Exploring the long-term disability outcomes in Trauma patients: study protocol.
Publication Type | Academic Article |
Authors | Shaukat N, Merchant A, Sahibjan F, Abbasi A, Jarrar Z, Ahmed T, Atiq H, Khan U, Khan N, Mushtaq S, Rasul S, Hyder A, Razzak J, Haider A |
Journal | Arch Public Health |
Volume | 82 |
Issue | 1 |
Pagination | 189 |
Date Published | 10/23/2024 |
ISSN | 0778-7367 |
Abstract | OBJECTIVES: Trauma registries are essential tools for improving trauma care quality and efficiency, but many fail to capture long-term patient-reported outcome measures (PROMs). Focusing on these outcomes is crucial for understanding the extent of disability patients experience and identifying potential post-discharge interventions to optimize recovery. Studies reflecting the experience from low- and middle-income countries in this area are limited. Therefore, we aim to develop a digital trauma registry in Pakistan to prospectively capture patient-reported outcome measures at one, three, six, and twelve months post-injury. METHODS: We will develop and implement a digital trauma registry at two tertiary care facilities in Karachi, Pakistan: Aga Khan University Hospital and Jinnah Postgraduate Medical Center. The registry will include all admitted adult trauma patients (≥ 18 years). Data collection will be conducted digitally using tablets, with mortality, level of disability, functional status, and quality of life as primary outcomes. Follow-up data will be collected through telephone interviews with patients and caregivers. We will employ descriptive statistics to summarize participant's socio-demographic and clinical characteristics. Additionally, we will perform survival analysis using Kaplan-Meier curves and Cox proportional hazard models and utilize mixed-effects linear regression to adjust for potential confounders for primary outcomes. DISCUSSION: The trauma registry will fill the current gap in knowledge regarding long-term outcomes among trauma patients in low- and middle-income countries (LMICs). This study will delineate future direction for capturing post-discharge data, enhancing our understanding of recovery, and informing the design of interventions aimed at improving long-term outcomes. |
DOI | 10.1186/s13690-024-01385-3 |
PubMed ID | 39444046 |
PubMed Central ID | PMC11515642 |