Traumatic Brain Injury in Myanmar: Preliminary Results and Development of an Adjunct Electronic Medical Record
The treatment of traumatic brain injury (TBI) in Myanmar is a major health issue. Comprehensive appreciation of the pathology is limited given the lack of granular metadata available. In this proof-of-concept study, we analyzed demographic data on TBI generated from a novel, prospective, online data...
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| Veröffentlicht in: | World neurosurgery 2020-08, Vol.140, p.e260-e265 |
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| creator | Rock, Jack P. Prentiss, Tyler Mo, Su Myat Myat Hnin Aye, Nang Saw Asmaro, Karam Win, Aung Thurein Phyu, Aye Mya Myat, Thint Maung, Thet Maung Khaing, Ai Ai Naung, Zayya Park, Kee B. Hlaing, Kyi Myaing, Win |
| description | The treatment of traumatic brain injury (TBI) in Myanmar is a major health issue. Comprehensive appreciation of the pathology is limited given the lack of granular metadata available. In this proof-of-concept study, we analyzed demographic data on TBI generated from a novel, prospective, online database in a lower-middle income country.
Neurosurgery residents were given an electronic tablet for data entry into an online database. Metadata-driven data capture was carried out prospectively by trained residents, and the information was reviewed weekly by the supervising team in the United States.
Complete data were available on 242/253 (96%) patients. Age at admission was 37 years (range 16–85), and length of stay was 3.53 days (1–21). Etiologies included motorcycle accidents, falls, assaults, pedestrian vehicular injuries, and industrial accidents. Dispositions were primarily to home (211). Average Glasgow Coma Scale score at admission was 12.97. There was a 68% mortality rate of patients directly admitted to the North Okkalappa General and Teaching Hospital with a Glasgow Coma Scale score |
| doi_str_mv | 10.1016/j.wneu.2020.05.016 |
| format | Article |
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Neurosurgery residents were given an electronic tablet for data entry into an online database. Metadata-driven data capture was carried out prospectively by trained residents, and the information was reviewed weekly by the supervising team in the United States.
Complete data were available on 242/253 (96%) patients. Age at admission was 37 years (range 16–85), and length of stay was 3.53 days (1–21). Etiologies included motorcycle accidents, falls, assaults, pedestrian vehicular injuries, and industrial accidents. Dispositions were primarily to home (211). Average Glasgow Coma Scale score at admission was 12.97. There was a 68% mortality rate of patients directly admitted to the North Okkalappa General and Teaching Hospital with a Glasgow Coma Scale score <8 versus 75% for patients transferred in from other facilities. Surgery was performed on 30 patients (12.4%).
Despite a lack of formal training in electronic medical records or research, the resident team was able to capture the majority of admissions with granular-level data. This helped shed light on the etiology and severity of TBI in Myanmar. As a result, more effective transport systems and access to trauma care must be achieved. Accessible regional trauma centers with investment in intensive care units, operative care, anesthesia, and imaging resources are necessary.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2020.05.016</identifier><identifier>PMID: 32413564</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Brain Injuries, Traumatic - epidemiology ; Computers, Handheld ; Databases, Factual ; Developing Countries ; Electronic Health Records - instrumentation ; Electronic Health Records - organization & administration ; Electronic medical records ; Female ; Humans ; Internship and Residency ; Male ; Middle Aged ; Myanmar ; Myanmar - epidemiology ; Neurosurgeons ; Neurosurgery ; Proof of Concept Study ; TBI ; TBI database ; TBI registry ; Traumatic brain injury ; Young Adult</subject><ispartof>World neurosurgery, 2020-08, Vol.140, p.e260-e265</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-16bcd828f147f33ebc7a6798851177c5c7ea071e8a32faed71e0157af1123a3a3</citedby><cites>FETCH-LOGICAL-c356t-16bcd828f147f33ebc7a6798851177c5c7ea071e8a32faed71e0157af1123a3a3</cites><orcidid>0000-0002-2084-4863 ; 0000-0002-4120-2712</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2020.05.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32413564$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rock, Jack P.</creatorcontrib><creatorcontrib>Prentiss, Tyler</creatorcontrib><creatorcontrib>Mo, Su Myat</creatorcontrib><creatorcontrib>Myat Hnin Aye, Nang Saw</creatorcontrib><creatorcontrib>Asmaro, Karam</creatorcontrib><creatorcontrib>Win, Aung Thurein</creatorcontrib><creatorcontrib>Phyu, Aye Mya</creatorcontrib><creatorcontrib>Myat, Thint</creatorcontrib><creatorcontrib>Maung, Thet Maung</creatorcontrib><creatorcontrib>Khaing, Ai Ai</creatorcontrib><creatorcontrib>Naung, Zayya</creatorcontrib><creatorcontrib>Park, Kee B.</creatorcontrib><creatorcontrib>Hlaing, Kyi</creatorcontrib><creatorcontrib>Myaing, Win</creatorcontrib><title>Traumatic Brain Injury in Myanmar: Preliminary Results and Development of an Adjunct Electronic Medical Record</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>The treatment of traumatic brain injury (TBI) in Myanmar is a major health issue. Comprehensive appreciation of the pathology is limited given the lack of granular metadata available. In this proof-of-concept study, we analyzed demographic data on TBI generated from a novel, prospective, online database in a lower-middle income country.
Neurosurgery residents were given an electronic tablet for data entry into an online database. Metadata-driven data capture was carried out prospectively by trained residents, and the information was reviewed weekly by the supervising team in the United States.
Complete data were available on 242/253 (96%) patients. Age at admission was 37 years (range 16–85), and length of stay was 3.53 days (1–21). Etiologies included motorcycle accidents, falls, assaults, pedestrian vehicular injuries, and industrial accidents. Dispositions were primarily to home (211). Average Glasgow Coma Scale score at admission was 12.97. There was a 68% mortality rate of patients directly admitted to the North Okkalappa General and Teaching Hospital with a Glasgow Coma Scale score <8 versus 75% for patients transferred in from other facilities. Surgery was performed on 30 patients (12.4%).
Despite a lack of formal training in electronic medical records or research, the resident team was able to capture the majority of admissions with granular-level data. This helped shed light on the etiology and severity of TBI in Myanmar. As a result, more effective transport systems and access to trauma care must be achieved. Accessible regional trauma centers with investment in intensive care units, operative care, anesthesia, and imaging resources are necessary.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brain Injuries, Traumatic - epidemiology</subject><subject>Computers, Handheld</subject><subject>Databases, Factual</subject><subject>Developing Countries</subject><subject>Electronic Health Records - instrumentation</subject><subject>Electronic Health Records - organization & administration</subject><subject>Electronic medical records</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myanmar</subject><subject>Myanmar - epidemiology</subject><subject>Neurosurgeons</subject><subject>Neurosurgery</subject><subject>Proof of Concept Study</subject><subject>TBI</subject><subject>TBI database</subject><subject>TBI registry</subject><subject>Traumatic brain injury</subject><subject>Young Adult</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMtOwzAQtBCIosIPcEA-cmmw4yR2ERcoT6kVCMHZcp2N5Chxip0U9e_ZqtAj3oNHo5nR7hByzlnCGS-u6uTbw5CkLGUJyxOkDsgJV1JNlCymh3ucsxE5i7Fm-ATPlBTHZCTSjIu8yE6I_whmaE3vLL0Lxnn64ushbCiixcb41oRr-hagca3zBvl3iEPTR2p8Se9hDU23asH3tKuQordlPXjb04cGbB86j6kLKJ01DRptF8pTclSZJsLZ7z8mn48PH7Pnyfz16WV2O59YXKuf8GJpS5WqimeyEgKWVppCTpXKOZfS5laCYZKDMiKtDJQIGc-lqThPhcEZk8td7ip0XwPEXrcuWmga46Ebok4zhiOlmKI03Ult6GIMUOlVcHj3RnOmt1XrWm-r1tuqNcs1Umi6-M0fli2Ue8tfsSi42QkAr1w7CDpaB95iGwG70WXn_sv_ARJMkCM</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Rock, Jack P.</creator><creator>Prentiss, Tyler</creator><creator>Mo, Su Myat</creator><creator>Myat Hnin Aye, Nang Saw</creator><creator>Asmaro, Karam</creator><creator>Win, Aung Thurein</creator><creator>Phyu, Aye Mya</creator><creator>Myat, Thint</creator><creator>Maung, Thet Maung</creator><creator>Khaing, Ai Ai</creator><creator>Naung, Zayya</creator><creator>Park, Kee B.</creator><creator>Hlaing, Kyi</creator><creator>Myaing, Win</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2084-4863</orcidid><orcidid>https://orcid.org/0000-0002-4120-2712</orcidid></search><sort><creationdate>202008</creationdate><title>Traumatic Brain Injury in Myanmar: Preliminary Results and Development of an Adjunct Electronic Medical Record</title><author>Rock, Jack P. ; Prentiss, Tyler ; Mo, Su Myat ; Myat Hnin Aye, Nang Saw ; Asmaro, Karam ; Win, Aung Thurein ; Phyu, Aye Mya ; Myat, Thint ; Maung, Thet Maung ; Khaing, Ai Ai ; Naung, Zayya ; Park, Kee B. ; Hlaing, Kyi ; Myaing, Win</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-16bcd828f147f33ebc7a6798851177c5c7ea071e8a32faed71e0157af1123a3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brain Injuries, Traumatic - epidemiology</topic><topic>Computers, Handheld</topic><topic>Databases, Factual</topic><topic>Developing Countries</topic><topic>Electronic Health Records - instrumentation</topic><topic>Electronic Health Records - organization & administration</topic><topic>Electronic medical records</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myanmar</topic><topic>Myanmar - epidemiology</topic><topic>Neurosurgeons</topic><topic>Neurosurgery</topic><topic>Proof of Concept Study</topic><topic>TBI</topic><topic>TBI database</topic><topic>TBI registry</topic><topic>Traumatic brain injury</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rock, Jack P.</creatorcontrib><creatorcontrib>Prentiss, Tyler</creatorcontrib><creatorcontrib>Mo, Su Myat</creatorcontrib><creatorcontrib>Myat Hnin Aye, Nang Saw</creatorcontrib><creatorcontrib>Asmaro, Karam</creatorcontrib><creatorcontrib>Win, Aung Thurein</creatorcontrib><creatorcontrib>Phyu, Aye Mya</creatorcontrib><creatorcontrib>Myat, Thint</creatorcontrib><creatorcontrib>Maung, Thet Maung</creatorcontrib><creatorcontrib>Khaing, Ai Ai</creatorcontrib><creatorcontrib>Naung, Zayya</creatorcontrib><creatorcontrib>Park, Kee B.</creatorcontrib><creatorcontrib>Hlaing, Kyi</creatorcontrib><creatorcontrib>Myaing, Win</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rock, Jack P.</au><au>Prentiss, Tyler</au><au>Mo, Su Myat</au><au>Myat Hnin Aye, Nang Saw</au><au>Asmaro, Karam</au><au>Win, Aung Thurein</au><au>Phyu, Aye Mya</au><au>Myat, Thint</au><au>Maung, Thet Maung</au><au>Khaing, Ai Ai</au><au>Naung, Zayya</au><au>Park, Kee B.</au><au>Hlaing, Kyi</au><au>Myaing, Win</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic Brain Injury in Myanmar: Preliminary Results and Development of an Adjunct Electronic Medical Record</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2020-08</date><risdate>2020</risdate><volume>140</volume><spage>e260</spage><epage>e265</epage><pages>e260-e265</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>The treatment of traumatic brain injury (TBI) in Myanmar is a major health issue. Comprehensive appreciation of the pathology is limited given the lack of granular metadata available. In this proof-of-concept study, we analyzed demographic data on TBI generated from a novel, prospective, online database in a lower-middle income country.
Neurosurgery residents were given an electronic tablet for data entry into an online database. Metadata-driven data capture was carried out prospectively by trained residents, and the information was reviewed weekly by the supervising team in the United States.
Complete data were available on 242/253 (96%) patients. Age at admission was 37 years (range 16–85), and length of stay was 3.53 days (1–21). Etiologies included motorcycle accidents, falls, assaults, pedestrian vehicular injuries, and industrial accidents. Dispositions were primarily to home (211). Average Glasgow Coma Scale score at admission was 12.97. There was a 68% mortality rate of patients directly admitted to the North Okkalappa General and Teaching Hospital with a Glasgow Coma Scale score <8 versus 75% for patients transferred in from other facilities. Surgery was performed on 30 patients (12.4%).
Despite a lack of formal training in electronic medical records or research, the resident team was able to capture the majority of admissions with granular-level data. This helped shed light on the etiology and severity of TBI in Myanmar. As a result, more effective transport systems and access to trauma care must be achieved. Accessible regional trauma centers with investment in intensive care units, operative care, anesthesia, and imaging resources are necessary.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32413564</pmid><doi>10.1016/j.wneu.2020.05.016</doi><orcidid>https://orcid.org/0000-0002-2084-4863</orcidid><orcidid>https://orcid.org/0000-0002-4120-2712</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Brain Injuries, Traumatic - epidemiology Computers, Handheld Databases, Factual Developing Countries Electronic Health Records - instrumentation Electronic Health Records - organization & administration Electronic medical records Female Humans Internship and Residency Male Middle Aged Myanmar Myanmar - epidemiology Neurosurgeons Neurosurgery Proof of Concept Study TBI TBI database TBI registry Traumatic brain injury Young Adult |
| title | Traumatic Brain Injury in Myanmar: Preliminary Results and Development of an Adjunct Electronic Medical Record |
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