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中低收入国家创伤登记处:姗姗来迟的优先事项 述评:“低收入和中等收入国家国家创伤登记处的神经创伤监测:范围综述和数据字典比较分析”

National Trauma Registries in LMICs: Long-Overdue Priority Comment on "Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries".

机构信息

Department of Neurosurgery, Icahn School of Medicine, New York City, NY, USA.

出版信息

Int J Health Policy Manag. 2023;12:7504. doi: 10.34172/ijhpm.2023.7504. Epub 2023 Apr 29.

DOI:10.34172/ijhpm.2023.7504
PMID:37579401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10461876/
Abstract

The burden of trauma-related mortality is inversely related to income on an individual and national scale. Barthélemy et al highlight the significant variation of neurotrauma data included in national injury registries of low- and middle-income countries (LMICs) when compared to the World Health Organization (WHO) minimal dataset for injury (MDI). Moreover, the authors emphasize that the non-existence and underutilization of nationally standardized trauma registries hinder the data-driven identification of factors contributing to neurotrauma and subsequent attempts to improve neurotrauma care. Establishing a nationally standardized trauma registry should be prioritized by all stakeholders involved in curbing trauma-related mortality and building research capacity in LMICs. In this commentary, previous successful efforts to establish and maintain robust registries in LMICs through local and international partnerships are highlighted. The lessons and challenges chronicled in establishing such registries can inform future efforts to implement a nationally standardized trauma registry.

摘要

创伤相关死亡率的负担在个人和国家层面上与收入成反比。Barthélemy 等人强调,与世界卫生组织(WHO)创伤最低数据集(MDI)相比,中低收入国家(LMICs)国家伤害登记处纳入的神经创伤数据存在显著差异。此外,作者强调,缺乏和未充分利用国家标准化创伤登记处阻碍了数据驱动识别导致神经创伤的因素,并随后努力改善神经创伤护理。所有参与遏制创伤相关死亡率和建立 LMICs 研究能力的利益相关者都应优先建立国家标准化创伤登记处。在这篇评论中,强调了通过地方和国际伙伴关系以前在 LMICs 中成功建立和维护强大登记处的努力。在建立这些登记处方面所记录的经验教训和挑战可以为未来实施国家标准化创伤登记处的努力提供信息。

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