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Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon
INTRODUCTION: Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of trauma in Cameroon is limited. Regular, prospective injury surveillance can address the shortcomings of existing hospital administrative logs and medical records. This study aims to charac...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516986/ https://www.ncbi.nlm.nih.gov/pubmed/28723915 http://dx.doi.org/10.1371/journal.pone.0180784 |
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author | Chichom-Mefire, Alain Nwanna-Nzewunwa, Obieze C. Siysi, Vincent Verla Feldhaus, Isabelle Dicker, Rochelle Juillard, Catherine |
author_facet | Chichom-Mefire, Alain Nwanna-Nzewunwa, Obieze C. Siysi, Vincent Verla Feldhaus, Isabelle Dicker, Rochelle Juillard, Catherine |
author_sort | Chichom-Mefire, Alain |
collection | PubMed |
description | INTRODUCTION: Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of trauma in Cameroon is limited. Regular, prospective injury surveillance can address the shortcomings of existing hospital administrative logs and medical records. This study aims to characterize trauma as seen at the emergency department (ED) of Limbe Regional Hospital (LRH) and assess the completeness of data obtained by a trauma registry. METHODS AND FINDINGS: From January 2008 to October 2013, we prospectively captured data on injured patients using a strategically designed, context-relevant trauma registry instrument. Indicators around patient demographics, injury characteristics, delays in accessing care, and treatment outcomes were recorded. Descriptive, bivariate, and multivariate statistical analyses were conducted. About 5,617 patients, aged from 0.5-95years (median age of 26 years), visited the LRH ED with an injury; 67% were male. Students (27%) were the most affected occupation category. Road traffic injuries (RTIs) (56%), assault (22%), and domestic injuries (13%) were the leading causes of injury. Two-thirds of RTIs were motorcycle-related. Working in transportation (AOR 4.42, p<0.001) and law enforcement (AOR 1.73, p = 0.004) were significant predictors of having a RTI. The trauma registry showed a significant improvement in completeness of all data (p<0.001) and it improved over time compared with previous administrative records. However, proportions of missing data still ranged from 0.5% to 8.2% and involved respiratory rate or Glasgow Coma scale. CONCLUSIONS: Implementation of a context-appropriate trauma registry in resource-constrained settings is feasible. Providing valuable, high-quality data, the trauma registry can inform trauma care quality improvement efforts and policy development. Study findings indicate the need for injury prevention interventions and policies that will prioritize high-risks groups, such as those aged 20–29 years, and those in occupations requiring frequent road travel. The high incidence of motorcycle-related injuries is concerning and calls for a proactive solution. |
format | Online Article Text |
id | pubmed-5516986 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-55169862017-08-07 Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon Chichom-Mefire, Alain Nwanna-Nzewunwa, Obieze C. Siysi, Vincent Verla Feldhaus, Isabelle Dicker, Rochelle Juillard, Catherine PLoS One Research Article INTRODUCTION: Trauma is a leading cause of morbidity and mortality worldwide. Data characterizing the burden of trauma in Cameroon is limited. Regular, prospective injury surveillance can address the shortcomings of existing hospital administrative logs and medical records. This study aims to characterize trauma as seen at the emergency department (ED) of Limbe Regional Hospital (LRH) and assess the completeness of data obtained by a trauma registry. METHODS AND FINDINGS: From January 2008 to October 2013, we prospectively captured data on injured patients using a strategically designed, context-relevant trauma registry instrument. Indicators around patient demographics, injury characteristics, delays in accessing care, and treatment outcomes were recorded. Descriptive, bivariate, and multivariate statistical analyses were conducted. About 5,617 patients, aged from 0.5-95years (median age of 26 years), visited the LRH ED with an injury; 67% were male. Students (27%) were the most affected occupation category. Road traffic injuries (RTIs) (56%), assault (22%), and domestic injuries (13%) were the leading causes of injury. Two-thirds of RTIs were motorcycle-related. Working in transportation (AOR 4.42, p<0.001) and law enforcement (AOR 1.73, p = 0.004) were significant predictors of having a RTI. The trauma registry showed a significant improvement in completeness of all data (p<0.001) and it improved over time compared with previous administrative records. However, proportions of missing data still ranged from 0.5% to 8.2% and involved respiratory rate or Glasgow Coma scale. CONCLUSIONS: Implementation of a context-appropriate trauma registry in resource-constrained settings is feasible. Providing valuable, high-quality data, the trauma registry can inform trauma care quality improvement efforts and policy development. Study findings indicate the need for injury prevention interventions and policies that will prioritize high-risks groups, such as those aged 20–29 years, and those in occupations requiring frequent road travel. The high incidence of motorcycle-related injuries is concerning and calls for a proactive solution. Public Library of Science 2017-07-19 /pmc/articles/PMC5516986/ /pubmed/28723915 http://dx.doi.org/10.1371/journal.pone.0180784 Text en © 2017 Chichom-Mefire et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Chichom-Mefire, Alain Nwanna-Nzewunwa, Obieze C. Siysi, Vincent Verla Feldhaus, Isabelle Dicker, Rochelle Juillard, Catherine Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon |
title | Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon |
title_full | Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon |
title_fullStr | Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon |
title_full_unstemmed | Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon |
title_short | Key findings from a prospective trauma registry at a regional hospital in Southwest Cameroon |
title_sort | key findings from a prospective trauma registry at a regional hospital in southwest cameroon |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516986/ https://www.ncbi.nlm.nih.gov/pubmed/28723915 http://dx.doi.org/10.1371/journal.pone.0180784 |
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