Hasan Obada, Samad Adeel, Nawaz Zohaib, Ahmad Tashfeen, Abdul Muhammad Zehra, Noordin Shahryar
Department of Surgery, Section of Orthopedics, The Aga Khan University Hospital, Pakistan.
Ann Med Surg (Lond). 2018 Sep 27;35:95-99. doi: 10.1016/j.amsu.2018.09.032. eCollection 2018 Nov.
Injuries are the second most common cause of disability, the fifth most common cause of healthy years of life lost per 1000 people and unfortunately 90% of mortality takes place in low-to middle-income countries. Trauma registries guide policymakers and health care providers in decision making in terms of resource allocation as well as enhancing trauma care outcomes. Furthermore data from these registries inform policy makers to decrease the rate of death and disability occurring as a result of injuries. We present our experience in setting up an orthopedic trauma registry and the first short term follow-up of radiological outcomes.
Our study is a non-funded, non-commercial, prospective cohort study that was registered at Research Registry. The primary objectives of our study included assessing pattern of injuries in patients with upper and lower limb skeletal trauma presenting to our tertiary care academic university hospital and their respective outcomes. Data was collected by the musculoskeletal service line team members supervised by an experienced research associate and trauma consultants. The work has been reported in line with the STROCSS criteria.
A total of 177 patients were included in this analysis, of whom 101 (57.1%) patients had lower limb fractures, 64(36.1%) patients ad upper limb fractures and 12 (6.8%) patients had both upper and lower limbs involved. A total of 189 upper and lower limb fracture cases were recorded. 176 patients (93.1%) underwent surgeries and 13(6.9%) were managed nonoperatively. Roentgenographic outcomes were assessed using radiological criteria for each bone fractured.
Establishing a trauma registry assists in identification of the pattern of injuries presenting to the hospital which helps in priority setting, care management and planning. This continuous audit of outcomes in turn, plays a significant role in quality improvement.
损伤是导致残疾的第二大常见原因，是每1000人健康寿命损失的第五大常见原因，不幸的是，90%的死亡发生在低收入和中等收入国家。创伤登记系统在资源分配决策以及改善创伤护理结果方面为政策制定者和医疗服务提供者提供指导。此外，这些登记系统的数据还能让政策制定者降低因损伤导致的死亡和残疾发生率。我们介绍了建立骨科创伤登记系统的经验以及对放射学结果的首次短期随访情况。
我们的研究是一项未获资助、非商业性的前瞻性队列研究，已在研究注册中心登记。我们研究的主要目标包括评估在我们的三级医疗学术大学医院就诊的上下肢骨骼创伤患者的损伤模式及其各自的结果。数据由肌肉骨骼服务线团队成员在一名经验丰富的研究助理和创伤顾问的监督下收集。本研究已按照STROCSS标准进行报告。
本分析共纳入177例患者，其中101例（57.1%）患者发生下肢骨折，64例（36.1%）患者发生上肢骨折，12例（6.8%）患者上下肢均受累。共记录了189例上下肢骨折病例。176例患者（93.1%）接受了手术治疗，13例（6.9%）接受了非手术治疗。使用针对每处骨折骨骼的放射学标准评估X线检查结果。
建立创伤登记系统有助于识别医院中出现的损伤模式，这有助于确定优先事项、护理管理和规划。这种对结果的持续审核反过来在质量改进中发挥着重要作用。
