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					Frequently Asked Questions (FAQ) 
					
				  
					
					
				  
					
				  
					
					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. 
					
					
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					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. 
				
					
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					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. 
  
					
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					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. 
  
					
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					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. 
  
					
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					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  
					 
					 
					 
					 
					  
					
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					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.  
  
					
					
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					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. 
					 
					 
					
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					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.  
					   
					
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					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.  
					  
					
					
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