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State of Alaska

Alaska Trauma Registry (ATR)

Alaska Department of Health and Social Services, Division of Public Health, Section of Rural and Community Health Systems, Alaska Trauma Registry
The Alaska Trauma Registry (ATR) collects information on the most seriously injured patients in Alaska and the treatment they have received. The information is used to evaluate the quality of trauma patient care, monitoring serious injury, injury prevention, and trauma system development. It is also used by other agencies and individuals for research and education purposes, EMS training, and in developing public policy.

  Since 1991, the Alaska Trauma Registry has collected data from all 24 (22 civilian and 2 Department of Defense) acute care hospitals. Patients are included in the registry if they are admitted to an Alaska hospital, held for observation, transferred to another acute care facility, or declared dead in the emergency department, Left Against Medical Advice (would have been admitted), and for whom contact occurred within 30 days of the injury. Injuries included are due to trauma, poisoning, suffocation, and the effects of reduced temperatures, in addition to other underlying causes.

  Data collected in the registry includes patient demographics, circumstances of the injury event, patient transport, treatment, and outcomes. Data are collected through the abstraction of medical records by trained staff at the medical facility itself. Hospitals are able to track their patients concurrently or retrospectively, as long as the data are submitted in accordance with the Alaska Statute 7AAC 26 745.

Data review and data validation are completed monthly at a minimum of 10% of cases submitted per facility. When the year's data are completed, the ATR Manager exports the dataset into a Statistical Analysis Software (SAS) program to review, clean, and match the multiple admissions. When this process is complete, data can be used by other agencies and individuals for research and education purposes, EMS training, and in developing public policy. Annually, the entire state data set is submitted to the National Trauma Databank for national review and comparison.

Topics

Adult maltreatment and neglect Animal bites
Asphyxiation and strangulationBurns
CellulitisChild maltreatment syndrome
CrashesDrowning and near drowning
ElectrocutionFalls
Foreign body injuriesFrostbite
HospitalizationsHypothermia
Insect bitesMachinery injuries
OverexertionPatient care
Poisoning and toxic eventsSuffocation
Traumatic Injuries
Registry
Patients with Trauma
As recorded by health care facility
Patients with trauma
Age, sex, race, ethnicity
Patients with trauma in Alaska
As submitted by health care facility. Summarized annually or custom time periods
Mandatory reporting
Mandatory reporting
All identified patients with trauma
Patients are included in the registry if they are admitted to an Alaska hospital, held for observation, transferred to another acute care facility, or declared dead in the emergency department, Left Against Medical Advice (would have been admitted), and for whom contact occurred within 30 days of the injury. Injuries included are due to trauma, poisoning, suffocation, and the effects of reduced temperatures, in addition to other underlying causes.
A limitation of the data system is that it only includes patients that meet the specific criteria. So this would exclude patients discharged from the emergency department (non-admissions). This information can be found with the Health Facilities Data System.
Trauma care and trauma system research is best performed using data directly from the database (unmatched admissions). This information is specifically for the Trauma System Review Committee. Injury research and surveillance is best performed using data that has multiple admissions matched (separated out by first, second, and third admission), so as to have a unique count of injuries per patient-event. No identifying information on patients or providers will be released.

All data requests must be submitted to the ATR Manager for review. Any record-level requests for data must be accompanied by a "release of information" application, study proposal, a signed agreement, and will be granted by approval of the ATR Manager and/or the Trauma System Review Committee. Upon approval by the ATR Manager, and/or the Trauma Program Manager, and/or Trauma System Review Committee; the Trauma Registry has up to 30 business-days (excluding weekends and holidays), to complete a data request. Depending upon the complexity of the data request, more complex requests could lengthen this time period. This time period has the potential to be expedited for simpler data requests.                 
Ambrosia Romig, MPH, MLS
Alaska Trauma Registry Manager, Epidemiological Specialist II
Ambrosia.Romig@alaska.gov
(907) 334-4471
Alaska Trauma Registry
Section of Rural and Community Health Systems
Division of Public Health
Alaska Department of Health and Social Services
3601 C Street, Suite 424
Anchorage, Alaska 99503

The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 17 August 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 30 Jul 2018 09:10:49 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 17 August 2018 10:51:16 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 30 Jul 2018 09:10:49 AKDT