The DoDTR, which evolved from the JTTR
, is a centralized data repository for DoD trauma-related injuries.
We also could not determine from the JTTR or the TPR registries the onset or severity of BRIs for individual patients.
Abbreviations: AMA = American Medical Association, BRI = blast-related injury, CDC = Centers for Disease Control and Prevention, CNS = central nervous system, DSS = Decision Support System, FY = fiscal year, IED = improvised explosive device, JTTR = Joint Theater Trauma Registry, MS = musculoskeletal, OIF/OEF = Operation Iraqi Freedom/Operation Enduring Freedom, PRC = Polytrauma Rehabilitation Center, R&D = Research and Development, SD = standard deviation, TPR = Tampa Polytrauma Registry, VA = Department of Veterans Affairs, VHA = Veterans Health Administration.
The Leadership component advocated for and deployed a Joint Theater Trauma Director who was responsible for the in-country research team in both theaters, and for compiling, analyzing, and presenting current data from the JTTR
directly to the Commander, US Central Command on a monthly basis.
The information in the JTTR also draws data abstracted from multiple electronic datasets, including the US Transportation Command Regulating and Command & Control Evacuation System, the Theater Medical Data Storage, the Composite Health Care System, and Essentris (CliniComp, International, San Diego, CA), the electronic medical record system.
Military specific data elements within the JTTR include expanded demographic data, including military branch, rank, and military occupation.
A recent analysis of 3 years of trauma data from the JTTR, shown in the Figure, was significant in that the vast majority of battlefield casualties (87%) had no documentation at all of prehospital wounding mechanism, injury location, vital signs, or interventions.
Deployed medical commanders ensure that the data is transcribed from the cards and the registries into the electronic medical records and the JTTR.
According to JTTR
data, facial burns occur in 77% of all burned service members who are evacuated from the combat theater.