1 / 15

INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience

INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience. Roanna Bynoe September 7, 2006. History of Surveillance System . Surveillance System initiated in December 2001 with grant from IDRC Joint initiative of the CAREC, SWRHA and the Rotary Club, San Fernando South

daniel_millan
Télécharger la présentation

INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INJURY SURVEILLANCE IN TRINIDAD - The San Fernando General Hospital Experience Roanna Bynoe September 7, 2006

  2. History of Surveillance System • Surveillance System initiated in December 2001 with grant from IDRC • Joint initiative of the CAREC, SWRHA and the Rotary Club, San Fernando South • Data collection commenced in February 2002 • Collaboration with Mc Laughlin Centre, Ottawa in 2005

  3. ANALYSIS • February 2002- December 2005 • Catchment population: 500, 000 • 23.5% of all A&E Department Visits

  4. Total Injuries by year 2002-2005

  5. Age Group

  6. Intent

  7. Intentional Interpersonal Injuries • Quarrel - predominant context of injury Leading context in the 25 – 44 age category with men twice likely to be at risk than female counterpart. • The predominant object used during a Quarrel was Bodily force and predominant location is home, 2nd leading location is street/highway.

  8. Intentional Interpersonal Injuries • The predominant Victim/Perpetrator Relationship was a friend/ acquaintance and leading age group is 25 – 44 years, 2nd leading age group is 15 – 24 years • Predominant Object Used is bodily force especially with 25 – 44 and 15 – 24 age groups.

  9. Mechanism of Injury 2002-2005

  10. Mechanism of Injury • Falls accounted for 32.5% of the Level IV injuries whilst Other Blunt Force accounted for 26.8% of the Level IV injuries • The predominant mode of transportation is the private car, 2nd leading mode of transport is the pedestrian • The leading type of road user is the passenger, next predominant road user is the driver.

  11. Clinical Outcome

  12. Clinical Outcome • <1% of persons sustaining an unintentional injury died in the A&E Department • 72.1% of persons discharged sustained an intentional interpersonal injury • <20% of persons sustaining a fall were admitted to hospital • 17.9% of traffic injuries admitted to hospital

  13. System Limitations • Injury surveillance system exists only in South West Region • Profile of injuries may differ substantially across different Health Regions • System does not capture injuries presenting at: • Private Facilities • Health Centers • Under-representation of fatal injuries

  14. Next Steps • Develop and implement intervention strategies with key stakeholders • Training and sensitisation of staff • Expansion of the system to other A&E Departments within the SWRHA • National expansion of the system

  15. Acknowledgements • Caribbean Epidemiology Centre • South West Regional Health Authority (data collection and entry, nursing staff, medical staff, hospital administration) • Ministry of Health • Rotary Club, San Fernando South • PAHO (biennial funds) • Health Canada

More Related