Epidemiology of severe trauma in Spain. Registry of trauma in the ICU (RETRAUCI). Pilot phase

• Published in: Medicina intensiva (English ed.) Vol. 40; no. 6; pp. 327 - 347
• Main Authors: Chico-Fernández, M, Llompart-Pou, J.A, Guerrero-López, F, Sánchez-Casado, M, García-Sáez, I, Mayor-García, M.D, Egea-Guerrero, J, Fernández-Ortega, J.F, Bueno-González, A, González-Robledo, J, Servià-Goixart, L, Roldán-Ramírez, J, Ballesteros-Sanz, M.Á, Tejerina-Alvarez, E, García-Fuentes, C, Alberdi-Odriozola, F
• Format: Journal Article
• Language: English
• Published: 01.08.2016
• Subjects: Critical Care; Internal Medicine; Severe trauma; Registros de trauma; Trauma registries; RETRAUCI; Unidad de Cuidados Intensivos; Intensive care unit; Trauma grave
• ISSN: 2173-5727; 2173-5727
• DOI: 10.1016/j.medine.2015.07.003

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 ± 5.3 h. 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.