Epidemiología del trauma grave en España. REgistro de TRAuma en UCI (RETRAUCI). Fase piloto

Chico‐Fernández, Mario; Llompart‐Pou, Juan Antonio; Guerrero-López, F.; Sánchez-Casado, M.; García-Sáez, I; Mayor-García, M.D.; Egea-Guerrero, Juan José; Fernández-Ortega, J.F.; Bueno-González, A.; González-Robledo, Javier; Goixart, L. Serviá; Roldán-Ramírez, J.; Ballesteros, M.Á.; Tejerina-Alvarez, E.; García-Fuentes, C.; Alberdi-Odriozola, F.

doi:10.1016/j.medin.2015.07.011

Cited by 53 publications

(9 citation statements)

References 19 publications

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“…Ondorioz, gure lurraldean zauritutako pazienteei punta-puntako atentzioa ematen zaie. Eta zenbakiek hala adierazten dute: azkenengo hamarkadan, ospitalean ingresatutako traumatizatu larrien hilkortasuna % 16,7tik (2010. urtean) % 8,77ra (2016an) jaitsi da gure lurraldean, Espainia mailan % 15 inguruan mantentzen delarik (16).…”

Section: Gipuzkoako Trauma Sistemaunclassified

Gaixotasun traumatikoa eta trauma-sistemak

Sáez

2018

Osag

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Osasunaren Mundu Erakundearen (OME) esanetan, traumatismoen ondorioz urtero 4 milioi pertsona baino gehiago hiltzen dira eta dozenaka milioi zauritzen. Arrisku-faktoreak ez daude gizabanakoen jokabidearekin lotuta bakarrik, pisuzkoak dira ere aldagai soziosanitario, laboral, ekonomiko, politiko eta kulturalak. Izan ere, azken urteotan, medikuntza modernoaren eta baliabide teknologikoen garapenarekin batera, paziente traumatikoen arretan emaitzak nabarmenki hobetu dira herrialde garatuetan. Baliabideen erabilera egokia eta azpiegitura logistikoaren antolaketa funtsezkoak izan dira hobekuntza horretan. Eta, hain zuzen ere, hauxe da Trauma Sistema ideiaren jatorria: paziente traumatikoen beharrak berdinak izaten dira eskura dauden baliabideak direnak direla; ordea, zentro guztiek ez dituzte eskuragarri atentzio egoki eta osorako behar diren baliabide guztiak. Errealitate horrek Trauma Sistemabaten barnean antolatzera bultzatzen ditu zentrook. Ildo honi jarraituz, Gipuzkoako Trauma Sistemak gure lurraldean dauzkagun zentroak integratzen ditu, emergentziekin batera, ondo lotutako sare baten barnean. Era berean, Gipuzkoako Trauma Batzordea osatu zen 2010. urtean, espezialitate ezberdinen kideak biltzen dituena. Orduz geroztik, hainbat ekimen bultzatu dira paziente traumatikoaren atentzioa hobetzeko asmoz, azken hamarkadan ingresatutako traumatizatu larrien hilkortasuna % 16,7tik % 8,77ra jaitsi delarik gure lurraldean. Horrenbestez, argi geratzen da Trauma Sistemak erreminta baliagarriak direla eskura dauden baliabideak modu egokian kudeatzeko eta zauritutako pazienteei atentziorik onena emateko.

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Section: Gipuzkoako Trauma Sistemaunclassified

Gaixotasun traumatikoa eta trauma-sistemak

Sáez

2018

Osag

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“…It constitutes the leading cause of death, hospitalization, and long-term disabilities in young patients [ 1 ]. Trauma patients admitted to the intensive care unit (ICU) usually present injuries in different anatomical areas [ 2 ]. In our environment, chest trauma constitutes the second most severely affected anatomical area among trauma ICU patients [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU

Barea‐Mendoza

Chico‐Fernández

Quintana-Díaz

et al. 2022

JCM

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Our objective was to determine outcomes of severe chest trauma admitted to the ICU and the risk factors associated with mortality. An observational, prospective, and multicenter registry of trauma patients admitted to the participating ICUs (March 2015–December 2019) was utilized to collect the patient data that were analyzed. Severe chest trauma was defined as an Abbreviated Injury Scale (AIS) value of ≥3 in the thoracic area. Logistic regression analysis was used to evaluate the contribution of severe chest trauma to crude and adjusted ORs for mortality and to analyze the risk factors associated with mortality. Overall, 3821 patients (39%) presented severe chest trauma. The sample’s characteristics were as follows: a mean age of 49.88 (19.21) years, male (77.6%), blunt trauma (93.9%), a mean ISS of 19.9 (11.6). Crude and adjusted (for age and ISS) ORs for mortality in severe chest trauma were 0.78 (0.68–0.89) and 0.43 (0.37–0.50) (p < 0.001), respectively. In-hospital mortality in the severe chest trauma patients without significant traumatic brain injury (TBI) was 5.63% and was 25.71% with associated significant TBI (p < 0.001). Age, the severity of injury (NISS and AIS-head), hemodynamic instability, prehospital intubation, acute kidney injury, and multiorgan failure were risk factors associated with mortality. The contribution of severe chest injury to the mortality of trauma patients admitted to the ICU was very low. Risk factors associated with mortality were identified.

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“… [3] A Spanish survey demonstrated that patients aged >65 years accounted for up to 20% of patients admitted to intensive care units. [4] Several studies have focused on the differences between geriatric and nongeriatric patients with trauma. The scopes of such studies included emergency medical services, triage, trauma team activation, trauma mechanisms, thoracic injury, traumatic brain injury, and laboratory tests, in addition to the effectiveness of various trauma scores in a geriatric population and in-hospital management of geriatric patients with trauma.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive comparison between geriatric and nongeriatric patients with trauma

Lin

et al. 2022

Medicine

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The incidence of geriatric trauma is increasing due to the growing elderly population. Healthcare providers require a global perspective to differentiate critical factors that might alter patients’ prognosis.We retrospectively reviewed all adult patients admitted to a trauma center during a 4-year period. We identified 655 adult trauma patients aged from 18 to 64 (nongeriatric group) and 273 trauma patients ≥65 years (geriatric group). Clinical data were collected and compared between the 2 groups.The geriatric group had a higher incidence of trauma and higher Injury Severity Scores than did the nongeriatric group. Fewer geriatric patients underwent surgical treatment (all patients: geriatric vs nongeriatric: 65.9% vs 70.7%; patients with severe trauma: geriatric vs nongeriatric: 27.6% vs 44.5%). Regarding prognosis, the geriatric group exhibited higher mortality rate and less need for long-term care (geriatric vs nongeriatric: mortality: 5.5% vs 1.8%; long-term care: 2.2% vs 5.0%).We observed that geriatric patients had higher trauma incidence and higher trauma mortality rate. Aging is a definite predictor of poor outcomes for trauma patients. Limited physiological reserves and preference for less aggressive treatment might be the main reasons for poor outcomes in elderly individuals.

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Epidemiología del trauma grave en España. REgistro de TRAuma en UCI (RETRAUCI). Fase piloto

Cited by 53 publications

References 19 publications

Gaixotasun traumatikoa eta trauma-sistemak

Gaixotasun traumatikoa eta trauma-sistemak

Risk Factors Associated with Mortality in Severe Chest Trauma Patients Admitted to the ICU

Comprehensive comparison between geriatric and nongeriatric patients with trauma

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