WORLD JOURNAL OF PLASTIC SURGERY
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Volume 12, Issue 1 (2023)
WJPS 2023, 12(1): 29-36 |
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Khanghah Y S, Foroutan A, Sherafat A, Fatemi M J, Faradonbeh H B, Akbari H. Implementation of Upper Extremity Trauma Registry: A Pilot Study. WJPS 2023; 12 (1) :29-36
URL: http://wjps.ir/article-1-1021-en.html
URL: http://wjps.ir/article-1-1021-en.html
Yousef Shafaei Khanghah1 
, Ali Foroutan 2, Alireza Sherafat3 , Mohammad Javad Fatemi1 , Hosein Bagheri Faradonbeh1 , Hossein Akbari1
, Ali Foroutan 2, Alireza Sherafat3 , Mohammad Javad Fatemi1 , Hosein Bagheri Faradonbeh1 , Hossein Akbari1
1- Hazrate Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran
2- Hazrate Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran , Aliforoutanplastic@gmail.com
3- School of Medicine, University of Central Lancashire, Preston, United Kingdom
2- Hazrate Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran , Aliforoutanplastic@gmail.com
3- School of Medicine, University of Central Lancashire, Preston, United Kingdom
Abstract: (1053 Views)
Abstract:
Background: Hand traumas are common in young men and their complications can have negative effects on their occupation and economic activities. On the other hand, most of the hand injuries are related to occupation accidents and thus necessitates preventive measures. The goal of a clinical registry is assisting epidemiologic surveys, quality improvement preventions.
Methods: This article explains the first phase of implementing a registry for upper extremity trauma. This phase includes recording of demographic data of patients. A questionnaire was designed. Contents include patients’ characteristics, pattern of injury and past medical history in a minimal data set checklist. This questionnaire was filled in the emergency room by general practitioners. For 2 months the data were collected in paper based manner, then problems and obstacles were evaluated and corrected. During this period a web based software was designed. The registry was then ran for another 4 months using web based software.
Results: From 6.11.2019 to 5.3.2020, 1675 patients were recorded in the registry. Random check of recorded data suggests that accuracy of records was about 95.5%. Most of the missing data was related to associated injuries and job experience. Some mechanisms of injury seems to be related to Iran community and thus warrants special attention for preventive activities.
Conclusion: With a special registry personnel and supervision of plastic surgery faculties, an accurate record of data of upper extremity trauma is possible. The patterns of injury were remarkable and can be used for investigations and policy making for prevention.
Background: Hand traumas are common in young men and their complications can have negative effects on their occupation and economic activities. On the other hand, most of the hand injuries are related to occupation accidents and thus necessitates preventive measures. The goal of a clinical registry is assisting epidemiologic surveys, quality improvement preventions.
Methods: This article explains the first phase of implementing a registry for upper extremity trauma. This phase includes recording of demographic data of patients. A questionnaire was designed. Contents include patients’ characteristics, pattern of injury and past medical history in a minimal data set checklist. This questionnaire was filled in the emergency room by general practitioners. For 2 months the data were collected in paper based manner, then problems and obstacles were evaluated and corrected. During this period a web based software was designed. The registry was then ran for another 4 months using web based software.
Results: From 6.11.2019 to 5.3.2020, 1675 patients were recorded in the registry. Random check of recorded data suggests that accuracy of records was about 95.5%. Most of the missing data was related to associated injuries and job experience. Some mechanisms of injury seems to be related to Iran community and thus warrants special attention for preventive activities.
Conclusion: With a special registry personnel and supervision of plastic surgery faculties, an accurate record of data of upper extremity trauma is possible. The patterns of injury were remarkable and can be used for investigations and policy making for prevention.
References
1. Morriss‐Kay GM, Wilkie AO. Growth of the normal skull vault and its alteration in craniosynostosis: insights from human genetics and experimental studies. J Anat 2005;207(5):637-53. [DOI:10.1111/j.1469-7580.2005.00475.x]
2. Senarath-Yapa K, Chung MT, McArdle A, Wong VW, Quarto N, Longaker MT, et al. Craniosynostosis: molecular pathways and future pharmacologic therapy. Organogenesis 2012;8(4):103-13. [DOI:10.4161/org.23307]
3. Yilmaz E, Mihci E, Nur B, Alper ÖM, Taçoy Ş. Recent Advances in Craniosynostosis. Pediatr Neurol 2019;99:7-15. [DOI:10.1016/j.pediatrneurol.2019.01.018]
4. Delashaw JB, Persing JA, Broaddus WC, Jane JA. Cranial vault growth in craniosynostosis. J Neurosurg 1989;70(2):159-65. [DOI:10.3171/jns.1989.70.2.0159]
5. Johnson D, Wilkie AOM. Craniosynostosis. Eur J Hum Genet 2011;19(4):369-76. [DOI:10.1038/ejhg.2010.235]
6. Lannelongue M. De la craniectomie dans la microcephalie. CR Seances Acad Sci 1890;110:1382.
7. Mehta VA, Bettegowda C, Jallo GI, Ahn ES. The evolution of surgical management for craniosynostosis. Neurosurg Focus 2010;29(6):E5. [DOI:10.3171/2010.9.FOCUS10204]
8. Ghali G, Sinn DP, Tantipasawasin S. Management of nonsyndromic craniosynostosis. Atlas Oral Maxillofac Surg Clin North Am 2002;10(1):1-41. [DOI:10.1016/S1061-3315(01)00003-8]
9. Foster KA, Frim DM, McKinnon M. Recurrence of synostosis following surgical repair of craniosynostosis. Plast Reconstr Surg 2008;121(3):70e-6e. [DOI:10.1097/01.prs.0000299393.36063.de]
10. Ghali S, Knox KR, Boutros S, Thorne CH, McCarthy JG. The incidence of late cephalohematoma following craniofacial surgery. Plast Reconstr Surg 2007;120(4):1004-8. [DOI:10.1097/01.prs.0000277997.56941.e5]
11. Weingart D, Bublitz R, Michilli R, Class D. Peri-osseous intracranial translocation of titanium osteosynthesis plates and screws after fronto-orbital advancement. Mund Kiefer Gesichtschir 2001;5(1):57-60. [DOI:10.1007/PL00010794]
12. Ahmad N, Lyles J, Panchal J. Outcomes and complications based on experience with resorbable plates in pediatric craniosynostosis patients. J Craniofac Surg 2008;19(3):855-60. [DOI:10.1097/SCS.0b013e31816ae358]
13. Losken A, Williams JK, Burstein FD, Cohen SR, Hudgins R, Boydston W, et al. Outcome analysis for correction of single suture craniosynostosis using resorbable fixation. J Craniofac Surg 2001;12(5):451-5. [DOI:10.1097/00001665-200109000-00009]
14. Sanger C, Soto A, Mussa F, Sanzo M, Sardo L, Donati PA, et al. Maximizing results in craniofacial surgery with bioresorbable fixation devices. J Craniofac Surg 2007;18(4):926-30. [DOI:10.1097/scs.0b013e3180a771e9]
15. Ricalde P, Posnick JC. Degradation rate of delta (resorbable) internal fixation: report of 2 cases. J Oral Maxillofac Surg 2004;62(2):250-5. [DOI:10.1016/j.joms.2003.04.016]
16. Thurston TE, Andrades P, Phillips RA, Ray PD, Grant III JH. Safety profile of wire osteosynthesis in craniosynostosis surgery. J Craniofac Surg 2009;20(4):1154-8. [DOI:10.1097/SCS.0b013e3181abb285]
17. Zakhary GM, Montes DM, Woerner JE, Notarianni C, Ghali G. Surgical correction of craniosynostosis. A review of 100 cases. J Craniomaxillofac Surg 2014;42(8):1684-91. [DOI:10.1016/j.jcms.2014.05.014]
18. Duke BJ, Mouchantat RA, Ketch LL, Winston KR. Transcranial migration of microf ixation plates and screws. Pediatr Neurosurg 1996;25(1):31-5. [DOI:10.1159/000121093]
19. Freudlsperger C, Castrillon-Oberndorfer G, Baechli H, Hoffmann J, Mertens C, Engel M. The value of ultrasound-assisted pinned resorbable osteosynthesis for cranial vault remodelling in craniosynostosis. J Craniomaxillofac Surg 2014;42(5):503-7. [DOI:10.1016/j.jcms.2013.07.016]
20. Eckelt U, Nitsche M, Müller A, Pilling E, Pinzer T, Roesner D. Ultrasound aided pin fixation of biodegradable osteosynthetic materials in cranioplasty for infants with craniosynostosis. J Craniomaxillofac Surg 2007;35(4-5):218-21. [DOI:10.1016/j.jcms.2007.04.005]
21. Wood RJ, Petronio JA, Graupman PC, Shell CD, Gear AJ. New resorbable plate and screw system in pediatric craniofacial surgery. J Craniofac Surg 2012;23(3):845-9. [DOI:10.1097/SCS.0b013e31824dbed8]
22. Whitaker LA, Bartlett SP, Schut L, Bruce D. Craniosynostosis: an analysis of the timing, treatment, and complications in 164 consecutive patients. Plast Reconstr Surg 1987;80(2):195-212. [DOI:10.1097/00006534-198708000-00006]
23. McCarthy JG, Glasberg SB, Cutting CB, Epstein FJ, Grayson BH, Ruff G, et al. Twenty-year experience with early surgery for craniosynostosis: I. Isolated craniofacial synostosis--results and unsolved problems. Plast Reconstr Surg 1995;96(2):272-83. [DOI:10.1097/00006534-199508000-00004]
24. Seruya M, Oh AK, Boyajian MJ, Posnick JC, Myseros JS, Yaun AL, et al. Long-term outcomes of primary craniofacial reconstruction for craniosynostosis: a 12-year experience. Plast Reconstr Surg 2011;127(6):2397-406. [DOI:10.1097/PRS.0b013e318213a178]
25. Taylor JA, Paliga JT, Wes AM, Tahiri Y, Goldstein JA, Whitaker LA, et al. A critical evaluation of long-term aesthetic outcomes of fronto-orbital advancement and cranial vault remodeling in nonsyndromic unicoronal craniosynostosis. Plast Reconstr Surg 2015;135(1):220-31. [DOI:10.1097/PRS.0000000000000829]
26. Horn F, Kilipiris E, Pinzon J, Tsolakis I, Kabat M, Petrik M, et al. Absorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis. Neurol Neurochir Pol 2019;53(2):150-5. [DOI:10.5603/PJNNS.a2019.0014]
27. Linz C, Kunz F, Krauß J, Böhm H, Wirth C, Hartmann S, et al. Stable fixation with absorbable sutures in craniofacial surgery. J Craniomaxillofac Surg 2016;44(5):622-5. [DOI:10.1016/j.jcms.2016.02.006]
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