Motorcycle Trauma Outcome Registry (MOTOR) Trial Dataset

The present data includes the MOTOR Trial Dataset, Data Dictionary, and Data Analysis Codes. The data for the MOTOR trial were derived from a multi-center cluster randomized trial that aimed to evaluate the impact of rural trauma team development training and its implementation on various metrics, including prehospital time, the interval from referral decision to hospital discharge, and the clinical outcomes associated with motorcycle-related neurological and orthopedic injuries in Uganda (Pan African Clinical Trial Registry: PACTR202308851460352).

The study was predicated on the null hypothesis asserting no significant difference in outcomes between intervention hospitals that received rural trauma team training and implementation and control hospitals that did not receive such training. The results indicated a notable reduction in prehospital time and all-cause mortality by more than 50% in the intervention group, while also not demonstrating any deterioration in patient-reported trauma morbidity, as assessed by the Glasgow Coma Scale and Trauma Outcome Measure scores.

Therefore, the level II prognostic evidence derived from this trial suggests that locally contextualized, trainee-led rural trauma team development intervention programs are both feasible and effective in enhancing clinical processes and improving patient outcomes within low- and middle-income contexts.

本数据集包含MOTOR试验数据集、数据字典及数据分析代码。MOTOR试验的数据源自一项多中心整群随机试验，该试验旨在评估乌干达乡村创伤团队建设培训及其实施对多项指标的影响，包括院前时间、转诊决策至出院的时间间隔，以及摩托车相关神经与骨科损伤的临床转归（泛非洲临床试验注册库（Pan African Clinical Trial Registry）：PACTR202308851460352）。
本研究以原假设为前提，即接受乡村创伤团队培训与实施的干预医院，与未接受此类培训的对照医院之间，临床结局无显著差异。试验结果显示，干预组的院前时间与全因死亡率均显著降低50%以上；同时，经格拉斯哥昏迷量表（Glasgow Coma Scale）及创伤结局评估量表（Trauma Outcome Measure）评估的患者报告创伤发病结局未出现任何恶化。
因此，本试验所获得的Ⅱ级预后证据表明，在中低收入地区，结合当地情境、由受训人员主导的乡村创伤团队建设干预方案，在优化临床流程与改善患者转归方面兼具可行性与有效性。