Analysing outcomes through orthopaedic trauma registry - A prospective cohort study.
J Pak Med Assoc
; 69(Suppl 1)(1): S7-S11, 2019 02.
Article
em En
| MEDLINE
| ID: mdl-30697010
ABSTRACT
OBJECTIVE:
To develop a registry for recording injury-specific data to identify gaps and improve care.Methods:
The prospective cohort study was conducted at Aga Khan University Hospital, Karachi, from June 2015 to July 2018 though enrollment of patients with limb trauma is continuing to date. Data on injuries and management related to Tibia shaft fractures was collected from medical records, and outcomes were assessed on follow-up visits. Internationally validated injury-specific scores were utilised for assessing functional, clinical and radiological outcomes. SPSS version 19 was used for data analysis.Results:
There were 763 patients with 825 limb injuries. Of the injuries, 310(37.6%) related to upper limbs and 515(62.4%) to the lower limbs. Management was surgical for 741(89.9%) and conservative for 84(10.1%) injuries. Overall, 12(1.57%) patients died, and in 7(0.91%) cases mortality was unrelated to trauma and its management. There were 105 patients with tibia shaft fractures. Of them, 88(83.8%) were males and 17(16.2%) were females. At one-year follow-up excellent-to-good results were 12(92%) for intramedullary nailing followed by 7(78%) for open reduction and internal fixation.Conclusion:
Registry data can be used to develop preventive strategies and to improve management protocols.Palavras-chave
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas da Tíbia
/
Sistema de Registros
/
Extremidades
/
Redução Aberta
/
Fixação Intramedular de Fraturas
Tipo de estudo:
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Pak Med Assoc
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Paquistão