Treatment-seeking behavior and obstacles to compliance in diabetic patients of Southern India

Abstract

consistently recorded. The total number of adult and pediatric traumas, road traffic accidents (RTAs) and injuries due to violence were tabulated from each logbook. A time-limited observational trauma registry was created and all trauma patients presenting to three tertiary referral centers during one 8 e 12 hour period were recorded. Findings: Logbooks were obtained from ten healthcare facilities with a median of 100 beds (range 40-300) All logbooks recorded patient name, age, date and hometown. A high degree of variability was observed in the amount of detail recorded for mechanism of injury, presenting symptoms, diagnosis, ER course and disposition. There was a median of 39 (range 20-114) trauma cases in one week. Pediatric trauma represented 4.4 e 42.4% of cases. Of the 8 facilities reporting mechanism, RTAs and violence represented a median of 22.6% (10.0 e 31.6%) and 9.4% (5.0 e 33.3%) of cases, respectively. Thirty-nine trauma patients were recorded in the abbreviated trauma registry. Modes of transportation to the ER included motorcycle (51.3%), car (17.9%), and foot (12.8%) with a median time from injury to presentation of 60 minutes (range 15-1170). Interpretation: ER logbooks in Haiti began the injury surveillance process and could be useful tools with enhanced standardization. Although limited by sample size, an attempt to collect additional information in our registry such as vital signs and injury severity was unsuccessful due to a lack of protocolized trauma care and diagnostic modalities in Haitian ERs. Implementing a trauma registry, or augmenting existing ER logbooks to capture more data, can aid in further characterization of the trauma burden, identification of gaps in care and promotion of prevention strategies. Funding: Funding was provided by Project Medishare for Haiti and the American Society of Tropical Medicine and Hygiene Benjamin Kean Travel Fellowship. Abstract #: 02NCD016