Abstract

BACKGROUND: Traumatic brain injury (TBI) data in
Africa remain limited, underscoring the need for a
robust neurotrauma registry. This study evaluates the
availability, implementation, and challenges of the
Neurotrauma Registry in Africa (NEUTRIA) and provides
recommendations for developing a continent-wide TBI
registry.
- METHODS: An e-survey was distributed via Google
Forms to neurosurgeons and neurosurgical trainees across
Africa from November 1 to December 10, 2024. From the 54
African countries, 81.5% (n [ 44) responded. Ninety-seven
responses were recorded for 91 (93.8%) inclusion from 39
(72.2%) African countries. Statistical analysis was performed using JAMOVI 3.2.0.RESULTS: Neurosurgical centers were unevenly
distributed, with 47.3% of respondents reporting 3e5 centers across 21 countries. Most centers (75.8%) served
public and private systems, while 22.0% were exclusively
public. Paper-based registries for TBI and traumatic spinal
cord injury were used in 79.1% of centers, while 46.2%
employed electronic systems, with Excel being the most
common platform. Seven countries (Tanzania, Mozambique,
Egypt, Rwanda, Cameroon, Zambia, and Uganda) had national registries, each with variable patient volumes. Key
challenges included administrative burdens, material and
staffing shortages, time constraints, and limited awareness
about the registry’s importance. Financial support from
governments and nongovernment organizations was crucial for implementing national registries and improving
data collection and neurotrauma care across the continent.
- CONCLUSIONS: This study highlights the uneven distribution of neurotrauma care and African registries.
Although progress is evident, significant barriers hinder
widespread implementation. Expanding financial support
and addressing systemic challenges is critical for
advancing data collection and improving neurotrauma care
continent-wide.