Table 1.
Main information categories covered in the database and acquisition forms used by specifically trained medical officers to acquire data from the patient and hospital records.
Main category | Subcategory | Questions |
---|---|---|
Details about the snakebite | ||
Basic | Date & time of bite | |
Geographic location (township) | ||
Circumstances of bite | Age range | |
Activity when bitten | ||
Was snake seen | ||
Was snake kept | ||
Snake ID & method | ||
Part of body bitten | ||
How many times bitten | ||
Point of first contact for care | ||
First aid & who applied | ||
Timing | Date & time of arrival at first health care facility | |
Date & time of arrival at last health care facility | ||
Was patient transferred to a renal unit or ICU | ||
Relevant past medical history | ||
Past medical history | ||
Allergies | ||
Medications | ||
Medical assessment on arrival at last health care facility | ||
General symptoms | ||
Local bite effects | ||
Extent of local swelling | ||
Evidence of capillary leak | ||
Evidence of neurotoxic paralysis | ||
Evidence of coagulopathy | ||
Details of coagulation testing including type of test(s), when first abnormal and when first resolved | ||
Medical management of case | ||
Antivenom use | Was antivenom given and when was first dose given | |
Was first dose optimal (defined) | ||
Total amount of antivenom given, by antivenom type | ||
Adverse reactions to antivenom | ||
Acute kidney injury | Was dialysis given and type used | |
Respiratory problems | Was intubation or ventilation used and when commenced and ceased | |
Outcome of intubation and ventilation | ||
Was non-invasive ventilation used and indications and outcome | ||
Summary information | ||
Summary of treatments used | Value list of available treatments | |
Complications ascribed to bite | Value list of relevant complications | |
Final outcome | Type of outcome | |
Date and time | ||
Serial clinical and laboratory data | ||
Date and time for each record | ||
Events or tests recorded | 20WBCT, INR, aPTT, FDP/D-dimer, creatinine, platelet count, haemoglobin, antivenom use, other comments/events/interventions |