伤登记处收集数据用于研究,衡量创伤系统的结果,并通过评估创伤系统的适宜性和有效性来支持质量改进。
本文的目的是通过以下方式评估创伤登记处在儿科人群灾难规划中的作用:(1)描述儿科创伤登记处的历史和现状;(2)提供运作中的创伤登记处的示例及其在协助灾难规划中的应用;(3)总结其在儿科灾难规划中的适用性以及对未来工作的建议。
国家儿科创伤登记处于2002年停止运作。已为国家儿童创伤登记处制定了详细的计划和设计;然而,尚无资金用于实施。国家创伤数据库是美国最大的创伤记录存储库;然而,它并未专门侧重于儿科数据收集。关于创伤登记处数据用于研究大规模伤亡和灾难规划的报道最多的工作是在美国境外进行的,且与恐怖袭击有关。
汇总来自各州创伤登记处的现有数据或使用国家创伤数据库可能有助于开发统计模型,以帮助预测生存率、损伤模式和重要的生理阈值。然而,需要有代表性的儿科特定创伤登记处数据,以便在儿科人群中获得足够的样本量,从而推断数据以代表灾难的规模。