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This paper discusses the absence of a routine reporting system for non-fatal injuries in South Africa and presents a rapid assessment method to estimate the trauma caseload. The results provide national and provincial estimates of injury types and highlight the need for validation and further data collection.
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Estimating the South African trauma caseload: implications for rapid surveillance of non-fatal injuries Based on a paper by Richard Matzopoulos, Megan Prinsloo, Alex Butchart, Margie Peden and Carl Lombard Matzopoulos RG, Prinsloo M, Butchart A, Peden M, Lombard CJ. Estimating the South African trauma caseload. International Journal of Injury Control and Safety Promotion 2006; 13: 1 49-51.
Absence of routine reporting system for non-fatal injuries Rapid assessment to describe trauma caseload Background
356 state secondary and tertiary state hospitals identified questionnaires sent to medical superintendents requesting the following information: Does your facility treat trauma patients? How many trauma cases are seen annually? What proportion of these cases are due to violence, road traffic collisions, other unintentional injuries? Are routine statistics collected on trauma cases? Weighted analysis with finite population-correcting factor for caseload estimates Data for non-responding facilities extrapolated by using average provincial caseload Methods
The survey produced the following results National and provincial trauma caseloads estimates Distribution of injury type by province Results
Many caseloads rounded to the nearest 1000 resulting in a reporting error not reflected in results The data need to be validated against actual caseloads Need to select a sample of facilities and count actual caseloads for different injury subtypes Limitations
Key benefits • Quick and cost-effective • Can be repeated intermittently for trends (e.g. every 4 or 5 years) • Additional info on distribution of injuries: main types; injuries to women, children, etc