Faculty Collaboration Database

Collaborative Development and Results of a Nigerian Trauma Registry. J Registry Manag 2016;43(1):23-8

Date

05/20/2016

Pubmed ID

27195995

Scopus ID

2-s2.0-84982806415 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

BACKGROUND: More than 90% of injury-related deaths and disabilities occur in low- and middle-income countries. The development of the Nigerian Trauma Registry (NTR) and the first descriptive data analysis of the patient characteristics, mechanisms of injury, injury severity, and treatments are reported.

METHODS: Existing data collection tools were modified to capture a minimum data set of variables reflective of the trauma experience in Nigeria. Data are collected using the secure, Web-based application, REDCap (Research Electronic Data Capture).

RESULTS: Two hospitals entered 564 patients into the registry. Motor vehicle accidents were the most frequently reported trauma (69.2%). Of the 51 fall injuries, 82% were from buildings. There were 229 mass casualties, including bus accidents (41.5%), bombings or blasts (28.8%), multiple vehicle accidents (23.6%), fires (3.1%), and civil conflicts or riots (3.1%). External soft tissue was the most commonly reported injury region followed by extremities, head and neck, face, abdomen, and thorax/spine. Only 18.1% of patients arrived by ambulance. There were 19 recorded in-hospital deaths and 79.0% of these were due to motor vehicle accidents.

CONCLUSIONS: This is the largest report of injury surveillance in this country. These data are essential to inform policy makers about the increasing trauma burden and provide a strong advocacy tool, prevention opportunities, provisions for unmet capacity needs, and better allocation of limited health care resources. The NTR has demonstrated that development and implementation of an electronic trauma registry is feasible in low- and middle-income countries. The NTR evolved through international collaborations that included a partnership with an American epidemiologist and 2 Nigerian hospitals that contributed their individual and institutional capabilities. Local champions are required to drive the initiation and implementation of registries.

Author List

Cassidy LD, Olaomi O, Ertl A, Ameh EA

Author

Laura Cassidy PhD Associate Dean, Professor in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Age Distribution
Cooperative Behavior
Female
Humans
Injury Severity Score
Male
Nigeria
Registries
Wounds and Injuries