Frequently Asked Questions (FAQ)

 

# Frequently Asked Questions

1.

What is a disease registry?

2.

What is the National Trauma Database (NTrD)?

3.

Why National Trauma Database (NTrD)?
4. What are the purpose of NTrD?
5. Who should participate in NTrD?
6. How is NTrD organised?
7. Who reports to the NTrD?
8. How can I participate in the NTrD?
9. What are the benefits of participating in the NTrD?
10. What about confidentiality?

 

 

1. What is a disease registry?

Disease Registry or surveillance is defined as an ongoing, systematic collection, analysis and interpretation of disease specific data, and timely dissemination of these consolidated and processed information essential to the planning, implementation and evaluation of clinical and public health practice, to contributors to the surveillance and other interested persons.

back to top

 


2. What is NTrD?

The National Trauma Database (NTrD) is a service supported by the Ministry of Health (MOH) to collect data on outcome of trauma patients in Malaysia. The information can be used to estimate the incidence of major trauma according to the type of injury, to evaluate its risk factors and treatment in the country. The injuries of the trauma patient will be scored according to the Injury Severity Score (ISS) method. The head injury patients will have their outcomes data monitored at discharge, 3 months, 6 months and 12 months.
Such information is useful for assisting the Ministry of Health, non-governmental organizations, private providers and industry in planning and evaluation, leading to major trauma prevention and control.

back to top

 


3. Why National Trauma Database (NTrD)?

There are several important issues when applying the rigorous standards and protocols from clinical trials into real-life practice. We should ask ourselves:
• Are the population and the patients groups in Malaysia similar to those being investigated in the clinical trails?
• Are our hospitals following the guidelines set out by the expert committees?
• Are we seeing the same results and benefits of implementing evidence-based strategies?
• Which strategy the best value in terms of cost-effectiveness for the Ministry?

Furthermore, much of what we understand about risk and likelihood of major trauma and indeed its incidence and prevalence are derived from ‘Western’ data. There is now an increasing awareness of ethnic variations and risk, socio-cultural and socio-economic influences as well as geographical variations. The risk prediction of major trauma is also unclear and may be different in the patients.
 

back to top

 


4. What is the purpose of NTrD?

The objectives of the NTrD are to:
• Determine the frequency, mechanism of injury and distribution of major trauma in Malaysia. These are useful measures of health burden arising from the major trauma and its management in the country.
• Determine the outcome and probability of survival of the trauma patients.
• Evaluate the major trauma management in the participating hospitals and to come up with the guidelines for improved trauma care.
• Determine the extent to which improvements introduced, have been achieved.
• Stimulate and facilitate research on major trauma and its management using this registry.
 

back to top

 


5. Who should participate in the NTrD?

a. Source Data Producers:
All emergency physicians and neurosurgeons in Malaysia who provide trauma diagnostic services or who care for trauma patients such as public health practitioner, health care provider, health service planner and decision maker, researchers, and voluntarily report data to the NTrD.
 

back to top

 


6. How is NTrD organized?

The NTrD is sponsored by the Ministry of Health and supported by several of its organizations:
• Emergency Department, Selayang Hospital
• Neurosurgery Department, Kuala Lumpur Hospital
• Clinical Research Centre, MOH

A Governance Board will be established to oversee the operations of the NTrD. The MOH, Universities, professional bodies, NGOs and private healthcare providers will be present on this committee to ensure that the NTrD stays focused on its objectives, continuing relevance and justification.

 

The Governance Board for NTrD






 

back to top

 

 

7. Who reports to the NTrD?

For the NTrD to succeed, ideally all doctors who have anything to do with trauma ought to report to the NTrD. We urge you to do your bit for your community, and help NTrD obtain the information so crucial in promoting effective trauma prevention and control.

The NTrD receives data on trauma from 2 main sources:

• All emergency physicians and neurosurgeons in Malaysia who provide trauma diagnostic services or who care for trauma patients, and voluntarily report data to the NTrD.
• There is a plan to link NTrD to the National Vital Registration system (Jabatan Pendaftaran Negara) to ascertain mortality outcome.
 

back to top

 

 

8. How can I participate in the NTrD?

For the NTrD to succeed, ideally all doctors who have anything to do with trauma ought to report to the NTrD. We urge you to do your bit for your community, and help NTrD obtain the information so crucial in promoting effective trauma prevention and control.

back to top

 

 

9. What are the benefits of participating in NTrD?

Apart from doing your bit for your community, here are some other benefits to being a reporter:
• Access to the database and therefore study the trend of trauma in the country.
• Online data query and statistics of your institution anytime, anywhere.
• Online comparison of your institution data versus the country data anytime, anywhere.
• Data security and privacy are in compliance with regulatory requirement.
• Invitation to all functions organized by the NTrD.
• Acknowledgement in all publications of the NTrD.
• Complementary personal copy of all NTrD publications.
• Free listing in the NTrD website.
• Tap into a network of like-minded people from diverse professional disciplines and backgrounds.

 

back to top

 

 

10. What about confidentiality?

Current legislation allows doctors to release their patients’ data to persons demonstrating a need, which is essential to public health and safety. The NTrD meets this requirement. The NTrD has also developed strict policies and procedures to maintain confidentiality in disclosure of data.
 

back to top