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Maximizing the potential of trauma registries in low-income and middle-income countries
  1. Leah Rosenkrantz1,
  2. Nadine Schuurman1,
  3. Claudia Arenas2,3,
  4. Andrew Nicol4,5,
  5. Morad S. Hameed3,6
  1. 1Department of Geography, Simon Fraser University, Burnaby, British Columbia, Canada
  2. 2Division of Trauma Surgery, Hospital Sotero del Rio, Santiago, Chile
  3. 3Division of General Surgery, Vancouver General Hospital, Vancouver, British Columbia, Canada
  4. 4Department of Surgery, University of Cape Town, Observatory, Western Cape, South Africa
  5. 5Trauma Centre, Groote Schuur Hospital, Observatory, Western Cape, South Africa
  6. 6Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
  1. Correspondence to Leah Rosenkrantz, Geography, Simon Fraser University, Burnaby, BC V5A 1S6, Canada; lrosenkr{at}sfu.ca

Abstract

Injury is a major global health issue, resulting in millions of deaths every year. For decades, trauma registries have been used in wealthier countries for injury surveillance and clinical governance, but their adoption has lagged in low-income and middle-income countries (LMICs). Paradoxically, LMICs face a disproportionately high burden of injury with few resources available to address this pandemic. Despite these resource constraints, several hospitals and regions in LMICs have managed to develop trauma registries to collect information related to the injury event, process of care, and outcome of the injured patient. While the implementation of these trauma registries is a positive step forward in addressing the injury burden in LMICs, numerous challenges still stand in the way of maximizing the potential of trauma registries to inform injury prevention, mitigation, and improve quality of trauma care. This paper outlines several of these challenges and identifies potential solutions that can be adopted to improve the functionality of trauma registries in resource-poor contexts. Increased recognition and support for trauma registry development and improvement in LMICs is critical to reducing the burden of injury in these settings.

  • accident prevention
  • electronic health records
  • public health
  • quality improvement
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This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors LR, NS, and MH conceived of this manuscript; LR wrote the manuscript; NS, CA, AN, and MH critically revised the paper and provided valuable feedback. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Map disclaimer The depiction of boundaries on this map does not imply the expression of any opinion whatsoever on the part of BMJ (or any member of its group) concerning the legal status of any country, territory, jurisdiction or area, or of its authorities. This map is provided without any warranty of any kind, either express or implied.

  • Competing interests MH is a founder at T6 Health Systems, a company that specializes in electronic health record software.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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