title: Hospital-based injury data from level III institution in Cameroon: retrospective analysis of the present registration system.
abstract: BACKGROUND
  Data on the epidemiology of trauma in Cameroon are scarce. Presently, hospital records are still used as a primary source of injury data. It has been shown that trauma registries could play a key role in providing basic data on trauma. Our goal is to review the present emergency ward records for completeness of data and provide an overview of injuries in the city of Limbe and the surrounding area in the Southwest Region of Cameroon prior to the institution of a formal registration system.
  
  
  METHODS
  A retrospective review of Emergency Ward logs in Limbe Hospital was conducted over one year. Records for all patients over 15 years of age were reviewed for 14 data points considered to be essential to a basic trauma registry. Completeness of records was assessed and a descriptive analysis of patterns and trends of trauma was performed.
  
  
  RESULTS
  Injury-related conditions represent 27% of all registered admissions in the casualty department. Information on age, sex and mechanism of injury was lacking in 22% of cases. Information on vital signs was present in 2% (respiratory rate) to 12% (blood pressure on admission) of records. Patient disposition (admission, transfer, discharge, or death) was available 42% of the time, whilst location of injury was found in 84% of records. Road traffic injury was the most frequently recorded mechanism (36%), with the type of vehicle specified in 54% and the type of collision in only 22% of cases. Intentional injuries were the second most frequent mechanism at 23%.
  
  
  CONCLUSIONS
  The frequency of trauma found in this context argues for further prevention and treatment efforts. The institution of a formal registration system will improve the completeness of data and lead to increased ability to evaluate the severity and subsequent public health implications of injury in this region.
authors.affiliation: Faculty of Health Sciences, University of Buea and Regional Hospital Limbe, Cameroon. alainchichom@yahoo.com
authors.forename: Alain
authors.initials: A
authors.lastname: Chichom Mefire
authors.forename: Georges Alain
authors.initials: GA
authors.lastname: Etoundi Mballa
authors.forename: Marcel
authors.initials: M
authors.lastname: Azabji Kenfack
authors.forename: Catherine
authors.initials: C
authors.lastname: Juillard
authors.forename: Kent
authors.initials: K
authors.lastname: Stevens
mesh_terms: D000293:Adolescent; D000328:Adult; D002163:Cameroon / Q000453:epidemiology; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011159:Population Surveillance; D015397:Program Evaluation; D011996:Records; D012042:Registries; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000517:prevention & control