Hospital-Based Trauma Registries in Uganda

Abstract

A trauma registry and injury severity measurement are both possible and useful in sub-Saharan Africa. This minimal data set and the KTS are recommended for investigators with similar resource constraints.

Choice of injury scoring system in low- and middle-income countries: Lessons from Mumbai

“…RTS values ranged from 1.76-7.84, with a median value of 6.90 (IQR 5.97-7.84). KTS values ranged from 9 to 16 with a median value of 14 (IQR [13][14][15]. MGAP values ranged from 10 to 29, with a median value of 23 .…”

“…MGAP values ranged from 10 to 29, with a median value of 23 . GAP values ranged from 6 to 24, with a median value of 19 (IQR [14][15][16][17][18][19][20][21][22].…”

“…Other data including disposition and in-hospital mortality were recorded during the hospital stay. [11,12,14,15,17].…”

“…The number of serious injuries for each patient was determined based on a list of final diagnoses by a member of the research team with expertise in trauma care. Because no standardised conversion from GCS to AVPU (''alert, voice, pain, unresponsive'') score exists, an estimated AVPU score was assigned based on GCS using data from the original validation study of the KTS (GCS 14-15 = ''alert'', GCS 10-13 = ''responds to voice'', GCS 5-9 = ''responds to pain'', GCS 3-4 = ''unresponsive'') [14]. A note was made when insufficient data prevented calculation of any of the scores.…”

“…It is the current standard physiologic scoring system used in trauma research and quality improvement in both high-income countries and low-and middle-income countries [13]. The Kampala Trauma Score (KTS) is a simplified injury scoring system that reflects patient age, systolic blood pressure, respiratory rate, neurologic status and number of serious injuries, which was developed in Uganda specifically for use in resource-limited settings [14].…”