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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The implementation of a pilot femur fracture registry at Komfo Anokye Teaching Hospital: An analysis of data quality and barriers to collaborative capacity-building
World Journal of Surgery, Volume 37, No. 7, Year 2013
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Description
Background: Trauma registries are essential for injury surveillance and recognition of the burden of musculoskeletal injury in low- and middle-income countries (LMICs). The purpose of this study was to pilot a femur fracture registry at Komfo Anokye Teaching Hospital (KATH) to assess data quality and determine the barriers to research partnering in LMICs. Methods: All patients admitted to KATH with a fracture of the femur, or Arbeitsgemeinschaft für Osteosynthesefragen (AO) class 31, 32, 33, were entered into a locally designed, electronic femur fracture database. Patients' characteristics and data quality were assessed by using descriptive statistics. Orthopedic trauma research barriers and opportunities were identified from key informants at the research site and supporting site. Results: Ninety-six femur fracture patients were enrolled into the registry over a 5-week period. The majority of patients resided in the Ashanti region surrounding the hospital (78 %). Most participants were involved in a road traffic crash (58 %) and physiologically stable with a Cape Triage Score of yellow upon admission (84 %). AO class 32 femur fractures represented the majority of femur fractures (78 %). Median times from injury to admission, admission to surgery, and surgery to discharge were 0, 5, and 10 days, respectively. Data quality analysis showed that data collected at admission had higher rates of completion in the database relative to data collected at various follow-up time points. Conclusions: Data and data quality analyses highlighted characteristics of femur fracture patients presenting to KATH as well as the technological, administrative support, and hospital systems-based challenges of longitudinal data collection in LMICs. © 2012 Société Internationale de Chirurgie.
Authors & Co-Authors
Sonshine, Daniel B.
United States, San Francisco
University of California, San Francisco
United States, San Francisco
Orthopaedic Trauma Institute
United States, San Francisco
Institute for Global Orthopaedics and Traumatology Igot
Shantz, Jesse
United States, San Francisco
University of California, San Francisco
United States, San Francisco
Orthopaedic Trauma Institute
United States, San Francisco
Institute for Global Orthopaedics and Traumatology Igot
Kumah-Ametepey, Raphael A.
United States, San Francisco
Institute for Global Orthopaedics and Traumatology Igot
Ghana, Kumasi
Komfo Anokye Teaching Hospital
Coughlin, Richard C.
United States, San Francisco
Orthopaedic Trauma Institute
United States, San Francisco
Institute for Global Orthopaedics and Traumatology Igot
Gosselin, Richard Andre
United States, San Francisco
Orthopaedic Trauma Institute
United States, San Francisco
Institute for Global Orthopaedics and Traumatology Igot
United States, Berkeley
University of California, Berkeley
Statistics
Citations: 12
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1007/s00268-012-1726-6
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Grounded Theory
Study Approach
Quantitative