伤害登记数据对政策制定、住院和死亡率的影响：系统评价和荟萃分析的方案。

Effects of Injury Registry Data on Policy Making, Hospitalizations, and Mortality: Protocol for a Systematic Review and Meta-Analysis.

机构信息

Hospital Israelita Albert Einstein, Sao Paulo, Brazil.

Department of Preventive Medicine, University of São Paulo, São Paulo, Brazil.

出版信息

JMIR Res Protoc. 2024 Oct 30;13:e55029. doi: 10.2196/55029.

DOI:10.2196/55029

Abstract

BACKGROUND

Initiated in 2021, a Brazilian project aims to establish a national injury registry, compiling comprehensive data on events and individuals across the country, irrespective of injury severity. The registry integrates information from prehospital and hospital care, diverse health systems lacking interoperability, and sectors such as firefighters and the police. Its primary goal is to enhance health surveillance by providing timely, high-quality information, guiding prevention strategies, and informing policy making. The project still aims to reduce long-term morbidity and mortality associated with injuries.

OBJECTIVE

A knowledge gap remains regarding the effects of injury registries in relation to policies and injury outcomes. This protocol outlines a systematic review and meta-analysis to answer "What is the effect of implementation and use of injury registry data on policy making, hospitalization, and mortality?"

METHODS

The systematic review follows PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, focusing on studies reporting results related to the implementation and use of injury registries, including trauma registries. Outcomes of interest include policy making, hospitalization rates or duration, and mortality. Registries within well-defined administrative boundaries will be included. Data will be collected from PubMed, Embase, Scopus, Web of Science, Lilacs, and references. Records will be independently screened by 2 reviewers, with any disagreements resolved through arbitration by a third reviewer. Homogeneous studies, with 3 or more evaluating the same outcome, may undergo meta-analysis. Subgroup analyses by registry type, injury groups, and other selected variables of interest will be conducted. Sensitivity analysis, risk of bias assessment, publication bias evaluation, and quality appraisal will also be performed.

RESULTS

This systematic review will run from November 2023 to June 2024. No identical review was found. Search strategies were finalized, the bibliographic search started, duplicates were eliminated, and title and abstract screening began. Of 35 studies retrieved, 85 were excluded due to duplication, leaving 50 for selection.

CONCLUSIONS

This study is timely, aligning with ongoing national efforts to implement an injury registry. By synthesizing available evidence, we will identify the potential of injury registries to guide the decisions of Brazilian policy makers.

TRIAL REGISTRATION

PROSPERO CRD42023481528; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=481528.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/55029.

摘要

背景

巴西于 2021 年启动了一个项目，旨在建立一个全国性的伤害登记处，汇集全国范围内各类事件和个体的综合数据，无论伤害严重程度如何。该登记处整合了来自院前和医院护理、缺乏互操作性的不同卫生系统以及消防员和警察等部门的信息。其主要目标是通过提供及时、高质量的信息来加强健康监测，指导预防策略，并为决策提供信息。该项目仍旨在降低与伤害相关的长期发病率和死亡率。

目的

关于伤害登记处与政策和伤害结果之间的影响，仍存在知识空白。本方案概述了一项系统评价和荟萃分析，以回答“实施和使用伤害登记处数据对政策制定、住院和死亡率有何影响？”

方法

系统评价遵循 PRISMA（系统评价和荟萃分析的首选报告项目）指南，重点关注报告与伤害登记处（包括创伤登记处）的实施和使用相关结果的研究。感兴趣的结果包括政策制定、住院率或住院时间以及死亡率。将纳入在明确界定的行政边界内的登记处。将从 PubMed、Embase、Scopus、Web of Science、Lilacs 和参考文献中收集数据。记录将由 2 名审查员独立筛选，任何分歧将通过第三名审查员的仲裁解决。具有 3 项或更多项评估同一结果的同质研究可能会进行荟萃分析。还将进行按登记处类型、伤害组和其他选定感兴趣变量的亚组分析。将进行敏感性分析、偏倚风险评估、发表偏倚评估和质量评估。