ITSDP/PTS TRAUMA REGISTRYDeveloping countries are faced with challenges and pressures of health care inequities and scarcity of resources. There is an urgent need to provide both essential and cost effective trauma care. However, a major impediment to trauma system development and provision of essential trauma care in these regions is inadequate or nonexistent data.
The International Trauma System Development Program in collaboration with the Panamerican Trauma Society has created an accessible, web based trauma registry (TR) in order to improve data collection and data management, for the generation of statistics that will identify the quantity, type and mechanisms of trauma injuries, as well as evaluation of internal and external resources needed for proper trauma patient management.
The objective is the provision of an integral injury surveillance system for specific evaluation and the follow up of the impact of current projects aimed at the development of a regional trauma system, specifically:
The process involves various elements including:
PILOT PHASE: Santa Cruz, Bolivia
photo credit: Bolivian Trauma Registry
Santa Cruz de la Sierra, Bolivia is the most populous city in the country, and was selected as the initial site for the trauma registry program due to strong local stakeholder engagement. The pilot phase of the ITSDP/PTS Trauma Registry began in January 2015 at one facility based on the Panamerican Trauma Society Essential Elements registry model. The selected hospital, Clínica Foianini, is a private, 50-bed, third-level facility located in the city center. Education and training sessions were held over two days with emergency room staff, who were selected to prospectively collect registry data using a two-page, paper form that reflected the variables within the electronic registry.
In October 2015, four additional facilities joined Clínica Foianini in the Bolivian Trauma Registry program, together constituting the institutions that treat the majority of trauma patients in the city. These include: