Tukey’s posthoc test score.

Wound trajectory and outcomes research has applications in different aspects of wound healing: forecasting wound healing time, access and utilization of wound care services, factors associated with disparities in wound care services, and its quality and outcomes. Wound care research benefits from a well-maintained record management system. In this article, we demonstrate the customization of the District Health Information Software (DHIS2) platform to integrate wound care clinical data with social determinants of health from several Comprehensive Wound Centers (CWC) in Indiana. We describe the modules and features of our platform, such as tracker capture, visualization, and maps. DHIS2 is used in more than 60 countries to monitor and evaluate health programs. However, to the best of our knowledge, this is the first attempt to use DHIS2 as a wound care data warehouse, a platform to perform wound care research for academic researchers and clinical practitioners. Clinicians can use the platform as one of the key tools to make an informed decision in determining the treatment for favorable healing trajectory and wound outcomes. We conducted a usability and acceptance survey among researchers at the Indiana Center for Regenerative Medicine and Engineering and found that DHIS2 can be a suitable infrastructure to manage metadata to import and analyze combined data from disparate sources, including Electronic Medical Records, WoundExpert, and clinical trials management software like REDCap.

创伤轨迹与转归研究（Wound trajectory and outcomes research）的应用场景覆盖创伤愈合的多个维度：包括创伤愈合时长预测、创伤护理服务的可及性与利用情况、创伤护理服务可及性差异的相关影响因素，以及服务质量与临床转归。创伤护理研究的开展有赖于维护良好的记录管理系统。
本文以印第安纳州多家综合创伤中心（Comprehensive Wound Centers, CWC）为依托，演示了如何对区域卫生信息软件（District Health Information Software, DHIS2）平台进行定制开发，以整合创伤护理临床数据与健康社会决定因素数据。本文介绍了该平台的模块与功能，例如追踪数据采集、可视化展示与地图制图功能。
DHIS2目前已在全球60余个国家用于健康项目的监测与评估。然而，据我们所知，本研究首次将DHIS2作为创伤护理数据仓库，以及面向学术研究者与临床从业者开展创伤护理研究的专用平台。临床从业者可将该平台作为关键工具之一，制定循证治疗方案以实现理想的创伤愈合轨迹与良好的临床转归。
我们在印第安纳再生医学与工程中心的研究者中开展了可用性与接受度调查，结果显示，DHIS2可作为适宜的基础设施，用于管理元数据以导入并分析来自异构数据源的整合数据，这些数据源包括电子病历（Electronic Medical Records）、WoundExpert以及REDCap等临床试验管理软件。