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Table 2 Completeness of WHO recommended documentation on clinical chart

From: Trauma care and capture rate of variables of World Health Organisation data set for injury at regional hospitals in Tanzania: first steps to a national trauma registry

Regional Hospitals

Overall

N = 2891

Mwananyamala

N = 764

Coastal

N = 555

Tanga

N = 211

Arusha

N = 950

Morogoro

N = 411

Variable

Patient Demographics

%

%

%

%

%

%

 Name of the patient

99.3

99.7

98.6

99.1

99.1

100.0

 Age or date of birth

82.0

98.0

75.5

91.0

66.9

91.2

 Gender

69.7

73.4

76.8

86.7

62.6

60.6

 Address of the patient

83.8

98.7

82.3

83.9

67.8

91.5

 Injury Geographical location

14.1

25.4

11.7

11.4

11.2

4.6

 Date of EU care

80.9

74.6

82.2

76.8

80.7

93.7

Initial clinical condition

 Referral status

8.3

1.8

11.4

23.2

5.6

15.1

 UE arrival mode

23.6

0.7

18.6

11.4

50.8

16.5

 Signs of life

31.2

0.7

9.9

4.7

73.8

31.9

 Time of first vital signs

32.2

40.8

32.1

39.3

15.7

50.6

 Initial Heart rate

24.5

1.8

31.4

32.2

31.6

37.2

 Initial SBP

18.7

1.4

18.4

18.3

27.9

29.9

 Respiratory rate

18.0

1.3

17.3

16.8

27.5

28.5

 Saturation of oxygen

13.1

0.1

8.6

9.1

23.1

21.9

 Initial GCS/AVPU

3.1

0.1

10.6

8.7

0.6

1.5

 First provider assessment time

32.2

40.8

32.1

39.3

15.7

50.6

Details of injury

 Mechanism of injury

45.0

44.8

42.3

50.7

46.9

41.8

 Mass casualty event

0.5

0.0

1.3

0.5

0.0

1.7

 Injury event date

52.2

46.0

58.0

53.6

54.9

49.0

 Injury settings

5.3

5.9

4.3

2.4

6.0

5.4

 Activity at time of injury

3.3

2.5

2.3

2.4

4.0

3.3

 Injury intent

6.8

3.9

7.4

4.3

8.3

9.5

 Protective Devices

32.0

31.8

38.2

23.2

30.6

31.9

Injury Examinatio

 Type of injury

72.1

61.0

80.7

95.2

67.8

78.8

 Injury anatomical location

9.2

3.1

17.7

17.1

9.4

4.4

 Defined Serious Injuries

1.3

1.3

1.6

1.4

0.6

2.2

Emergency Unit details

 Interventions done at EU

33.0

30.2

22.4

64.9

34.8

31.8

 Time of EU departure

15.3

14.8

21.1

15.2

13.7

11.9

 EU disposition

62.9

61.9

77.1

59.2

58.0

58.4