Tanoli Omaid, Ahmad Hamza, Khan Haider, Khattak Farhad Ali, Khan Awais, Mikhail Alexandre, Deckelbaum Dan, Razek Tarek
McGill University Health Centre, Centre for Global Surgery, Montreal, Qc, Canada.
University of Toronto, Department of General Surgery, Toronto, On, Canada.
Ann Med Surg (Lond). 2021 Dec 4;72:103137. doi: 10.1016/j.amsu.2021.103137. eCollection 2021 Dec.
BACKGROUND/LOCAL PROBLEM: In Pakistan, trauma is a significant public health issue accounting for the second leading cause of disability and fifth for healthy years of life lost. Well-developed trauma systems, utilizing trauma registries, have been proven to decrease morbidity and mortality from injuries, and helped to reduce the number of injured patients. In Pakistan, most data on injury are acquired through methods that are retrospective, incomplete, and open to recall bias. To that end, a trauma registry was piloted at the Lady Reading Hospital (LRH) in Peshawar, Pakistan to elucidate the importance of trauma registries in designing healthcare targeted quality improvement initiatives.
Upon receiving ethics approval, a twenty-five-point registry was piloted at the Lady Reading Hospital.
The pilot implementation was carried out from May 9th to May 13th, 2018.
A total of 267 patients were included in the pilot registry. Motor vehicle collisions were the most prevalent cause of injury (46%). The other causes of injury included falls (24%), blunt assaults (9%), stabs/cuts (8%), gunshots (6%), crush injuries (3%), burns (2%), and blasts/landmines (2%). Most patients were treated in the trauma bay and required no further acute intervention (51%).
This 5-day pilot trauma registry was the first of its kind in Peshawar, Pakistan, and despite its short course, an immense amount of data was garnered on the epidemiology of injury in the region. Significantly, the data collected can already be used to develop evidence-based changes, which will effectively minimize the impact of trauma.
背景/当地问题：在巴基斯坦，创伤是一个重大的公共卫生问题，是导致残疾的第二大原因，也是健康生命年损失的第五大原因。利用创伤登记系统的完善创伤系统已被证明可降低受伤导致的发病率和死亡率，并有助于减少受伤患者的数量。在巴基斯坦，大多数伤害数据是通过回顾性、不完整且容易出现回忆偏差的方法获取的。为此，在巴基斯坦白沙瓦的雷丁夫人医院（LRH）开展了一项创伤登记试点，以阐明创伤登记在设计针对医疗保健的质量改进举措中的重要性。
在获得伦理批准后，雷丁夫人医院试点了一个包含25个项目的登记系统。
试点实施于2018年5月9日至5月13日进行。
试点登记系统共纳入267名患者。机动车碰撞是最常见的受伤原因（46%）。其他受伤原因包括跌倒（24%）、钝器袭击（9%）、刺伤/切割伤（8%）、枪伤（6%）、挤压伤（3%）、烧伤（2%）以及爆炸/地雷伤（2%）。大多数患者在创伤病房接受治疗，无需进一步的急性干预（51%）。
这个为期5天的创伤登记试点是巴基斯坦白沙瓦的首个此类试点，尽管时间较短，但收集到了该地区大量关于伤害流行病学的数据。重要的是，所收集的数据已可用于制定基于证据的变革措施，这将有效降低创伤的影响。
