@article{35765e945e1e4aa39b4cc874acb5e46f,
title = "Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa",
abstract = "Background: The trauma burden in South Africa is significant. The objective of this project was to investigate the incidence of posttrauma pulmonary complications (PPCs) and to identify patient, health risks, and hospital factors, which predispose trauma patients to develop PPCs hospital in Pietermaritzburg, South Africa. Methods: The design was a retrospective secondary data analysis of patients who presented as a trauma admission via the health systems{\textquoteright} Hybrid Electronic Medical Registry. The final data set included 6382 trauma admissions. Results: The PPC rate was 9.4% for patients with a surgical intervention versus 1.9% for those without a surgical intervention. Of the total 289 PPCs reported, the most common included pneumonia or atelectasis (46.4%) and prolonged ventilation (36.0%). The risk of developing a PPC was statistically significantly (P < 0.0001) associated with surgical intervention and the number of surgeries. Conclusions: The trauma burden in South Africa requires complex medical and surgical interventions. The incidence of PPCs is significantly associated with surgical intervention. With the increasing demand to harness data and improve patient care, the Hybrid Electronic Medical Registry proves to be a driver for quality improvement.",
keywords = "Health outcomes, Postoperative pulmonary complications, Secondary data, Surgery, Trauma",
author = "Victoria Goode and Vrinda Punjabi and Joanna Niewiara and Lauren Roberts and John Bruce and Susan Silva and Brett Morgan and Katherine Pereira and Petra Brysiewicz and Damian Clarke",
note = "Funding Information: Authors{\textquoteright} contribution: V.G. was responsible for conceptualizing the project, the hypothesis, and the aims as well as the data mining from the South African trauma database. She was involved in the methodology, variable construction process, and the data mining process. She was also involved in the analysis and discussion of findings for the project. She was involved in the writing and editing of the document. She was a contributor to the article and all edits, tables, and figures. She served as the project chair and mentor to the doctoral students. She shared the findings at KZN University in Durbin, South Africa. She traveled to South Africa numerous times to meet the creator of the data set first-hand and to work together with the team to discuss the project and its findings and next steps. V.P. J.N. and L.R. were three CRNA doctoral students who were involved in this global project. They worked directly with V.G. to write and develop the submitted article. They were heavily involved in the data mining from the South African trauma database with many iterations of data from text fields to unique records to use for analysis. Each student was a contributor to the article and all edits, tables, and figures. They have presented the findings at their doctoral defense. The students traveled to South Africa to get a first-hand look at the data set and to see the process of data coding. This provided a better insight into the data mining process. J.B. is a South African Contributor and cocreator of the Grey's Hospital Trauma database. He was involved in the conception of this project and its source of data. He worked with the team to create a workable database to perform the analysis. He provided unique understanding of the issue of trauma in the country and how the database was created as a means to examine the impact of trauma and outcomes. He was involved in the writing and editing of the article. He was integral during our visits to South Africa to aid in meaningful data interpretation and the flow of data from the patient admission process to data set. D.C. is a senior South African contributor and cocreator of the Grey's Hospital Trauma database. He was involved in the conception of this project and its source of data. He worked with the team to create a workable database to perform the analysis. He provided unique understanding of the issue of trauma in the country and how the database was created as a means to examine the impact of trauma and outcomes. He was involved in the writing and editing of the article. He was integral during our visits to South Africa to aid in meaningful data interpretation and the flow of data from the patient admission process to data set. The methodology of this project was shared at Grey's Hospital under the leadership of D.C. where discussions for dissemination and submission were directed. P.B. is also a senior South African contributor and cocreator of the Grey's Hospital Trauma database. She was involved in the conception of this project and its source of data. She worked with the team to create a workable database to perform the analysis. She provided unique understanding of the issue of trauma in the country and how the database was created as a means to examine the impact of trauma and outcomes. She was involved in the writing and editing of the article. She was integral during our visits to South Africa to aid in meaningful data interpretation and the flow of data from the patient admission process to data set. She also led discussions on how the findings of this project could be used to measure further projects. The findings of this article were shared at KZN University under the leadership of P.B. S.S. is the statistician used for the project. She was involved in the refinement of the aims and the data construction process. She was also involved in the analysis of the data, which helped shape the findings for discussion of the project. She helped create the results section and gave advice on table and figure creation. She was involved in the writing and editing of the article. She has traveled to South Africa numerous times to get a first-hand look at the data set and to see the process of data coding. B.M. and K.P. began the working relationship with J.B. P.B. and D.C. They introduced the faculty and students to the need for the study to be done with the South African trauma database. Both B.M. and K.P. were integral in the refinement of the project, including the aims and the methodology. They were involved in the writing and editing of the article. They have traveled to South Africa numerous times to get a first-hand look at the data set and to see the process of data coding. Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",
year = "2021",
month = jun,
doi = "10.1016/j.jss.2020.12.034",
language = "English (US)",
volume = "262",
pages = "47--56",
journal = "Journal of Surgical Research",
issn = "0022-4804",
publisher = "Academic Press Inc.",
}