TY - JOUR PY - 2020// TI - Developing a trauma registry in a middle-income country - Botswana JO - African journal of emergency medicine A1 - Motsumi, Mpapho Joseph A1 - Mashalla, Yohana A1 - Sebego, Miriam A1 - Ho-Foster, Ari A1 - Motshome, Paul A1 - Mokokwe, Lebogang A1 - Mmalane, Mompati A1 - Montshiwa, Thapelo SP - S29 EP - S37 VL - 10 IS - Suppl 1 N2 - BACKGROUND: Botswana has a large burden of disease from injury, but no trauma registry. This study sought to design and pilot test a trauma registry at two hospitals. Methods: A cross sectional study was piloted at a tertiary hospital and a secondary level hospital in Botswana. The study consisted of two stages: stage 1 - stakeholders' consultation and trauma registry prototype was designed. Stage 2 consisted of two phases: Phase I involved retrospective collection of existing data from existing data collection tools and Phase II collected data prospectively using the proposed trauma registry prototype. Results: The pre-hospital road traffic accident data are collected using hard copy forms and some of these data were transferred to a stand-alone electronic registry. The hospital phase of road traffic accident data all goes into hard copy files then stored in institutional registry departments. The post-hospital data were also partially stored as hard copies and some data are stored in a stand-alone electronic registry. The demographics, pre-hospital, triage, diagnosis, management and disposition had a high percent variable completion rate with no significant difference between phases I and II. However, the primary survey variables in Phase I had a low percent variable completion rate which was significantly different from the high completion rates in phase II at both hospitals. A similar picture was observed for the secondary survey at both hospitals. Conclusion: Electronic trauma registries are feasible and data completion rate is high when using the electronic data registry as opposed to data collected using the existing paper-based data collection tools.
Language: en
LA - en SN - 2211-419X UR - http://dx.doi.org/10.1016/j.afjem.2020.06.011 ID - ref1 ER -