TY  - JOUR
PY  - 2015//
TI  - Epidemiology of severe trauma in Spain. Registry of trauma in the ICU (RETRAUCI). Pilot phase
JO  - Medicina intensiva
A1  - Chico-Fernández, M.
A1  - Llompart-Pou, J. A.
A1  - Guerrero-López, F.
A1  - Sánchez-Casado, M.
A1  - García-Sáez, I.
A1  - Mayor-García, M. D.
A1  - Egea-Guerrero, J.
A1  - Fernández-Ortega, J. F.
A1  - Bueno-González, A.
A1  - González-Robledo, J.
A1  - Servià-Goixart, L.
A1  - Roldán-Ramírez, J.
A1  - Ballesteros-Sanz, María Ángeles
A1  - Tejerina-Alvarez, E.
A1  - García-Fuentes, C.
A1  - Alberdi-Odriozola, F.
SP  - 327
EP  - 347
VL  - 40
IS  - 6
N2  - 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. <br><br>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. <br><br>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%. <br><br>CONCLUSIONS: The pilot phase of the RETRAUCI offers a first impression of the epidemiology and management of trauma disease in Spanish ICUs.<p />  <p>Language: es</p>
LA  - es
SN  - 0210-5691
UR  - http://dx.doi.org/10.1016/j.medin.2015.07.011
ID  - ref1
ER  -