Báo cáo y học: "Steppingstones to the implementation of an inhospital fracture and dislocation registry using the AO/OTA classification: compliance, completeness and commitment"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Steppingstones to the implementation of an inhospital fracture and dislocation registry using the AO/OTA classification: compliance, completeness and commitment | Meling et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 54 http content 18 1 54 SCANDINAVIAN JOURNAL OF 8 emergency medicine ORIGINAL RESEARCH Open Access Steppingstones to the implementation of an inhospital fracture and dislocation registry using the AO OTA classification compliance completeness and commitment Terje Meling1 Knut Harboe1 Astvaldur J Arthursson1 3 Kjetil S0reide2 3 Abstract Background Musculoskeletal trauma represents a considerable global health burden however reliable populationbased incidence data are scarce. A fracture and dislocation registry was established within a well-defined population. An audit of the establishment process feasibility of the registry work and report of the collected data is given. Methods Demographic data fracture type and location mode of treatment and the reasons for the secondary procedures were collected and scored using recognized systems such as the AO OTA classification and the Gustilo-Anderson classification for open fractures. The reporting was done in the operation planning program by the involved orthopaedic surgeon. Both inpatient and day-case procedures were collected. Data were collected prospectively from 2006 until 2010. Compliance among the surgeons and completeness and accuracy of the data was continuously assured by an orthopaedic surgeon. Results During the study period 39 orthopaedic surgeons were involved in the recording of a total of 8 188 procedures consisting of primary treatment of 4 986 long bone fractures 467 non long bone fractures 123 dislocations and 2 612 secondary treatments. In the study period 532 fractures or dislocations were treated at least once for one or more serious complications. For the index year of 2009 a total of 5710 fractures or dislocations were treated in the emergency department or hospitalized of which the 1594 28 were treated at the inpatient or day-case operation rooms thus registered in the FDR. Quality assurance .

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