Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  12 (2023)
Volume  11 (2022)
Volume  10 (2021)
Volume  9 (2020)
Volume  8 (2019)
Volume  7 (2018)
Volume  6 (2017)
Volume  5 (2016)
Volume  4 (2015)
Volume  3 (2014)
Volume  2 (2013)
Volume  1 (2012)
Related articles

VOLUME 12 , ISSUE 1 ( January-April, 2023 ) > List of Articles

ORIGINAL RESEARCH

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

Keywords : 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.

DOI: 10.5005/jp-journals-10030-1408

License: CC BY-NC 4.0

Published Online: 29-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

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.

PDF Share
  1. RAE. Real Academia de la Lengua Española [Internet]. Diccionaro de la Lengua Española. 2012 [cited 2012 Dec 7]. Available from: http://www.rae.es/rae.html
  2. World Health Organization; Los traumatismos: el problema sanitario desatendido en los países en desarrollo [Internet]. [cited 2021 Jul 18]. Available from: https://cc.bingj.com/cache.aspx?q=los+traumatismo+un+probem+sanitario+oms&d=4852583124109195&mkt=es-MX&setlang=es-ES&w=oOgatYOuypyeszMWKx3hdyx-2yRb-v-7
  3. Bieler D, Paffrath T, Schmidt A, et al. Why do some trauma patients die while others survive? A matched-pair analysis based on data from Trauma Register DGU®. Chinese J Traumatol 2020;23(4):224–232. DOI: 10.1016/j.cjtee.2020.05.001
  4. Song F, Ma H, Wang S, et al. Nutritional screening based on objective indices at admission predicts in-hospital mortality in patients with COVID-19. Nutr J 2021;20(1):46. DOI: 10.1186/s12937-021-00702-8
  5. Pino Sánchez FI, Ballesteros Sanz MA, Cordero Lorenzana L, et al. Quality of trauma care and trauma registries. Med Intensiva 2015;39(2):114–123. DOI: 10.1016/j.medin.2014.06.008
  6. World Health Organization. GLOBAL STATUS REPORT ON ROAD SAFETY 2018 [Internet]. Vol. 3, Biomass Chem Eng. 2018. Available from: http://journal.stainkudus.ac.id/index.php/equilibrium/article/view/1268/1127%0Ahttp://publicacoes.cardiol.br/portal/ijcs/portugues/2018/v3103/pdf/3103009.pdf%0Ahttp://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-75772018000200067&lng=en&tlng=
  7. Mock C. WHO releases guidelines for trauma quality improvement programmes. Inj Prev 2009;15(5):359. DOI: 10.1136/ip.2009.024315
  8. Society PT. Sociedad Panamericana de Trauma - Registro de Trauma [Internet]. [cited 2021 Jul 18]. Available from: https://panamtrauma.org/Registro-de-Trauma/~spanish
  9. Moore L, Clark DE. The value of trauma registries. Injury 2008;39(6):686–695. DOI: 10.1016/j.injury.2008.02.023
  10. Minsa. Hospital Vitarte. Análisis Situacional de Salud. 2013.
  11. Instituto Nacional de Estadistica e Informatica (INEI). Planos Estratificados de Lima Metropolitana a Nivel de Manzanas 2020. Instituto Nacional de Estadistica e Informatica. 2020.
  12. Tanoli O, Ahmad H, Khan H, et al. A pilot trauma registry in Peshawar, Pakistan – a roadmap to decreasing the burden of injury – quality improvement study. Ann Med Surg 2021;72:103137. DOI: 10.1016/j.amsu.2021.103137
  13. Friedman K, Raymond J, Minnig MC, et al. Association between alcohol use and violence-related injury in emergency department patients in Moshi, Tanzania: analysis of a prospective trauma registry. Lancet Glob Health 2020;8(1):S18. DOI: 10.1016/S2214-109X(20)30159-5
  14. Vallmuur K, Cameron CM, Watson A, et al. Comparing the accuracy of ICD-based severity estimates to trauma registry-based injury severity estimates for predicting mortality outcomes. Injury 2021;52(7):1732–1739. DOI: 10.1016/j.injury.2021.05.016
  15. Tyson AF, Varela C, Cairns BA, et al. Hospital mortality following trauma: an analysis of a hospital-based injury surveillance registry in sub-Saharan Africa. J Surg Educ 2015;72(4):e66–e72. DOI: 10.1016/j.jsurg.2014.09.010
  16. Monteverde E, Santero M, Bosque L, et al. A public-private collaborative model for a trauma program implementation: findings from a prospective trauma registry at 14 hospitals in Buenos Aires, Argentina. Eur J Trauma Emerg Surg 2021;47(6):1931–1937. DOI: 10.1007/s00068-020-01348-7
  17. Saeednejad M, Zafarghandi M, Khalili N, et al. Evaluating mechanism and severity of injuries among trauma patients admitted to sina hospital, the national trauma registry of Iran. Chin J Traumatol 2021;24(3):153–158. DOI: 10.1016/j.cjtee.2021.01.009
  18. Rodriguez C, Bonilla-Escobar FJ, Restrepo-Lopera C, et al. A trauma registry experience from the main referral center of Honduras: A call for action. Injury 2019;50(4):883–889. DOI: 10.1016/j.injury.2019.03.022
  19. Ramos Perkis J, Ottolino Lavarte P, Muñoz Alarcón C, et al. Primer registro de trauma en Chile. Análisis de 2 años en un hospital público. Rev Cir 2021;73(1):59–65. DOI: 10.35687/s2452-45492021001703
  20. Ordoñez CA, Rubiano J, Badiel M, et al. Epidemiologia del trauma en dos hospitales de primer nivel de atencion del epidemiología del trauma en dos hospitales de primer nivel de atención del suroccidente de colombia. Reporte preliminar del registro internacional de trauma de la sociedad panamer. Panam J Trauma Crit Care Emerg Surg 2014;3(1):11–15. DOI: 10.5005/JP-JOURNALS-10030-1079
  21. Botchey IM Jr, Hung YW, Bachani AM, et al. Understanding patterns of injury in Kenya: analysis of a trauma registry data from a National Referral Hospital. Surg 2017;162(6S):S54–S62. DOI: 10.1016/j.surg.2017.02.016
  22. Chiang YT, Lin TH, Hu RH, et al. Predicting factors for major trauma patient mortality analyzed from trauma registry system. Asian J Surg 2021;44(1):262–268. DOI: 10.1016/j.asjsur.2020.06.014
  23. González-Robledo J, Martín-González F, Moreno-García M, et al. Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the intensive care unit. Med Intensiva 2015;39(7):412–421. DOI: 10.1016/j.medine.2015.08.002
  24. Ordoñez CA, Morales M, Rojas-Mirquez JC, et al. Trauma registry of the Panamerican trauma society: one year of experience in two hospitals in southwest Colombia. Colomb medica (Cali) 2016;47(3):148–154.
  25. Delaney PG, Bamuleke R, Lee YJ. Lay first responder training in eastern Uganda: leveraging transportation infrastructure to build an effective prehospital emergency care training program. World J Surg 2018;42(8):2293–2302. DOI: 10.1007/s00268-018-4467-3
  26. Cassignol A, Marmin J, Cotte J, et al. Correlation between field triage criteria and the injury severity score of trauma patients in a French inclusive regional trauma system. Scand J Trauma Resusc Emerg Med 2019;27(1):71. DOI: 10.1186/s13049-019-0652-0
  27. Ali Ali B, Fortún Moral M, Belzunegui Otano T, et al. Escalas para predicción de resultados tras traumatismo grave. An Sist Sanit Navar 2017;40(1):103–118.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.