Background Having served more than 4000 personnel including the peacekeeping troops, UN police and civilian staff, the Chinese Peacekeeping Level 2 Military Hospital has accumulated 1235 inpatient medical records in 4 years. Assessment of the records stored in the CHN L2 identified that the data collected by different teams were incoherent and highlighted the need for implementation of a hospital-based combat injury registry and the establishment of a combat injury surveillance system.
Methods A one-page, 21-item registry form was designed to collect general information about the injuries, including such data as demographics, injury event, severity, diagnosis and treatment, and outcome. All relevant personnel was required to undergo a 2-day training in order to master the use of the registry form. The new registry form was used to collect the data on all of the cases recorded in the CHN L2 between 26 April 2014 and 31 March 2017.
Results Analysis of the collected data identified improvised explosive device as the most common (44.95%) mechanism of combat injury in Sector East of MINUSMA. Anefis, the centre of the UN logistic transit, was identified as the location where most of the combat injuries (42.20%) occurred. Based on these results, certain suggestions that addressed this threat were given to the Operation department in Sector East of MINUSMA.
Conclusion A hospital-based combat injury registry was successfully developed and implemented in the Chinese Peacekeeping Level 2 Hospital. It can provide data to support the policy changes to minimise the impact of combat injuries on peacekeeping troops. The designed registry form provides more accurate estimates of the magnitude of the morbidity due to different causes in the battlefield and lays a foundation for an injury surveillance system.
- combat injury registry
- chinese level 2 hospital
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Contributors JT was responsible for the overall design, supervision and execution of the project, and quality control. ZJ and NZ were responsible for designing the registry form and entering the statistical data. SZ was responsible for statistical analysis of the data collected with the use of the registries and input of the data. RS was responsible for structuring the content and writing of the manuscript.
Funding This study was funded by project of Medical Science and Technology Research of People’s Liberation Army (grant no. CSY15J001).
Competing interests None declared.
Patient consent Not required.
Ethics approval Ethics Committee of General Hospital of Shenyang Military Command.
Provenance and peer review Not commissioned; externally peer reviewed.
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