Juillard Catherine, Kouo Ngamby Marquise, Ekeke Monono Martin, Etoundi Mballa Georges Alain, Dicker Rochelle A, Stevens Kent A, Hyder Adnan A
Center for Global Surgical Studies, Department of Surgery, University of California, San Francisco, CA.
Ministry of Public Health, Yaoundé, Cameroon.
Surgery. 2017 Dec;162(6S):S24-S31. doi: 10.1016/j.surg.2017.01.025. Epub 2017 Apr 10.
Road traffic injury surveillance systems are a cornerstone of organized efforts at injury control. Although high-income countries rely on established trauma registries and police databases, in low- and middle-income countries, the data source that provides the best collection of road traffic injury events in specific low- and middle-income country contexts without mature surveillance systems is unclear. The objective of this study was to compare the information available on road traffic injuries in 3 data sources used for surveillance in the sub-Saharan African country of Cameroon, providing potential insight on data sources for road traffic injury surveillance in low- and middle-income countries. We assessed the number of events captured and the information available in Yaoundé, Cameroon, from 3 separate sources of data on road traffic injuries: trauma registry, police records, and newspapers.
Data were collected from a single-hospital trauma registry, police records, and the 6 most widely circulated newspapers in Yaoundé during a 6-month period in 2009. The number of road traffic injury events, mortality, and other variables included commonly in injury surveillance systems were recorded. We compared these sources using descriptive analysis.
Hospital, police, and newspaper sources recorded 1,686, 273, and 480 road traffic injuries, respectively. The trauma registry provided the most complete data for the majority of variables explored; however, the newspaper data source captured 2, mass casualty, train crash events unrecorded in the other sources. Police data provided the most complete information on first responders to the scene, missing in only 7%.
Investing in the hospital-based trauma registry may yield the best surveillance for road traffic injuries in some low- and middle-income countries, such as Yaoundé, Cameroon; however, police and newspaper reports may serve as alternative data sources when specific information is needed.
道路交通伤害监测系统是有组织的伤害控制工作的基石。尽管高收入国家依赖已建立的创伤登记处和警方数据库，但在低收入和中等收入国家，在没有成熟监测系统的特定低收入和中等收入国家背景下，能提供最佳道路交通伤害事件收集情况的数据来源尚不清楚。本研究的目的是比较在撒哈拉以南非洲国家喀麦隆用于监测的3个数据来源中有关道路交通伤害的可用信息，为低收入和中等收入国家道路交通伤害监测的数据来源提供潜在见解。我们评估了喀麦隆雅温得从3个独立的道路交通伤害数据来源（创伤登记处、警方记录和报纸）中获取的事件数量和可用信息。
2009年在6个月期间，从雅温得的一家医院创伤登记处、警方记录以及6份发行量最大的报纸收集数据。记录道路交通伤害事件的数量、死亡率以及伤害监测系统中通常包含的其他变量。我们使用描述性分析比较这些来源。
医院、警方和报纸来源分别记录了1686起、273起和480起道路交通伤害事件。创伤登记处为大多数所探究的变量提供了最完整的数据；然而，报纸数据源记录了另外两个来源未记录的2起重大伤亡火车相撞事件。警方数据提供了关于现场第一响应者的最完整信息，仅7%的信息缺失。
在一些低收入和中等收入国家，如喀麦隆的雅温得，投资建立基于医院的创伤登记处可能会对道路交通伤害产生最佳监测效果；然而，当需要特定信息时，警方和报纸报道可作为替代数据来源。
