Shapiro M J, Cole K E, Keegan M, Prasad C N, Thompson R J
Division of Trauma Surgery, St. Louis University Health Sciences Center, MO 63110-0250.
J Trauma. 1994 Nov;37(5):835-40; discussion 840-2.
Registries, such as those for oncology, have demonstrated usefulness in collating information. Trauma care can be improved through the accumulation of local, regional, and state trauma statistics. The efforts to develop a National Trauma Registry in the United States are still in their infancy. A four-page survey questionnaire was returned by each of the 50 State Emergency Medical Services (EMS) Directors, as well as the EMS Directors of the District of Columbia and five American possessions, to evaluate the status of state trauma registries in the United States. In 1992, 24 (48%) states had a registry. Development costs average $101,107 and annual maintenance costs averaged $72,105. An average of 1.7 full-time equivalents (FTE) was necessary to maintain the registry. Fourteen (58%) states have effected legislation through the registry. Trauma prevention has been promoted in nine (38%) states and a decrease in mortality recognized through the registry in five (21%) states. Trauma registries are labor intensive and expensive but are effective in decreasing morbidity and mortality. The need for a National Trauma Registry incorporating and comparing data from health care facilities around the United States and its possessions has the potential of improving trauma health care.
诸如肿瘤学方面的登记系统已证明在整理信息方面很有用处。通过积累地方、区域和州的创伤统计数据，可以改善创伤护理。美国建立国家创伤登记系统的工作仍处于起步阶段。美国50个州的紧急医疗服务（EMS）主任以及哥伦比亚特区和五个美国属地的EMS主任都返回了一份四页的调查问卷，以评估美国各州创伤登记系统的状况。1992年，有24个（48%）州设有登记系统。开发成本平均为101,107美元，年度维护成本平均为72,105美元。维持登记系统平均需要1.7个全职等效人员（FTE）。14个（58%）州已通过该登记系统制定了相关立法。九个（38%）州通过该登记系统促进了创伤预防工作，五个（21%）州通过该登记系统认识到死亡率有所下降。创伤登记系统劳动强度大且成本高昂，但在降低发病率和死亡率方面很有效。建立一个整合并比较美国及其属地各地医疗机构数据的国家创伤登记系统，有可能改善创伤医疗服务。
