The Implementation of a Pilot Femur Fracture Registry at Komfo Anokye Teaching Hospital: An Analysis of Data Quality and Barriers to Collaborative Capacity‐Building

Sonshine, Daniel B.; Shantz, Jesse Slade; Kumah-Ametepey, Raphael; Coughlin, R. Richard; Gosselin, Richard A.

doi:10.1007/s00268-012-1726-6

Cited by 14 publications

(12 citation statements)

References 57 publications

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“…If blood levels were tested this figure may be higher. This figure indicates that very strict legislations are needed to prevent the alcohol use during driving (10,11). 18% of the accidents are related to animal crossing the road in our study.…”

Section: Open Accessmentioning

confidence: 65%

Analysis of patients admitted with history of road traffic accidents to surgical unit B Teaching Hospital Anuradhapura, Sri Lanka

Weerawardena¹,

Illanagasingha²,

Piyadasa³

et al. 2013

Anuradhapura Med. J.

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Background Road Traffic Accidents (RTA) is a leading cause of morbidity, mortalityand disability in Sri Lanka. Identification of factors associated with RTA in local settings is essential in redusing the burden of this conditionMethods We analyzed consecutive patients admitted with RTA toSurgical Unit-B,Teaching Hospital Anuradhapura from 01/10/ 2012 to 31/03/2013. Epidemiology, injury pattern, vehicle type, cause for accident and contributory factors were noted.Results Altogether, 214 consecutive patients with an age range of 01- 75 years were studied. Males accounted for 77.6%(n=166) of the study sample.. Vehicle type involved with the injury included, motorcycle 138(65%), bicycles 23(11%), three wheelers 23(11%), tractors 11(5%), buses 5(2%), lorries 6(3%), cars 2(1%) and other3(1%). There were 135(64%) drivers /riders, 59(28%) passengers and 17(08%)pedestrians.Causes for accidents included wrong driving/riding 54(25%), other vehicle collided 46(22%), animal crossing road 39(18%), mechanical failure 14(7%), poor road 18(9%), glare 4(2%), man crossing road 8(4%), garment trapping the wheel 5(2%), rain 6(3%). Contributory factors included alcohol use in 32%, no helmet 39% of riders, no driving license for 47% in recorded cases. There were 33 fractures, 2 intracranial hemorrhages.Conclusion Majority of RTA involved motor bicycles. Lack of driving license for 47% of rider/drivers itself explain wrong driving/ridding to be the main cause for accidents. Alcohol is a major contributory factor for RTA in this population

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Section: Open Accessmentioning

confidence: 65%

Analysis of patients admitted with history of road traffic accidents to surgical unit B Teaching Hospital Anuradhapura, Sri Lanka

Weerawardena¹,

Illanagasingha²,

Piyadasa³

et al. 2013

Anuradhapura Med. J.

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“…Furthermore, our study covered a 26-month time period and included patients who arrived throughout the day. In comparison, other trauma registries conducted in LMICs often limited enrolment to brief periods of time [17] , [19] , [23] or did not provide a clear methodological outline of their enrolment process [24] . While prospective studies are generally viewed as superior to retrospective studies, prospective data collection in LMICs typically involves the hiring of a research assistant who may only be available for certain hours of the day, thereby missing patients who arrive on weekends or overnight, or requires clinical staff to complete additional forms.…”

Section: Discussionmentioning

confidence: 99%

Development of a trauma and emergency database in Kigali, Rwanda

Kearney

Kabeja

George

et al. 2016

African Journal of Emergency Medicine

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IntroductionInjuries account for 10% of the global burden of disease, resulting in approximately 5.8 million deaths annually. Trauma registries are an important tool in the development of a trauma system; however, limited resources in low- and middle-income countries (LMIC) make the development of high-quality trauma registries challenging. We describe the development of a LMIC trauma registry based on a robust retrospective chart review, which included data derived from prehospital, emergency centre and inpatient records.MethodsThis paper outlines our methods for identifying and locating patients and their medical records using pragmatic and locally appropriate record linkage techniques. A prehospital database was queried to identify patients transported to University Teaching Hospital – Kigali, Rwanda from December 2012 through February 2015. Demographic information was recorded and used to create a five-factor identification index, which was then used to search OpenClinic GA, an online open source hospital information system. The medical record number and archive number obtained from OpenClinic GA were then used to locate the physical medical record for data extraction.ResultsA total of 1668 trauma patients were transported during the study period. 66.7% were successfully linked to their medical record numbers and archive codes. 94% of these patients were successfully linked to their medical record numbers and archive codes were linked by four or five of the five pre-set identifiers. 945 charts were successfully located and extracted for inclusion in the trauma registry. Record linkage and chart extraction took approximately 1256 h.ConclusionThe process of record linkage and chart extraction was a resource-intensive process; however, our unique methodology resulted in a high linkage rate. This study suggests that it is feasible to create a retrospective trauma registry in LMICs using pragmatic and locally appropriate record linkage techniques.

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“…However, for data fields related to treatment and discharge, collection rates dropped substantially (<50%); data fields related to outcome were not collected at all despite being present on the form. 37 In another study that examined the descriptive statistics of patient data collected by the Ugandan Trauma Registry, the percentage of missing data was consistently higher for all diagnostic and outcome-related fields compared with demographic or injury event-related fields. 36 In one extreme instance for this trauma registry, the field "surgical procedure performed" was recorded less than 32% of the time.…”

Section: Challengesmentioning

confidence: 97%

Maximizing the potential of trauma registries in low-income and middle-income countries

Rosenkrantz

Schuurman

Arenas

et al. 2020

Trauma Surg Acute Care Open

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Injury is a major global health issue, resulting in millions of deaths every year. For decades, trauma registries have been used in wealthier countries for injury surveillance and clinical governance, but their adoption has lagged in low-income and middle-income countries (LMICs). Paradoxically, LMICs face a disproportionately high burden of injury with few resources available to address this pandemic. Despite these resource constraints, several hospitals and regions in LMICs have managed to develop trauma registries to collect information related to the injury event, process of care, and outcome of the injured patient. While the implementation of these trauma registries is a positive step forward in addressing the injury burden in LMICs, numerous challenges still stand in the way of maximizing the potential of trauma registries to inform injury prevention, mitigation, and improve quality of trauma care. This paper outlines several of these challenges and identifies potential solutions that can be adopted to improve the functionality of trauma registries in resource-poor contexts. Increased recognition and support for trauma registry development and improvement in LMICs is critical to reducing the burden of injury in these settings.

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The Implementation of a Pilot Femur Fracture Registry at Komfo Anokye Teaching Hospital: An Analysis of Data Quality and Barriers to Collaborative Capacity‐Building

Abstract: Data and data quality analyses highlighted characteristics of femur fracture patients presenting to KATH as well as the technological, administrative support, and hospital systems-based challenges of longitudinal data collection in LMICs.

Cited by 14 publications

References 57 publications

Analysis of patients admitted with history of road traffic accidents to surgical unit B Teaching Hospital Anuradhapura, Sri Lanka

Analysis of patients admitted with history of road traffic accidents to surgical unit B Teaching Hospital Anuradhapura, Sri Lanka

Development of a trauma and emergency database in Kigali, Rwanda

Maximizing the potential of trauma registries in low-income and middle-income countries

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