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Missing patients in “Major Trauma Registry” of Navarre: incidence and pattern

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Background

Trauma registries (TR) collect information about trauma patients according to inclusion criteria, and it helps to establish protocols to improve care. However, all TR deal with incompleteness. The aim of this study is to assess the number of patients not included despite fulfilling inclusion criteria in our regional TR and identifying the predictors for being missing.

Methods

The sample was randomly selected. Two months of each year from 2010 to 2014 (5 years) were selected, and medical files of all patients attended in the emergency department room during those months were studied. Patients who were already correctly included in the TR were assigned to the ‘included’ group, and patients who should have been but were not to the ‘missing’ group. The multivariable logistic regression analysis was performed to identify predictors for being missed from the TR.

Results

Of a total of 200, 79 (40 % approximately) were identified as missing. We defined the characteristic profiles of missing patients and found that the hospital RTS and the number of injuries are independent predictors to be missing in our trauma registry, with an adjusted odds ratio of 1844 [95 % (1092–3114) and 0.574 (95 % CI 0.428–0.770)], respectively.

Conclusions

Overall, 40 % of the patients who met the inclusion criteria of the TR were not included in the registry. Our results can be generalized to other trauma records based on Utstein style, because we think probably that this fact is also happening in other databases.

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Acknowledgments

The authors would like to thank the emergency department doctors and data managers from centres that participated in the research. We would also like to thank Silvia Ayerra and Imanol Pinto for their extremely valuable contribution to the implementation of the IT application.

Author information

Authors and Affiliations

  1. Accident and Emergency Department, Complejo Hospitalario of Navarra, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain

    B. A. Ali & T. Belzunegui

  2. Accident and Emergency Department, Hospital of Tudela, Servicio Navarro de Salud-Osasunbidea, Tudela, Spain

    M. Fortún

  3. Department of Health, Public University of Navarre, Navarre, Spain

    T. Belzunegui

  4. Navarrabiomed, Biomedical Research Centre of the Health Service of the Government of Navarre- Miguel Servet Foundation, Pamplona, Spain

    B. Ibañez, K. Cambra & A. Galbete

  5. Calle Monasterio de Urdax, 47, 4º-D, Navarra, 31011, Pamplona, Spain

    B. A. Ali

Authors
  1. B. A. Ali
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  2. M. Fortún
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  3. T. Belzunegui
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  4. B. Ibañez
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  5. K. Cambra
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  6. A. Galbete
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Corresponding author

Correspondence to B. A. Ali.

Ethics declarations

Conflict of interest

Bismil Ali Ali, Mariano Fortun Moral, Tomas Belzunegui Otano, Berta Ibañez Beroiz, Koldo Iñaki Cambra Contin, and Arkaitz Jimenez Galbete declare that they have no conflict of interest.

Permission note (ethics)

The study has been approved by the Ethics Committee of the Department of Health of the government of Navarre. The subjects gave their informed consent to the work. The investigation carried out was approved and evaluated by the National Agency for Quality and Accreditation of Spain, ANECA.

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Ali, B.A., Fortún, M., Belzunegui, T. et al. Missing patients in “Major Trauma Registry” of Navarre: incidence and pattern. Eur J Trauma Emerg Surg 43, 671–683 (2017). https://doi.org/10.1007/s00068-016-0717-y

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  • DOI: https://doi.org/10.1007/s00068-016-0717-y

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