Developing a trauma registry in a forward deployed military hospital: Preliminary report.
BACKGROUND
The 325th Field Surgical Team (FST), a US Army trauma surgical group, was deployed to Afghanistan during Operation Enduring Freedom. Unlike civilian trauma centers, complete trauma registries are lacking from the FST care model.


METHODS
A trauma registry was created using a commercially available relational database. Data entry was done using a handheld personal data organizer (PDA).


RESULTS
In 82 days, 125 trauma patients were evaluated and treated. The mean age was 23 +/- 11.69 and 85 (68%) were local Afghan nationals. Most patients were transported by helicopter (83; 66%); the remaining arrived by ground transportation (42; 34%). The average US military casualty arrival time from injury was 1 hour 38 minutes +/-46. The most common injury was gunshot wounds 47(38%) and the mean Injury Severity Score was 9, with 29 (23%) patients scoring > or =15. Initial mean vitals were systolic blood pressure (SBP); 119 +/- 23.7, heart rate; 103 +/- 7.35, respiratory rate; 20 +/- 7.35, and temperature (degrees C); 36.6 +/- 1.6. The median Glasgow Coma Scale was 15, and presenting mean hematocrit and base deficit were 35 +/- 9.56 and -5.02 +/- 5.03, respectively. Operative procedures were performed in 54 (43.2%) patients, and the mean time to surgery from admission was 80 +/- 11.5 minutes. The most common operative procedure was debridement or completion of amputation of lost limb debridement and completion of amputations (13). The average length of stay was 4.37 +/- 2.88 days. The mortality rate was 8%.


CONCLUSIONS
The collection of comprehensive prospective data using a PDA can be an efficient and effective method in expanding trauma base registries in forward deployed surgical units.
Acosta
José A
JA
325th Field Surgical Team, Combined Joint Task Force, Operation Enduring Freedom, APO, AE 09355, macosta@centennialpr.net.il.
Hatzigeorgiou
Christos
C
Smith
Lance S
LS
D000293:Adolescent; D000328:Adult; D000346:Afghanistan; D002648:Child; D002675:Child, Preschool; D034201:Computers, Handheld; D003625:Data Collection / Q000379:methods*; D003628:Database Management Systems; D005260:Female; D006772:Hospitals, Military; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D010865:Pilot Projects; D012042:Registries; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000150:complications / Q000453:epidemiology* / Q000601:surgery