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Table 1 Variables included in the in-hospital trauma registry questionnaire

From: Exploring the long-term disability outcomes in Trauma patients: study protocol

Categories

Variables

Source of Information

Demographic Information

  
 

Name

Interview

 

Age

Interview

 

Medical registration number

Medical Record

 

Gender

Interview

 

Ethnicity

Interview

 

Contact details

Interview

 

Address

Interview

 

Education

Interview

 

Occupation

Interview

 

Status of employment prior to the injury

Interview

 

Arrived to the facility by

Interview

Past History

  
 

Comorbidities

Interview

 

Disability status prior to the injury

Interview

 

Functional health status prior to the injury

Interview

Injury Details

  
 

Injury date and time

Interview

 

Cause of injury

Interview

 

Nature of Injury

Interview

 

Diagnosis

Medical Record

 

Position of Vehicle

Interview

 

Protective Devices

Interview

 

Abbreviated Injury Scale (AIS)

Medical Record (Classification done by data collector)

 

Injury Severity Score (ISS)

Medical Record (Classification by data collector)

 

Trauma Score and Injury Severity Score (TRISS) score

Medical Record (Classification by data collector)

 

International Classification of Diseases (ICD-10)

Medical Record (Classification by data collector)

Inter-hospital case management

  
 

Name of prior facility

Medical Record

 

Arrival date at facility

Medical Record

 

Arrival by

Interview

 

Name of ambulance service

Interview

 

Treatment if given in ambulance

Interview

 

Referral

Medical Record

 

Workup done at referring facility

Medical Record

 

Treatment list/medication given in prior facility

Medical Record

 

Procedures done in the prior facility

Medical Record

 

Departure date

Medical Record

Data Related to Workup in ED

  
 

Date and Time

Medical Record

 

Initial Assessment

Medical Record

 

Vitals

Medical Record

Tracking of patients as he/she moves from ED to OT/HDU/ICU/wards

  
 

Location tracking

Medical Record/Interview

 

Service tracking

Medical Record/Interview

Procedure Details

  
 

Radiological procedure

Medical Record

 

Surgical procedures

Medical Record

 

Medications

Medical Record

 

Other procedures

Medical Record

 

Blood Transfusions

Medical Record

Outcomes

  
 

Discharge outcome

Interview/Medical Record

 

Date and Time

Interview/Medical Record

 

Duration of stay

Interview/Medical Record

 

Septic complications

Medical Record

 

Disability status at discharge

Interview

 

Functional health status at discharge

Interview