Epidemiology of Trauma in Ukraine: Lessons from a Trauma Registry in Eastern Europe


Delivery of trauma care in low- and middle-income countries is a global health priority. Trauma registries are fundamental in guiding trauma system development. We report on preliminary data from the first trauma registry in Eastern Europe, which was implemented in Ukraine. In collaboration with McGill University Center for Global Surgery (CGS), retrospective chart review was conducted at the polytrauma department of the Kyiv Hospital for Emergency Medicine (KHEM) between January 1 and June 30 of 2019. Injury data was collected via 25-item Trauma Questionnaire developed by the CGS. Trends in injuries were examined with socioeconomic factors, clinical characteristics, and the Kampala Trauma Scores (KTS). Multivariate logistic regression models were constructed to evaluate the effects of patient and injury factors on three injury outcomes: admitted to the hospital ward, taken to the operating room, treated and discharged. The registry included 719 patients. The majority were male (76%) with the median age of 41. Falls (43%) and assaults (41%) were the leading causes of injury, with 12% of patient presenting with motor vehicle collision-related trauma. Overall death rate was 3%. The logistic regression models showed that factors predicting admission were age >60, a fall injury, and lower KTS. Factors predicting need for an operation were male sex, assault injury, and an injury obtained in the home setting. Lastly, factors predicting discharge were female sex and an assault injury. This was an example of successful implementation of a trauma registry in a low resource setting in Eastern Europe.

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