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Limitations of secondary data sets for road traffic injury epidemiology:.

机译:道路交通伤害流行病学二手数据集的局限性:

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OBJECTIVES: To evaluate the completeness of descriptive information and accuracy of ambulance data when compared with two other secondary sources of data, namely, medical examiners' reports and medical records, in the city of Karachi, Pakistan. METHODS: A retrospective chart review was carried out of all road traffic injury (RTI) victims transported by an ambulance service in Karachi from January 1 to December 31, 2003. Information on the name, age, and gender of the victim, date, time, and place of injury, and type of injury and its outcome was obtained, and then compared with medical examiners' data and inpatient medical records. The variables missing in the ambulance service database were identified. RESULTS: The ambulance service transported 1,245 RTI patients during 2003, 81% of whom were taken to one of three trauma centers. Twenty percent died before reaching hospital. There were missing variables in 340 (27%) cases, the majority of which were the unique identifiers such as name and age (67%). Data on other variables were reported in 95% or more cases. None of the medical examiners' reports or inpatient medical records contained a description of event of injury. The agreement rate for the variables available in the three data sets ranged from 61% to 100%. CONCLUSION: Secondary data on injuries, such as ambulance reports, medical examiners' reports, and medical records, have significant limitations. In Karachi, except with regard to unique identifiers, ambulance data seem to provide information just as accurate as that in medical examiners' and inpatient medical records.
机译:目的:与巴基斯坦卡拉奇市的两个其他二级数据来源(即体检医师的报告和病历)进行比较,以评估描述性信息的完整性和救护车数据的准确性。方法:对2003年1月1日至12月31日在卡拉奇由救护车运送的所有道路交通伤害(RTI)受害者进行了回顾性图表审查。有关受害者的姓名,年龄和性别,日期,时间的信息获得受伤地点,受伤类型及其后果,然后将其与医学检查者的数据和住院患者的病历进行比较。确定了救护车服务数据库中缺少的变量。结果:救护车部门在2003年运送了1,245例RTI患者,其中81%被送往三个创伤中心之一。 20%的人在到达医院之前死亡。 340个案例(27%)中缺少变量,其中大多数是唯一标识符,例如姓名和年龄(67%)。在95%或更多的案例中报告了其他变量的数据。体检医师的报告或住院病历均未包含受伤事件的描述。三个数据集中可用变量的一致率在61%到100%之间。结论:有关伤害的辅助数据(例如救护车报告,体检医师报告和病历)具有重大局限性。在卡拉奇,除了唯一标识符外,救护车数据似乎提供的信息与体检医师和住院患者的医疗记录一样准确。

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