Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries
Background Injury is a major global health problem, causing >5 800 000 deaths annually and widespread disability largely attributable to neurotrauma. 89% of trauma deaths occur in low- and middle-income countries (LMICs), however data on neurotrauma epidemiology in LMICs is lacking. In order to...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-11-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4174_45f2be9abc6de4841c8912ad0e028e24.pdf |
| _version_ | 1811158750596169728 |
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| author | Ernest J. Barthélemy Anna E. C. Hackenberg Jacob Lepard Joanna Ashby Rebecca B. Baron Ella Cohen Jacquelyn Corley Kee B. Park |
| author_facet | Ernest J. Barthélemy Anna E. C. Hackenberg Jacob Lepard Joanna Ashby Rebecca B. Baron Ella Cohen Jacquelyn Corley Kee B. Park |
| author_sort | Ernest J. Barthélemy |
| collection | DOAJ |
| description | Background Injury is a major global health problem, causing >5 800 000 deaths annually and widespread disability largely attributable to neurotrauma. 89% of trauma deaths occur in low- and middle-income countries (LMICs), however data on neurotrauma epidemiology in LMICs is lacking. In order to support neurotrauma surveillance efforts, we present a review and analysis of data dictionaries from national registries in LMICs.Methods We performed a scoping review to identify existing national trauma registries for all LMICs. Inclusion/exclusion criteria included articles published since 1991 describing national registry neurotrauma data capture methods in LMICs. Data sources included PubMed and Google Scholar using the terms “trauma/neurotrauma registry” and country name. Resulting registries were analyzed for neurotrauma-specific data dictionaries. These findings were augmented by data from direct contact of neurotrauma organizations, health ministries, and key informants from a convenience sample. These data were then compared to the World Health Organization (WHO) minimum dataset for injury (MDI) from the international registry for trauma and emergency care (IRTEC).Results We identified 15 LMICs with 16 total national trauma registries tracking neurotrauma-specific data elements. Among these, Cameroon had the highest concordance with the MDI, followed by Colombia, Iran, Myanmar and Thailand. The MDI elements least often found in the data dictionaries included helmet use, and alcohol level. Data dictionaries differed significantly among LMICs. Common elements included Glasgow Coma Score, mechanism of injury, anatomical site of injury and injury severity scores. Limitations included low response rate in direct contact methods.Conclusion Significant heterogeneity was observed between the neurotrauma data dictionaries, as well as a spectrum of concordance or discordance with the MDI. Findings offer a contextually relevant menu of possible neurotrauma data elements that LMICs can consider tracking nationally to enhance neurotrauma surveillance and care systems. Standardization of nationwide neurotrauma data collection can facilitate international comparisons and bidirectional learning among healthcare governments. |
| first_indexed | 2024-04-10T05:29:29Z |
| format | Article |
| id | doaj.art-c47be9f3f9874c9aad04f21dab208a20 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:29Z |
| publishDate | 2022-11-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-c47be9f3f9874c9aad04f21dab208a202023-03-07T09:11:54ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-11-0111112373238010.34172/ijhpm.2021.1674174Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data DictionariesErnest J. Barthélemy0Anna E. C. Hackenberg1Jacob Lepard2Joanna Ashby3Rebecca B. Baron4Ella Cohen5Jacquelyn Corley6Kee B. Park7Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USADepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USADepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USAProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USABackground Injury is a major global health problem, causing >5 800 000 deaths annually and widespread disability largely attributable to neurotrauma. 89% of trauma deaths occur in low- and middle-income countries (LMICs), however data on neurotrauma epidemiology in LMICs is lacking. In order to support neurotrauma surveillance efforts, we present a review and analysis of data dictionaries from national registries in LMICs.Methods We performed a scoping review to identify existing national trauma registries for all LMICs. Inclusion/exclusion criteria included articles published since 1991 describing national registry neurotrauma data capture methods in LMICs. Data sources included PubMed and Google Scholar using the terms “trauma/neurotrauma registry” and country name. Resulting registries were analyzed for neurotrauma-specific data dictionaries. These findings were augmented by data from direct contact of neurotrauma organizations, health ministries, and key informants from a convenience sample. These data were then compared to the World Health Organization (WHO) minimum dataset for injury (MDI) from the international registry for trauma and emergency care (IRTEC).Results We identified 15 LMICs with 16 total national trauma registries tracking neurotrauma-specific data elements. Among these, Cameroon had the highest concordance with the MDI, followed by Colombia, Iran, Myanmar and Thailand. The MDI elements least often found in the data dictionaries included helmet use, and alcohol level. Data dictionaries differed significantly among LMICs. Common elements included Glasgow Coma Score, mechanism of injury, anatomical site of injury and injury severity scores. Limitations included low response rate in direct contact methods.Conclusion Significant heterogeneity was observed between the neurotrauma data dictionaries, as well as a spectrum of concordance or discordance with the MDI. Findings offer a contextually relevant menu of possible neurotrauma data elements that LMICs can consider tracking nationally to enhance neurotrauma surveillance and care systems. Standardization of nationwide neurotrauma data collection can facilitate international comparisons and bidirectional learning among healthcare governments.https://www.ijhpm.com/article_4174_45f2be9abc6de4841c8912ad0e028e24.pdfglobal neurosurgerytraumatic brain injurysurveillanceneurotraumatrauma registryhealth systems |
| spellingShingle | Ernest J. Barthélemy Anna E. C. Hackenberg Jacob Lepard Joanna Ashby Rebecca B. Baron Ella Cohen Jacquelyn Corley Kee B. Park Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries International Journal of Health Policy and Management global neurosurgery traumatic brain injury surveillance neurotrauma trauma registry health systems |
| title | Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries |
| title_full | Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries |
| title_fullStr | Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries |
| title_full_unstemmed | Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries |
| title_short | Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries |
| title_sort | neurotrauma surveillance in national registries of low and middle income countries a scoping review and comparative analysis of data dictionaries |
| topic | global neurosurgery traumatic brain injury surveillance neurotrauma trauma registry health systems |
| url | https://www.ijhpm.com/article_4174_45f2be9abc6de4841c8912ad0e028e24.pdf |
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