Objective: To describe the experience and utility of trauma registry implementation during two years at a high complexity hospital in southwestern Colombia.
Study Design: We conducted a 2 years cross-sectional study from a population register of patients with external and/or traumatic injuries who were admitted to the Hospital universitario del Valle, Cali, Colombia. We collected demographic variables, trauma mechanisms, trauma severity (ISS) and mortality.
Results: 16,579 patients were recorded. 71.8% were men with an average age of 29 (} 20) years and most of them were between 18 to 35 years of age (37.8%). 20.7% of the injuries were secondary to violent incidents, which occurred mainly in streets and avenues of the city (50.2%). The fallen as trauma mechanism represent 33.2% of patients, followed by traffic injuries by 22.3%, gunshot injuries 11.9% and stab injuries 10%. 29.4% of patients had multiple trauma, 26.7% lower limb trauma and 22% head trauma. Most of patients with an ISS . 15 were between 18 to 35 years of age (7.5%). Most patients (25%) who suffered gunshot injuries had an ISS .15 and mortality of these patients was 77.9%.
Conclusion: A significant percentage of the population between 18 to 35 years old had some type of trauma, therefore it is imperative the implementation and monitoring of public policies aimed to prevent violence and reduce risk behavior in this population. The trauma registry has proven to be useful and effective for the institution and for those people coming from the southwestern Colombia, allowing the development of new processes of care and clinical research based on real data to improve the quality of service and installed capacity of trauma.
Keywords: Data Systems, Emergency care Information system registries, Trauma, Trauma severity indices (MeSH terms), Wounds and Injuries.