Experiencia en dos hospitales de tercer nivel de atención del suroccidente de Colombia en la aplicación del Registro Internacional de Trauma de la Sociedad Panamericana de Trauma

Abstract

Objective: Describe the experience of the implementation of a Trauma Registry System (TRS) in two hospitals in Cali, Colombia Methods: The TRS includes prehospital, hospital and discharge status information of the trauma patient. Each hospital has its own electronic data capture (EDC) strategy. A descriptive and exploratory data analysis is presented during a three month pilot phase. Results: A total of 3,293 patients were registered; 1,626 (49.4%) from the public hospital and 1,613 (50.6%) from the private. 67.2% were males; with a mean age of 30.5±20 years, 30.5% were under 18 years old. The overall mortality rate was 3.52 %. The most frequent causes of consult were falls (33.7%); and gunshot wounds (11.6%), mortality in this group was 44.7%. Conclusion: The need for implementation and mechanisms to provide continuity to the TRS was determined. The registry becomes an information source for research development. The causes of consult, morbidity and mortality due to trauma were identified, allowing improved planning of emergency services and the regional trauma system in order to optimize and reduce health care costs. Through this trauma information system the necessary adjustments to redesign trauma and emergency systems in southwestern Colombia will be acknowledged.