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National Trauma Database (NTrD)--improving trauma care: first year report.
F J Sabariah1, N Ramesh, A W Mahathar
1Emergency Department, Sungai Buloh Hospital, 47000 Sungai Buloh, Selangor, Malaysia.
The Medical Journal of Malaysia
|February 21, 2009
Summary
Malaysia's National Trauma Database (NTrD) launched in 2006, revealing major trauma primarily affects motorcyclists via blunt injury. Lower blood pressure and severe head injury correlate with higher mortality, highlighting critical areas for trauma care improvement.
Area of Science:
- Trauma Care
- Public Health
- Emergency Medicine
Background:
- The establishment of the Malaysian National Trauma Database (NTrD) in May 2006 marked a significant step in understanding major trauma.
- The initial phase involved five tertiary referral centers to collect fundamental data on major trauma cases.
Purpose of the Study:
- To determine fundamental data on major trauma in Malaysia.
- To evaluate the effectiveness of major trauma management protocols.
- To develop guidelines for enhancing trauma care across the nation.
Main Methods:
- A prospective study was conducted from May 2006 to April 2007.
- Standardized and validated questionnaires were used for data collection.
- 123,916 trauma patients were registered across participating hospitals.
Main Results:
- 0.75% (933 patients) were classified as major trauma.
- Blunt injury (83.9%) and road traffic accidents (RTA, 72.6%) were predominant causes, with motorcyclists highly represented (64.9%).
- Severe head injury (Glasgow Coma Scale [GCS] 3-8) affected 42.8%, and low systolic blood pressure (<90 mmHg) was associated with a 54.6% mortality rate.
Conclusions:
- The NTrD's first report successfully provided essential data on major trauma in Malaysia.
- Significant correlations were found between injury severity scores, head injury severity (GCS), and patient outcomes (mortality/survival).
- Further expansion of the NTrD is recommended for a more comprehensive national trauma database.
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