Ahmad Tashfeen, Muhammad Zehra Abdul, Noordin Shahryar, Humayun Ammar
Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2019 Feb;69(Suppl 1)(1):S7-S11.
To develop a registry for recording injury-specific data to identify gaps and improve care.
The prospective cohort study was conducted at Aga Khan University Hospital, Karachi, from June 2015 to July 2018 though enrollment of patients with limb trauma is continuing to date. Data on injuries and management related to Tibia shaft fractures was collected from medical records, and outcomes were assessed on follow-up visits. Internationally validated injury-specific scores were utilised for assessing functional, clinical and radiological outcomes. SPSS version 19 was used for data analysis.
There were 763 patients with 825 limb injuries. Of the injuries, 310(37.6%) related to upper limbs and 515(62.4%) to the lower limbs. Management was surgical for 741(89.9%) and conservative for 84(10.1%) injuries. Overall, 12(1.57%) patients died, and in 7(0.91%) cases mortality was unrelated to trauma and its management. There were 105 patients with tibia shaft fractures. Of them, 88(83.8%) were males and 17(16.2%) were females. At one-year follow-up excellent-to-good results were 12(92%) for intramedullary nailing followed by 7(78%) for open reduction and internal fixation.
Registry data can be used to develop preventive strategies and to improve management protocols.
建立一个用于记录特定损伤数据的登记系统，以识别差距并改善治疗。
前瞻性队列研究于2015年6月至2018年7月在卡拉奇的阿迦汗大学医院进行，尽管肢体创伤患者的入组工作至今仍在继续。从医疗记录中收集与胫骨干骨折相关的损伤和治疗数据，并在随访时评估结果。使用国际验证的特定损伤评分来评估功能、临床和放射学结果。采用SPSS 19版进行数据分析。
共有763例患者，发生825处肢体损伤。其中，上肢损伤310处（37.6%），下肢损伤515处（62.4%）。741处损伤（89.9%）采用手术治疗，84处损伤（10.1%）采用保守治疗。总体而言，12例（1.57%）患者死亡，7例（0.91%）病例死亡与创伤及其治疗无关。有105例胫骨干骨折患者。其中男性88例（83.8%），女性17例（16.2%）。在一年随访时，髓内钉固定术后优良率为12例（92%），切开复位内固定术后为7例（78%）。
登记系统数据可用于制定预防策略并改善治疗方案。
