Trauma registry implementation and operation in low and middle income countries: A scoping review

Glob Public Health. 2019 Dec;14(12):1884-1897. doi: 10.1080/17441692.2019.1622761. Epub 2019 Jun 23.

Abstract

Injury is a major public health crisis contributing to more than 4.48 million deaths annually. Trauma registries have proven highly effective in reducing injury morbidity and mortality rates in high income countries. They are a critical source of information for injury prevention, benchmarking care, quality improvement, and resource allocation. Historically, low and middle income countries (LMICs) have largely been excluded from trauma registry development due to limited resources. Recently, this has begun to change with low-resource hospitals adopting innovative strategies to implement trauma registries. Nonetheless, dissemination of these strategies remains fragmented. Hospitals looking to develop their own trauma registries have no current, comprehensive resource that summarises the implementation decisions of other registries in similar contexts. This scoping review aims to identify where trauma registries are located in LMICs, bringing up to date previous estimates, and to identify the most common approaches to registry implementation and operation in these settings.

Keywords: Trauma registry; injury surveillance; low and middle income country.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Accident Prevention
  • Benchmarking
  • Developing Countries*
  • Humans
  • Quality Improvement
  • Registries / standards*
  • Resource Allocation
  • Traumatology / statistics & numerical data*
  • Wounds and Injuries / epidemiology*