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International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Improving outcomes with data: Developing an orthopedic trauma registry in Pakistan
Tashfeen Ahmad
and
Zehra Abdul Muhammad
Aga Khan University, Pakistan
Objective: The objective of this study was to establish an
orthopedic trauma registry at Aga Khan University as a model
system of objective, reliable assessment of injuries, recording
of management and analysis of outcomes.
Methods:
Consensus was developed among all orthopedic
surgeons about the need for an orthopedic trauma registry.
Internationally validated injury-specific scoring scales enabling
objective assessment of functional, clinical and radiological
outcomes were selected. The study was approved by the
Departmental Research Committee and Institutional Ethical
Review Committee. After obtaining informed consent from
eligible patients, data was collected from the patient’s medical
records. Injury-specific outcomes were assessed at multiple
time points and reports were generated about injuries, hospital
care provided, and outcome.
Results:
Over a 19-month period, 350 patients were enrolled.
There were 123 patients with upper limb injuries, 200 with
lower limb injuries and27withpoly trauma involvingbothupper
and lower limbs. Road traffic accidents, falls and firearm injuries
accounted for the top three commonest causes of orthopedic
trauma. Outcome assessment was completed in about one
half, a third had stopped following up, while is ongoing in the
remaining patients.
Conclusion:
Robust methods of trauma data capture and
analysis are fundamental requirements for improvement in
management outcomes in patients with orthopedic trauma.
Through the registry data, a system of outcome monitoring
and peer-review to enable early identification of complications
and need for re-intervention can be developed. Registry data
also permits comparison of outcomes with international
benchmarks. We plan to expand the scope of the registry within
the city, and across the country for a uniform, comprehensive
system of data capturing, management and analysis, enabling
evidence-based decisions. Six-monthly and annual reviews
will enable exploration of possible areas for improvement in
the infrastructure and process, thus improving the quality of
orthopedic trauma care, and outcomes.
Speaker Biography
Zehra Abdul Muhammad has completed her Master’s in Medical and Pharmaceutical
Research from Vrije University of Brussels and conducted her basic research in the
field of Molecular Biology. She has been involved with multidisciplinary research areas
and has seven years of experience working in clinical research setting. Currently, she
is working as a Research Associate at Aga Khan University Hospital, Karachi, Pakistan
and is committed to assist in providing highest quality of care to trauma victims and
promote her city a center of excellence for trauma care and trauma research.
e:
zehra.abdul@aku.edu