Spanish trauma icu registry (RETRAUCI). final results of the pilot phase

Abstract

Issue Title: ESICM LIVES 2015

Chico-Fernndez et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A377 http://www.icm-experimental.com/content/3/S1/A377

POSTER PRESENTATION Open Access

Spanish trauma icu registry (RETRAUCI). Final results of the pilot phase

M Chico-Fernndez1, JA Llompart-Pou2*, F Alberdi-Odriozolo3, F Guerrero-Lpez4, M Snchez-Casado5, MD Mayor-Garca6, J Egea-Guerrero7, JF Fernndez-Ortega8, A Bueno-Gonzlez9, J Gonzlez-Robledo10, L Servi-Goixart11, J Roldn-Ramrez12, M Ballesteros-Sanz13, E Tejerina-lvarez14,GT Trauma y Neurointensivismo SEMICYUC

From ESICM LIVES 2015Berlin, Germany. 3-7 October 2015

Introduction

Trauma registries are essential to understand the health care reality and underscore potential areas of improvement in trauma patient management.

Objectives

To present a real picture of the epidemiology of severe trauma and its related attention in Spanish intensive care units (ICUs) through the final results of the pilot phase of the Spanish trauma ICU registry (RETRAUCI).

Methods

Prospective multicenter registry of patients with trauma admitted in 13 Spanish ICUs. We evaluated epidemiology, out-of-hospital attention, registry of injuries, resources utilization, complications and outcome.

Results

We evaluated 2242 patients. Mean age 47.1 19.02 years.

Male 79%. Blunt trauma 93.9%. Injury Severity Score 22.2 12.1, Revised Trauma Score 6.7 1.6. Non-intentional in 84.4%, most common causes for trauma were road traffic accidents followed by pedestrian and high-energy falls. Up to 12.4% were taking antiplatelets or anticoagulants. Close to 28% had suspected or confirmed toxic influence in trauma. Up to 31.5% required out-of-hospital artificial airway. Time between trauma and ICU admission was4.7 5.3 hours. At ICU admission, 68.5% remained hemodinamically stable. Twenty-six percent received blood transfusion within 6 hours of ICU admission. Brain and chest injuries were predominant. Complications occurred

frequently: trauma-induced coagulopathy in 32.1%, rhabdomyolysis 11.1%, early and late MOF 10.9% and 15.7% respectively, ARDS 23.4%, renal failure 14.7% and nosocomial infection 32.3%. Intracranial pressure was monitored invasively in 21%. Of them 65.8% presented intracranial hypertension. Mechanical ventilation was used in 69.5% of the patients (mean 8.2 9.9 days), of which 24.9% finally required a tracheostomy ICU and hospital length of stay were 10.1 12.8 and 16.0 20.8 days respectively. ICU mortality was UCI 12.3% (273 patients). In-hospital after ICU mortality was 3.7%. Of note, up to 11.6% were transferred to another ICU.

Conclusions

The pilot phase of the RETRAUCI shows a real and precise picture of the epidemiology and attention of severe trauma patients admitted in Spanish ICUs.

Grant Acknowledgment

Fundacin Mutua Madrilea

Authors details

1Hospital Universitario 12 Octubre, Madrid, Spain. 2Hospital Universitari Son Espases, Palma de Mallorca, Spain. 3Hospital Universitario de Donostia, San Sebastian, Spain. 4Hospital Universitario Virgen de las Nieves, Granada, Spain.

5Hospital Virgen de la Salud, Toledo, Spain. 6Complejo Hospitalario de Torrecrdenas, Almera, Spain. 7Hospital Universitario Virgen del Roco, Sevilla, Spain. 8Hospital Universitario Carlos Haya, Mlaga, Spain. 9Hospital General Universitario de Ciudad Real, Ciudad Real, Spain. 10Complejo Asistencial Universitario de Salamanca, Salamanca, Spain. 11Hospital Universitari Arnau de Vilanova., Lleida, Spain. 12Complejo Hospitalario de Pamplona, Pamplona, Spain. 13Hospital Universitario Marqus de Valdecilla, Santander, Spain.

14Hospital Universitario de Getafe, Madrid, Spain.

2Hospital Universitari Son Espases, Palma de Mallorca, SpainFull list of author information is available at the end of the article

2015 Chico-Fernndez et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0

Web End =http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Chico-Fernndez et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A377 http://www.icm-experimental.com/content/3/S1/A377

Page 2 of 2

Published: 1 October 2015

References1. Chico Fernndez M, Garca Fuentes C, Guerrero Lpez F: http://www.ncbi.nlm.nih.gov/pubmed/23507334?dopt=Abstract

Web End =Trauma registries: http://www.ncbi.nlm.nih.gov/pubmed/23507334?dopt=Abstract

Web End =a health priority, a strategic project for the SEMICYUC. Med Intensiva 2013, 37:284-9.

2. Pino Snchez FI, Ballesteros Sanz MA, Cordero Lorenzana L, Guerrero Lpez F, Grupo de Trabajo de Trauma y Neurointensivismo de SEMICYUC: http://www.ncbi.nlm.nih.gov/pubmed/25241631?dopt=Abstract

Web End =Quality of trauma care and trauma registries. Med Intensiva 2015, 39:114-123.

doi:10.1186/2197-425X-3-S1-A377Cite this article as: Chico-Fernndez et al.: Spanish trauma icu registry (RETRAUCI). Final results of the pilot phase. Intensive Care Medicine Experimental 2015 3(Suppl 1):A377.

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