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Inception of an Australian spine trauma registry: the minimum dataset
J W Tee1, C H P Chan2, R L Gruen3
1Department of Neurosurgery, The Alfred, Melbourne, Victoria, Australia ; Department of Trauma, The Alfred, Melbourne, Victoria, Australia ; Department of Surgery, Monash University, Melbourne, Victoria, Australia.
Global Spine Journal
|December 20, 2013
Summary
A pilot spine trauma registry collected minimum dataset information efficiently. This registry, collecting spine column and spinal cord data, is feasible for improving clinical decisions in trauma care.
Area of Science:
- Orthopedics
- Neurosurgery
- Trauma Surgery
Background:
- Establishing a spine trauma registry is crucial for enhancing clinical decision-making.
- Collecting comprehensive spine column and spinal cord data forms the basis for evidence-based practice.
Purpose of the Study:
- To report on the pilot phase of a spine trauma registry.
- To develop and assess the feasibility of a minimum dataset for spine trauma.
Main Methods:
- A 56-item minimum dataset was developed using the modified Delphi technique.
- A pilot study involved 104 consecutive spine trauma patients.
- Data collection and analysis methodology were evaluated for practicality.
Main Results:
- Minimum dataset collection was efficient (average 5 minutes/patient).
- Key findings include a peak injury age group (40-60 years), high premorbid functional independence, and frequent use of antiplatelet/anticoagulation medications.
- The thoracolumbar spine was the most common injury site, with most patients neurologically intact (89%) and satisfactory 6-month outcomes.
Conclusions:
- The developed minimum dataset is practical, feasible, and achieves high completion rates.
- This pilot study successfully lays the groundwork for a comprehensive spine trauma registry at a Level 1 trauma center.
