Adesoba Helen, Olumide Adesola, Oluwadiya Kehinde, Oladiran Ajibola, Ojifinni Kehinde, Popoola Oluwafemi, Bonander Carl
School of Public Health & Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
PLoS One. 2025 Jan 7;20(1):e0317141. doi: 10.1371/journal.pone.0317141. eCollection 2025.
Low- and middle-income countries experience high injury-related mortality rates, with road traffic crashes being a significant contributor in Nigeria. Data from trauma registries are crucial for designing and advocating for trauma intervention programmes. However, there is limited research to inform the development of trauma registries in a Nigerian setting. The aim of this study was to design a feasible prototype trauma registry (TR) including, scope of activities and registry components for University College Hospital (UCH), Ibadan, Nigeria.
In-depth interviews were conducted with eight purposively selected trauma registry stakeholders in UCH to obtain context-specific information for a prototype registry. An expert meeting was conducted with four purposively selected experts within the hospital to assess and validate the suitability of the prototype TR scope and TR components, confirming their applicability and potential efficacy in UCH. Information obtained from the interviews and expert meeting were analysed deductively using thematic analysis.
Stakeholders identified the most feasible scope for the trauma registry (TR) as daily data collection on all trauma patients from their initial presentation to discharge or death. This data would be gathered primarily at two critical points: the accident/emergency department and the wards where trauma patients are admitted. Stakeholders believed that comprehensive information about trauma patients could be achieved through these collection points. Following this scope, the analysis led to the identification of 21 essential components and activities for the TR, which were then organised into six categories: registry personnel, computers and other materials, trainings, technology infrastructure, administrative services, and monitoring and evaluation.
The scope and components identified are relevant to our context and have the potential to contribute to trauma prevention programmes, improve patient care and outcomes, and contribute to trauma-related policies and programmes if successfully implemented.
低收入和中等收入国家的伤害相关死亡率很高，道路交通事故是尼日利亚此类死亡的一个重要原因。创伤登记处的数据对于设计和倡导创伤干预计划至关重要。然而，在尼日利亚背景下，为创伤登记处的发展提供信息的研究有限。本研究的目的是为尼日利亚伊巴丹大学学院医院（UCH）设计一个可行的创伤登记处原型，包括活动范围和登记处组成部分。
对UCH八名经过有目的挑选的创伤登记处利益相关者进行了深入访谈，以获取针对原型登记处的特定背景信息。在医院内对四名经过有目的挑选的专家召开了一次专家会议，以评估和验证原型创伤登记处范围和组成部分的适用性，确认其在UCH的适用性和潜在效果。使用主题分析法对从访谈和专家会议中获得的信息进行演绎分析。
利益相关者确定创伤登记处最可行的范围是每天收集所有创伤患者从初次就诊到出院或死亡的信息。这些数据将主要在两个关键点收集：事故/急诊科和创伤患者入院的病房。利益相关者认为，通过这些收集点可以获得有关创伤患者的全面信息。按照这个范围，分析得出了创伤登记处的21个基本组成部分和活动，然后将其分为六类：登记处人员、计算机和其他材料、培训、技术基础设施、行政服务以及监测和评估。
确定的范围和组成部分与我们的背景相关，如果成功实施，有可能有助于创伤预防计划、改善患者护理和结果，并为创伤相关政策和计划做出贡献。
