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Citation
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Beuran M, Stoica B, Negoi I, Tănase I, Gaspar B, Turculeţ C, Păun S. Chirurgia (Bucur) 2014; 109(2): 157-160. |
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Abstract
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INTRODUCTION: Traumas represent the cause of 10 % of deathsin the entire world. The successful development of traumasystems, including the use of trauma registries, played asignificant part in lowering the mortality and the disabilitiesdue to injuries resulted from trauma.
METHOD: Review of the literature using computerized databaseof National Library of Medicine and the InternationalInstitutes of Health MEDLINE using PubMed interface. Therewere selected the articles that address the issue of traumaregistry from the different world trauma systems.
RESULTS: Trauma registries have developed once they wereintroduced in centers and trauma systems in the UnitedStates of America in 1970. First trauma database processedon computers was created in 1969 in Cook County Hospitalin Chicago. This database became the prototype of traumaregistry in Illinois which started gathering information from 50 designated hospitals across the entire state in 1971. Countries with limited resources were able to start usefultrauma registers. Continuous financing and dedicatedpersonnel inside the team are two essential factors in thesuccess of a trauma registry. NISS (New Injury SeverityScore) higher than 15 is a widely used inclusion criteria inthe trauma register. Exclusion is represented by patientsadmitted at over 24 hours after the accident, those declareddead before hospital arrival or with no signs of life on arrivalin hospital. In addition, it is recommended that asphyxia,drowning and burns to be excluded.
CONCLUSION: The improvements regarding the treatment ofmulti-traumatized people in developing countries depend onestablishing and performance of trauma systems, where traumaregistry represents a part of these systems infrastructure.
Language: en |