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. 2021 Dec 4:72:103137.
doi: 10.1016/j.amsu.2021.103137. eCollection 2021 Dec.

A pilot trauma registry in Peshawar, Pakistan - A roadmap to decreasing the burden of injury - Quality improvement study

Omaid Tanoli  1   2 , Hamza Ahmad  1 , Haider Khan  3 , Farhad Ali Khattak  4 , Awais Khan  5 , Alexandre Mikhail  2 , Dan Deckelbaum  1 , Tarek Razek  1
Affiliations

A pilot trauma registry in Peshawar, Pakistan - A roadmap to decreasing the burden of injury - Quality improvement study

Omaid Tanoli et al. Ann Med Surg (Lond). .

Abstract

Background/local problem: In Pakistan, trauma is a significant public health issue accounting for the second leading cause of disability and fifth for healthy years of life lost. Well-developed trauma systems, utilizing trauma registries, have been proven to decrease morbidity and mortality from injuries, and helped to reduce the number of injured patients. In Pakistan, most data on injury are acquired through methods that are retrospective, incomplete, and open to recall bias. To that end, a trauma registry was piloted at the Lady Reading Hospital (LRH) in Peshawar, Pakistan to elucidate the importance of trauma registries in designing healthcare targeted quality improvement initiatives.

Intervention: Upon receiving ethics approval, a twenty-five-point registry was piloted at the Lady Reading Hospital.

Methods: The pilot implementation was carried out from May 9th to May 13th, 2018.

Results: A total of 267 patients were included in the pilot registry. Motor vehicle collisions were the most prevalent cause of injury (46%). The other causes of injury included falls (24%), blunt assaults (9%), stabs/cuts (8%), gunshots (6%), crush injuries (3%), burns (2%), and blasts/landmines (2%). Most patients were treated in the trauma bay and required no further acute intervention (51%).

Conclusion: This 5-day pilot trauma registry was the first of its kind in Peshawar, Pakistan, and despite its short course, an immense amount of data was garnered on the epidemiology of injury in the region. Significantly, the data collected can already be used to develop evidence-based changes, which will effectively minimize the impact of trauma.

Keywords: Injury surveillance; Low- and middle-income countries; Trauma; Trauma registry.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Causes of injury.
Fig. 2
Fig. 2
Types of injury vehicle.
Image 1
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