Carme Clavel -Arcas Alberto Concha-Eastman CDC- PAHO ICE Injury Statistics Meeting Cuernavaca, Mexico June 1-2, 2005 - PowerPoint PPT Presentation

About This Presentation
Title:

Carme Clavel -Arcas Alberto Concha-Eastman CDC- PAHO ICE Injury Statistics Meeting Cuernavaca, Mexico June 1-2, 2005

Description:

in Nicaragua, El Salvador and Colombia. International Workshop. Cali, Colombia 6- 8, 2005 ... El Salvador format for the Injury Surveillance System in ER ... – PowerPoint PPT presentation

Number of Views:92
Avg rating:3.0/5.0
Slides: 26
Provided by: NCI47
Learn more at: https://www.cdc.gov
Category:

less

Transcript and Presenter's Notes

Title: Carme Clavel -Arcas Alberto Concha-Eastman CDC- PAHO ICE Injury Statistics Meeting Cuernavaca, Mexico June 1-2, 2005


1
Carme Clavel -Arcas Alberto Concha-Eastman CDC-
PAHOICE Injury Statistics Meeting Cuernavaca,
Mexico June 1-2, 2005
Implementing a Hospital- based Injury
Surveillance Systems in Nicaragua , El Salvador
and Colombia
2
CALI
Where we are working
3
Countries
  • Nicaragua ( 2000 )
  • 2 in the capital
  • 3 departmental
  • El Salvador ( 2001)
  • 2 in the capital
  • 6 departmental
  • Colombia, Cali ( 2001)
  • 5 in Cali
  • 1 Santander de Quilichao

4
Evaluation of Hospital Injury Surveillance
Systems in Nicaragua, El Salvador and Colombia
International Workshop Cali, Colombia 6- 8, 2005
5
Evaluation Methodology
Based on a standardized template
  • Qualitative component
  • Hospital description
  • Timeline
  • Flowchart
  • Simplicity, acceptability
  • Goals, obstacles, needs
  • Data dissemination , use , timeliness
  • Quantitative component
  • Sensitivity
  • Predictive Value
  • Completeness
  • Quality of data entry
  • Costs

6
Hospital description Injury Surveillance System
Identification of injured person
Patient arrives at ER
Fill out Format
Dissemination of the results
Intervention for Injury Prevention
Statistician Epidemiologist Data entry and
quality control
Data analysis
7
Case Definition
  • First visit
  • to the hospital
  • Emergency
  • Department for
  • any type of injury

8
Manual Data Collection
  • Hospital Emergency Department Medical Record
    (Intake Form)

9
El Salvador format for the Injury Surveillance
System in ER
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
Results
Policies working group
Nicaragua team
Group
14
Achievements
  • Injury data collection in ED is possible
  • Health authorities are interested
  • Extension of injury surveillance
  • Creation of injury prevention programs
  • Promote intersectorial injury mortality
    surveillance
  • Data being used to make decisions

15
Results - Components
  • Qualitative
  • Staff rotation
  • Training diverse
  • Interruptions at the beginning
  • Flowchart was considered simple
  • they dont have enough time
  • More action than information
  • Quantitative
  • 10- 35 of ER visits are injuries
  • 75- 95 unintentional
  • 23-4 intentional -violence
  • 2-1 self inflected
  • 70 young male
  • Falls main mechanism

16
Injury Pyramid Pediatric Hospital. San Salvador
2004
Ratio
1
6 of all deaths
34 Deaths
17 of all hospitalizations
73
2486 Hospitalizations
279
33 of all emergency visits
9495 Injury Emergency Visits
Injuries in the community ?
17
Colombia Percent of ER visits due to injury,
Sensitivity, Predictive Value Positive
18
Data quality Percent of Missing Data in two
General Hospitals . 2004
19
Data quality Percent of Missing Data in two
General Hospitals . 2004
20
Data Entry Quality Pediatric Hospital El
Salvador, 2004
21
Dissemination data
  • Nationally
  • National Electronic Bulletins ( Nicaragua )
  • Hospital Electronic Bulletins ( El Salvador )
  • Internationally
  • Last two Injury World Conferences

22
Results- Interventions
  • Campaign against burns by pĆ³lvora
  • Bicyclist Injury Prevention Plan
  • Life Campaign
  • Summer Prevention Plan
  • Improvement of conditions at hospital level

23
Challenges Recommendations
  • Strengthen quality of data
  • Reduce minimum data set
  • Improve the dissemination of data, especially
    through articles
  • Increase injury research
  • Identify best practices for injury prevention

24
Next steps
  • Develop a methodological plan for Injury
    Information System in the Americas ( PAHO )
  • Hospital Based CAREISS
  • Mortality data ( Observatorios Municipales )
  • Specific topics like Intimate Partner Violence/
    Sexual Violence

25
THANKS to the technical teams and the hospital
staff in the three countries
  • Carme Clavel-Arcas
  • e-mail zgn4_at_cdc.gov
  • Alberto Concha- Eastman
  • e-mail conchaal_at_paho.org
  • www.cdc.gov/ncipc
  • www.paho.org
Write a Comment
User Comments (0)
About PowerShow.com