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拉丁美洲创伤外科能力建设的共识声明。

A consensus statement for trauma surgery capacity building in Latin America.

机构信息

University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

MEDITECH Foundation, Santiago de Cali, Valle de Cauca, Colombia.

出版信息

World J Emerg Surg. 2021 Jan 30;16(1):4. doi: 10.1186/s13017-021-00347-2.

DOI:10.1186/s13017-021-00347-2
PMID:33516227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7847173/
Abstract

BACKGROUND

Trauma is a significant public health problem in Latin America (LA), contributing to substantial death and disability in the region. Several LA countries have implemented trauma registries and injury surveillance systems. However, the region lacks an integrated trauma system. The consensus conference's goal was to integrate existing LA trauma data collection efforts into a regional trauma program and encourage the use of the data to inform health policy.

METHODS

We created a consensus group of 25 experts in trauma and emergency care with previous data collection and injury surveillance experience in the LA. region. Experts participated in a consensus conference to discuss the state of trauma data collection in LA. We utilized the Delphi method to build consensus around strategic steps for trauma data management in the region. Consensus was defined as the agreement of ≥ 70% among the expert panel.

RESULTS

The consensus conference determined that action was necessary from academic bodies, scientific societies, and ministries of health to encourage a culture of collection and use of health data in trauma. The panel developed a set of recommendations for these groups to encourage the development and use of robust trauma information systems in LA. Consensus was achieved in one Delphi round.

CONCLUSIONS

The expert group successfully reached a consensus on recommendations to key stakeholders in trauma information systems in LA. These recommendations may be used to encourage capacity building in trauma research and trauma health policy in the region.

摘要

背景

创伤是拉丁美洲(LA)的一个重大公共卫生问题,给该地区造成了大量的死亡和残疾。一些 LA 国家已经实施了创伤登记处和伤害监测系统。然而,该地区缺乏一个综合的创伤系统。共识会议的目标是将现有的 LA 创伤数据收集工作整合到一个区域创伤项目中,并鼓励使用这些数据为卫生政策提供信息。

方法

我们创建了一个由 25 名创伤和急救护理专家组成的共识小组,这些专家在 LA 地区有先前的数据收集和伤害监测经验。专家们参加了一次共识会议,讨论 LA 创伤数据收集的现状。我们利用德尔菲法就该地区创伤数据管理的战略步骤达成共识。共识定义为专家小组中≥70%的人达成一致。

结果

共识会议确定,学术机构、科学协会和卫生部必须采取行动,鼓励收集和使用创伤健康数据的文化。该小组为这些团体制定了一系列建议,以鼓励在 LA 建立强大的创伤信息系统。在一轮德尔菲法中达成了共识。

结论

专家组就 LA 创伤信息系统的主要利益相关者的建议成功达成共识。这些建议可用于鼓励该地区创伤研究和创伤卫生政策方面的能力建设。

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