Experience gained from the implementation of the Saudi TraumA Registry (STAR)

Ford, Jane; Alqahtani, Abdulrahman; Abuzinada, Shatha A. A.; Cameron, Peter; Fitzgerald, Mark; Alenizi, Ahmed; Farjou, Dina

doi:10.1186/s12913-019-4881-8

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…In 2020, Ford et al [31] described a novel 12-step implementation plan that was commenced in 2017 for trauma registry launch at the KSMC. Based on the ACS, trauma registry data must be collected and analyzed by every trauma center.…”

Section: Resultsmentioning

confidence: 99%

Current Trauma Care System in Saudi Arabia: Literature Review and a Proposed Action Plan

Alferdaus

Shaher

2021

Saudi J Health Syst Res

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Introduction: Trauma is one of the leading causes of morbidity and mortality in Saudi Arabia (SA) and worldwide and remains the leading cause of mortality in younger people. We conducted a literature review to assess the current trauma system in SA and formulated an action plan that might help guide leaders and colleagues in implementing a mature trauma system across the country. Methods: We searched PubMed, ScienceDirect, publications from the World Health Organization (WHO), and American College of Surgeons (ACS) and formal reports from the ministries and authorities in SA. Results: After aligning the trauma care system in SA to the WHO trauma system maturity index (TSMI) and ACS criteria for a mature system, the SA system was found to have many deficiencies in essential components such as national trauma registry or active trauma research activities. Injury prevention and prehospital care are progressing and may be graded as TSMI level III, indicating room for improvement. Regarding the definitive care at hospitals and centers, only 2 centers at Riyadh met the criteria for level I trauma centers. Other regions in SA do not have major trauma centers yet. Overall, the components of the SA trauma care system were graded from levels I to III on the basis of the WHO TSMI and ACS criteria for a mature trauma system. Conclusion: In SA, injury remains the primary cause of death in children and other younger people. Efforts to reduce the prevalence and burden of trauma in SA are progressing. Completion of a nationwide trauma system would be a major step toward achieving that goal. We have proposed an action plan to achieve that goal.

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Section: Resultsmentioning

confidence: 99%

Current Trauma Care System in Saudi Arabia: Literature Review and a Proposed Action Plan

Alferdaus

Shaher

2021

Saudi J Health Syst Res

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“…24 Good examples of trauma registries have been recently presented not only from western countries, but also from eastern countries such as a recent one from Saudi Arabia. 25 These registries can provide vital information that may be helpful in designing injury prevention strategies, the process of allocating resources and backing policy-making efforts. This helps, as shown; to reduce the number of fatalities occurring due to traumatic incidents.…”

Section: Discussionmentioning

confidence: 99%

Developing a National Integrated Road Traffic Injury Registry System: A Conceptual Model for a Multidisciplinary Setting

Sadeghi‐Bazargani¹,

Sadeghpour²,

Wilson³

et al. 2020

JMDH

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Introduction: Despite a high burden of traffic injuries, effective integrated or linked injury surveillance systems are rarely available in many low-and middle-income countries (LMICs). The aim of the current study was to define a conceptual model for developing a national integrated traffic injury registry in Iran. Methods: A mult-method study financially and technically supported by the World Health Organization, Iranian Ministry of Health, Iranian Traffic Police, and the Iranian Legal Medicine Organization was conducted. A theoretical framework, forming the core conceptual components, was developed based on expert reviews. The preliminary conceptual model was developed by a panel of experts and tailored through a national workshop of 50 scientists, authorities and experts from nearly all sectors related to road safety promotion and injury management. It was then sent out to external reviewers in order to assess and improve the content validity of the model. Results: The conceptual model was developed to have six components. These included 1) aims and core definitions; 2) content and core measurements; 3) data flow; 4) data collection routines; 5) organizational matrix; 6) implementation organization. The Haddon's matrix was adapted to be used as the theoretical framework in defining the content and data flow components of IRTIR. Five subcomponents were defined in the content and core measurements component with each having several subcategories. Each subcomponent/subcategory was finally divided into several item groups to guide defining the final data measurement variables. The data flow component was defined with six data sequence stations. Through the organizational matrix component, five major organizations relevant to road traffic safety were defined as core data production contributors. Some organizations also owned several sub-organizations which contributed in this regard. Conclusion: It is concluded that the IRTIR conceptual model includes the required six components for developing a national integrated registry for Iran. Its main component called, content and core measurements, leads the researchers in developing final data collection tools in developing the national registry of road traffic injuries in Iran.

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“…Data collection commenced in August 2017. 15 This registry was developed as a potential prototype of the kingdom’s first national trauma registry.…”

Section: Methodsmentioning

confidence: 99%

Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia

et al. 2021

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IntroductionThe burden of injury in the Kingdom of Saudi Arabia (KSA) has increased in recent years, but the country has lacked a consistent methodology for collecting injury data. A trauma registry has been established at a large public hospital in Riyadh from which these data are now available.ObjectivesWe aimed to provide an overview of trauma epidemiology by reviewing the first calendar year of data collection for the registry. Risk-adjusted analyses were performed to benchmark outcomes with a large Australian major trauma service in Melbourne. The findings are the first to report the trauma profile from a centre in the KSA and compare outcomes with an international level I trauma centre.MethodsThis was an observational study using records with injury dates in 2018 from the registries at both hospitals. Demographics, processes and outcomes were extracted, as were baseline characteristics. Risk-adjusted endpoints were inpatient mortality and length of stay. Binary logistic regression was used to measure the association between site and inpatient mortality.ResultsA total of 2436 and 4069 records were registered on the Riyadh and Melbourne databases, respectively. There were proportionally more men in the Saudi cohort than the Australian cohort (86% to 69%). The Saudi cohort was younger, the median age being 36 years compared with 50 years, with 51% of injuries caused by road traffic incidents. The risk-adjusted length of stay was 4.4 days less at the Melbourne hospital (95% CI 3.95 days to 4.86 days, p<0.001). The odds of in-hospital death were also less (OR 0.25; 95% CI 0.15 to 0.43, p<0.001).ConclusionsThis is the first hospital-based study of trauma in the kingdom that benchmarks with an individual international centre. There are limitations to interpreting the comparisons, however the findings have established a baseline for measuring continuous improvement in outcomes for KSA trauma services.

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Experience gained from the implementation of the Saudi TraumA Registry (STAR)

Cited by 5 publications

References 14 publications

Current Trauma Care System in Saudi Arabia: Literature Review and a Proposed Action Plan

Current Trauma Care System in Saudi Arabia: Literature Review and a Proposed Action Plan

<p>Developing a National Integrated Road Traffic Injury Registry System: A Conceptual Model for a Multidisciplinary Setting</p>

Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia

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