Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients.

OBJECTIVE: Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database. METHODS: 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. RESULTS: 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%. CONCLUSION: 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.

Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients / Implantação de um registro de trauma em um hospital público brasileiro: os primeiros 1000 pacientes

OBJECTIVE: Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database. METHODS: 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. RESULTS: 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%. CONCLUSION: 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. .

OBJETIVO: apresentar as etapas da implantação de um Registro de Trauma (RT) em hospital público brasileiro e avaliar os dados iniciais deste banco de dados. MÉTODOS: estudo descritivo da implantação de um RT no Hospital João XXIII - FHEMIG (Fundação Hospitalar do Estado de Minas Gerais) e análise dos resultados iniciais dos primeiros 1000 pacientes. RESULTADOS: o projeto foi iniciado em 2011 e, a partir de janeiro de 2013, iniciamos a coleta de dados para o RT e em janeiro de 2014 completamos o registro dos primeiros 1000 pacientes. As maiores dificuldades na implantação do RT foram obter recursos para o financiamento do projeto e a falta de informações nos prontuários médicos. As variáveis com os menores percentuais de preenchimento foram sobre as condições fisiológicas: pulso, pressão arterial, frequência respiratória e escala de coma de Glasgow. O Revised Trauma Score (RTS) foi calculado em 31% dos casos e a metodologia TRISS aplicada em 30,3% dos pacientes. As principais características epidemiológicas mostraram um predomínio de vítimas jovens do sexo masculino (84,7%) e a importância das agressões como causa de lesões (47,5%), superando os acidentes de trânsito. O tempo médio de permanência foi seis dias e a mortalidade, 13,7%. CONCLUSÃO: os registros de trauma são ferramentas de grande valor para melhorar a assistência às vítimas de trauma. É necessário melhorar a qualidade do registro de dados no prontuário médico. O envolvimento do poder público é fundamental para a implantação e manutenção dos RT nos hospitais brasileiros. .