Harborview Injury Prevention & Research Center, University of Washington, 325 9th Ave Box 359960, Seattle, WA, USA.
Kwame Nkrumah University of Science and Technology and Department of Surgery (Orthopaedics and Trauma), Komfo Anokye Teaching Hospital, P.O. Box 1934, Kumasi, Ghana.
Ghana Med J. 2021 Sep;55(3):213-220. doi: 10.4314/gmj.v55i3.6.
In most low- and middle-income countries, trauma registries are uncommon. Although institutional registries for all trauma patients are ideal, it can be more practical to institute departmental registries for specific subsets of patients. Komfo Anokye Teaching Hospital (KATH) has started a locally developed, self-funded orthopaedic trauma registry. We describe methods and experiences for data collection and examine patient and injury characteristics, data quality, and the utility of the registry. Of 961 individuals in the registry, 67.9% were males, and the median age was 40 years. Motor vehicle collision (23.3%) was the most frequent mechanism of injury. Lower extremity fractures were the most common injury (60.6%), and 43.9% of injuries were managed operatively. Data quality was reasonable with missingness under 10% for 13 of 14 key variables, with inconsistencies of dates of injury, admission, treatment, and discharge in 9.1% of cases. However, the type of operation was missing for 73.2% of operative cases. Despite these limitations, the registry has been used for quality improvement and to successfully advocate for resources to improve trauma care. The registry has been improved by adding more detailed outcome variables, creating a standardised codebook of categorical variables, and adding more fields to allow for multiple injuries. In conclusion, it is practical and sustainable to institute a locally developed, self-funded orthopaedic trauma registry in Ghana that provides data with reasonable quality. Such a registry can be used to advocate for more resources to care for injured patients adequately and for quality improvement.
None declared.
在大多数低收入和中等收入国家，创伤登记处并不常见。尽管为所有创伤患者建立机构登记处是理想的，但为特定亚组患者建立部门登记处可能更为实际。Komfo Anokye 教学医院（KATH）已开始建立一个由当地开发、自筹资金的骨科创伤登记处。我们描述了数据收集的方法和经验，并检查了患者和损伤特征、数据质量以及登记处的实用性。在登记处的 961 个人中，67.9%是男性，中位数年龄为 40 岁。机动车碰撞（23.3%）是最常见的损伤机制。下肢骨折是最常见的损伤（60.6%），43.9%的损伤需要手术治疗。数据质量合理，14 个关键变量中有 13 个缺失率低于 10%，9.1%的病例中存在受伤日期、入院日期、治疗日期和出院日期不一致的情况。然而，73.2%的手术病例中缺少手术类型。尽管存在这些局限性，该登记处已用于质量改进，并成功倡导资源以改善创伤护理。通过添加更详细的结局变量、创建分类变量的标准化编码手册以及添加更多字段以允许多个损伤，登记处得到了改进。总之，在加纳建立一个由当地开发、自筹资金的骨科创伤登记处是可行和可持续的，该登记处提供的数据质量合理。这样的登记处可用于倡导更多资源以充分照顾受伤患者，并用于质量改进。
经费：无。
