Results of the Implementation of a Trauma Registry in a Peruvian Low Complexity Hospital: A 2-year Analysis
Pedro J Ruíz-Pérez, Willy Jesús Neumann Ordoñez, Dante Manuel Quiñones-Laveriano, Eduardo Huaman
Injuries and trauma, Peru, Registration system, Surgery
Citation Information :
Ruíz-Pérez PJ, Ordoñez WJ, Quiñones-Laveriano DM, Huaman E. Results of the Implementation of a Trauma Registry in a Peruvian Low Complexity Hospital: A 2-year Analysis. Panam J Trauma Crit Care Emerg Surg 2023; 12 (1):30-34.
Introduction: Peruvian public health system lacks data collection and processing strategies for patients who arrive at hospitals with traumatic injuries (TI), negatively affecting the provision of health services. The objective of this study was to describe the results of the implementation of a trauma registry in a low complexity hospital in Vitarte, located in the eastern region of Lima, Peru.
Materials and methods: An observational, descriptive, and retrospective study was conducted using the Trauma Registry® developed by the Panamerican Trauma Society (PTS) between May 2018 and June 2020. Stata v16 software was used for statistical analysis.
Results: A total of 399 records were included. The median age was 27 years, and 72.2% of patients were male. The main primary mechanism was blunt trauma (60.7%), mainly caused by falls and traffic accidents. Nearly 82.5% of TI were related to alcohol intake. Attendances were most frequent between 08:00 and 12:00 hours, on Sundays, in the middle of the month, and in April. The most frequent injuries were minor, according to the Revised Trauma Score (RTS) and Kampala Trauma Score (KTS). In the majority of cases, an Injury Severity Score (ISS) of >15 corresponded to patients requiring transfer to more developed health centers, mainly for traumatic brain injury.
Conclusion: Traumatic injuries (TI) in Hospital Vitarte affected mainly young males, with a high frequency of alcohol intake in injured patients. The type of trauma and the mechanism of injury did not follow a specific pattern due to the level of complexity of the hospital. Trauma indices are useful tools to determine the severity of injuries and to predict the need for transfer to a center of a higher level of complexity and resolution capacity. The Trauma Registry® represents a necessary strategy to optimize the care of injured patients locally and nationally.
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