The U.S. Army Institute of Surgical Research reports that the Military Orthopedic Trauma Registry (MOTR) www.usaisr.amedd.army.mil/news.html was established to specifically capture date related to combat extremity injuries. MOTR is a sub-specialty registry to the DOD Trauma Registry.
Renee Greer, Branch Chief, responsible for MOTR, reports that extremity injuries remain the most common combat injury and consume the greatest amount of military medical resources resulting in the highest number of long-term disabilities for service members.
The MOTR captures specific orthopedic information such as injury patterns, fracture characteristics, treatments, and complications associated with combat extremity injuries. The data is used to increase the knowledge of clinical outcomes associated with battlefield extremity injuries. The data is also used to develop orthopedic Clinical Practice Guidelines to help non-orthopedic physicians provide injury specific optimized care to service members with extremity injuries.
In the civilian sector, the Bureau of Emergency Medical Services in the state of Mississippi at http://msdh.ms.gov requires state licensed acute care facilities or hospitals with an organized emergency service or emergency department to submit data to the State Trauma Registry. Currently, there are 92 facilities submitting data.
The state registry system is designed primarily to collect data on patients with serious injuries, in order to enhance hospital operations, prevent injuries, and to help in medical research. It is also designed to identify system issues, such as over and under triage at the regional and state levels plus manage resource allocations via daily logs and summaries.
Hospitals can use data from the registry to identify areas with the highest incidence of trauma and target those areas for injury prevention programs. Injury control issues can be identified at the local, regional, and state levels, and provide the basis for developing and implementing injury prevention programs statewide.