M Chico-Fernández1, J A Llompart-Pou2, F Guerrero-López3, M Sánchez-Casado4, I García-Sáez5, M D Mayor-García6, J Egea-Guerrero7, J F Fernández-Ortega8, A Bueno-González9, J González-Robledo10, L Servià-Goixart11, J Roldán-Ramírez12, M Á Ballesteros-Sanz13, E Tejerina-Alvarez14, C García-Fuentes15, F Alberdi-Odriozola5. 1. UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: murgchico@yahoo.es. 2. Servei de Medicina Intensiva, Hospital Universitari Son Espases, Palma de Mallorca, España. 3. Servicio de Medicina Intensiva, Hospital Universitario Virgen de las Nieves, Granada, España. 4. Servicio de Medicina Intensiva, Hospital Virgen de la Salud, Toledo, España. 5. Servicio de Medicina Intensiva, Hospital Universitario de Donostia, San Sebastián, España. 6. Servicio de Medicina Intensiva, Complejo Hospitalario de Torrecárdenas, Almería, España. 7. Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, España. 8. Servicio de Medicina Intensiva, Hospital Universitario Carlos Haya, Málaga, España. 9. Servicio de Medicina Intensiva, Hospital General Universitario de Ciudad Real, Ciudad Real, España. 10. Servicio de Medicina Intensiva, Complejo Asistencial Universitario de Salamanca, Salamanca, España. 11. Servei de Medicina Intensiva, Hospital Universitari Arnau de Vilanova, Lérida, España. 12. Complejo Hospitalario de Pamplona, Pamplona (Navarra), España. 13. Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. 14. Servicio de Medicina Intensiva, Hospital Universitario de Getafe, Getafe (Madrid), España. 15. UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España.
Abstract
OBJECTIVE: To describe the characteristics and management of severe trauma disease in Spanish Intensive Care Units (ICUs). Registry of trauma in the ICU (RETRAUCI). Pilot phase. DESIGN: A prospective, multicenter registry. SETTING: Thirteen Spanish ICUs. PATIENTS: Patients with trauma disease admitted to the ICU. INTERVENTIONS: None. MAIN VARIABLES OF INTEREST: Epidemiology, out-of-hospital attention, registry of injuries, resources utilization, complications and outcome were evaluated. RESULTS: Patients, n=2242. Mean age 47.1±19.02 years. Males 79%. Blunt trauma 93.9%. Injury Severity Score 22.2±12.1, Revised Trauma Score 6.7±1.6. Non-intentional in 84.4% of the cases. The most common causes of trauma were traffic accidents followed by pedestrian and high-energy falls. Up to 12.4% were taking antiplatelet medication or anticoagulants. Almost 28% had a suspected or confirmed toxic influence in trauma. Up to 31.5% required an out-of-hospital artificial airway. The time from trauma to ICU admission was 4.7±5.3hours. At ICU admission, 68.5% were hemodynamically stable. Brain and chest injuries predominated. A large number of complications were documented. Mechanical ventilation was used in 69.5% of the patients (mean 8.2±9.9 days), of which 24.9% finally required a tracheostomy. The median duration of stay in the ICU and in hospital was 5 (range 3-13) and 9 (5-19) days, respectively. The ICU mortality rate was 12.3%, while the in-hospital mortality rate was 16.0%. CONCLUSIONS: The pilot phase of the RETRAUCI offers a first impression of the epidemiology and management of trauma disease in Spanish ICUs.
OBJECTIVE: To describe the characteristics and management of severe trauma disease in Spanish Intensive Care Units (ICUs). Registry of trauma in the ICU (RETRAUCI). Pilot phase. DESIGN: A prospective, multicenter registry. SETTING: Thirteen Spanish ICUs. PATIENTS: Patients with trauma disease admitted to the ICU. INTERVENTIONS: None. MAIN VARIABLES OF INTEREST: Epidemiology, out-of-hospital attention, registry of injuries, resources utilization, complications and outcome were evaluated. RESULTS:Patients, n=2242. Mean age 47.1±19.02 years. Males 79%. Blunt trauma 93.9%. Injury Severity Score 22.2±12.1, Revised Trauma Score 6.7±1.6. Non-intentional in 84.4% of the cases. The most common causes of trauma were traffic accidents followed by pedestrian and high-energy falls. Up to 12.4% were taking antiplatelet medication or anticoagulants. Almost 28% had a suspected or confirmed toxic influence in trauma. Up to 31.5% required an out-of-hospital artificial airway. The time from trauma to ICU admission was 4.7±5.3hours. At ICU admission, 68.5% were hemodynamically stable. Brain and chest injuries predominated. A large number of complications were documented. Mechanical ventilation was used in 69.5% of the patients (mean 8.2±9.9 days), of which 24.9% finally required a tracheostomy. The median duration of stay in the ICU and in hospital was 5 (range 3-13) and 9 (5-19) days, respectively. The ICU mortality rate was 12.3%, while the in-hospital mortality rate was 16.0%. CONCLUSIONS: The pilot phase of the RETRAUCI offers a first impression of the epidemiology and management of trauma disease in Spanish ICUs.
Authors: J A Llompart-Pou; M Chico-Fernández; M Sánchez-Casado; R Salaberria-Udabe; C Carbayo-Górriz; F Guerrero-López; J González-Robledo; M Á Ballesteros-Sanz; R Herrán-Monge; L Servià-Goixart; R León-López; E Val-Jordán Journal: Eur J Trauma Emerg Surg Date: 2016-04-18 Impact factor: 3.693
Authors: Raúl Juárez-Vela; Eva María Andrés-Esteban; Ivan Santolalla-Arnedo; Regina Ruiz de Viñaspre-Hernández; Carmen Benito-Puncel; Ainhoa Serrano-Lázaro; Pilar Marcos-Neira; Alba López-Fernández; Clara Isabel Tejada-Garrido; Juan Luis Sánchez-González; Manuel Quintana-Díaz; José Antonio García-Erce Journal: J Clin Med Date: 2022-06-20 Impact factor: 4.964
Authors: Juan Antonio Llompart-Pou; Jon Pérez-Bárcena; Mario Chico-Fernández; Marcelino Sánchez-Casado; Joan Maria Raurich Journal: World J Crit Care Med Date: 2017-05-04
Authors: Jesús Abelardo Barea-Mendoza; Mario Chico-Fernández; Manuel Quintana-Díaz; Jon Pérez-Bárcena; Luís Serviá-Goixart; Ismael Molina-Díaz; María Bringas-Bollada; Antonio Luis Ruiz-Aguilar; María Ángeles Ballesteros-Sanz; Juan Antonio Llompart-Pou Journal: J Clin Med Date: 2022-01-05 Impact factor: 4.241
Authors: Luis Serviá; Neus Montserrat; Mariona Badia; Juan Antonio Llompart-Pou; Jesús Abelardo Barea-Mendoza; Mario Chico-Fernández; Marcelino Sánchez-Casado; José Manuel Jiménez; Dolores María Mayor; Javier Trujillano Journal: BMC Med Res Methodol Date: 2020-10-20 Impact factor: 4.615