Rosenkrantz Leah, Schuurman Nadine, Arenas Claudia, Nicol Andrew, Hameed Morad S
Department of Geography, Simon Fraser University, Burnaby, British Columbia, Canada.
Division of Trauma Surgery, Hospital Sotero del Rio, Santiago, Chile.
Trauma Surg Acute Care Open. 2020 May 12;5(1):e000469. doi: 10.1136/tsaco-2020-000469. eCollection 2020.
Injury is a major global health issue, resulting in millions of deaths every year. For decades, trauma registries have been used in wealthier countries for injury surveillance and clinical governance, but their adoption has lagged in low-income and middle-income countries (LMICs). Paradoxically, LMICs face a disproportionately high burden of injury with few resources available to address this pandemic. Despite these resource constraints, several hospitals and regions in LMICs have managed to develop trauma registries to collect information related to the injury event, process of care, and outcome of the injured patient. While the implementation of these trauma registries is a positive step forward in addressing the injury burden in LMICs, numerous challenges still stand in the way of maximizing the potential of trauma registries to inform injury prevention, mitigation, and improve quality of trauma care. This paper outlines several of these challenges and identifies potential solutions that can be adopted to improve the functionality of trauma registries in resource-poor contexts. Increased recognition and support for trauma registry development and improvement in LMICs is critical to reducing the burden of injury in these settings.
伤害是一个重大的全球健康问题，每年导致数百万人死亡。几十年来，创伤登记系统在较富裕国家被用于伤害监测和临床管理，但在低收入和中等收入国家（LMICs），其采用情况滞后。矛盾的是，LMICs面临着过高的伤害负担，而用于应对这一流行病的资源却很少。尽管存在这些资源限制，LMICs的几家医院和地区仍设法建立了创伤登记系统，以收集与伤害事件、护理过程和受伤患者结局相关的信息。虽然这些创伤登记系统的实施是朝着解决LMICs伤害负担迈出的积极一步，但在最大限度发挥创伤登记系统的潜力以指导伤害预防、减轻伤害并提高创伤护理质量方面，仍存在诸多挑战。本文概述了其中一些挑战，并确定了可采用的潜在解决方案，以改善资源匮乏环境中创伤登记系统的功能。提高对LMICs创伤登记系统发展和改进的认识与支持，对于减轻这些地区的伤害负担至关重要。
