Abstract
Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database. Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients. The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS) could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7%) and the importance of aggression as a cause of injuries in our environment (47.5%), surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%. Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.
Highlights
Trauma is an endemic disease of modern society and is currently the leading cause of death in the population under the 45 years of age[1]
Trauma registries (TRs) are databases containing specific information about patients suffering from trauma and allow the monitoring of all processes involved with the care of these patients 3,4
In developed countries, TRs are an integral part of integrated care systems for trauma victims and are an essential tool in controlling the quality of care provided to these patients[1,5]
Summary
Trauma is an endemic disease of modern society and is currently the leading cause of death in the population under the 45 years of age[1]. Apart from causing many deaths, trauma is responsible for a large number of sequelae, many of these definitive, and is a major cause of morbidity, causing about one million hospitalizations in the year 2012 in Brazil[2]. In Minas Gerais, the João XXIII Hospital is the main reference for the care of trauma patients, with 375 beds, around 350 daily visits and 1,000 admissions per month. This public hospital is run exclusively by the Brazilian
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