Trauma Registry in Villavicencio, Colombia

Study Overview
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Brief Summary
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Introduction: Injuries are a leading cause of mortality worldwide. It is necessary to know the incidence of injuries, mechanisms of wounds, therapy provided, and outcomes. Trauma registries are useful to describe the population served in specialized centers. Nevertheless, it is necessary also to identify the peculiarities of the event in the province and institutions non-dedicated to trauma attention. Objective: The study aims to describe the initial experience with a trauma register in a general hospital in the Colombian Orinoquia. Methodology: The investigators designed an observational retrospective study to analyze the admission database and revision of history charts of patients older than 15 years admitted for trauma from January to June 2023 in a hospital from Villavicencio, Colombia. The information will be exported to Excel for debugging and analysis. A description of the frequency and proportion of categorical variables will be performed; the central distribution and dispersion of quantitative variables will be reported. U of Mann-Whitney and Chi-square tests will be used to compare the variables by outcome; a p<0.05 was selected as a significant value. Conclusions: It will be a pioneer study in this region, and it is necessary to evaluate the incidence of patients admitted by trauma, the mechanisms and type of injury, the care provided, and the outcomes.

Detailed Description
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Trauma is a leading cause of global mortality or incapacitation in survivors. The population involved is mainly young adult men affected by preventable injuries. Knowing the incidence of injuries, mechanisms of wounds, approaching strategies, and outcomes is essential to review individual interventions and collective policies to improve prevention. Casualties in Colombia had a high incidence in previous decades; injuries and attributable deaths have recently decreased, but they are still the third cause of mortality. Contrary to high-income countries, interpersonal violence is the predominant mechanism involved. Data registries are used worldwide in specialized centers that focus on providing healthcare in trauma. Nevertheless, it is necessary also to know the incidence in community and non-dedicated general hospitals. Determining the characteristics of patients admitted to the emergency ward by injuries will provide essential information on the severity, mechanisms, type of population affected, immediate or consequential care delivered, and outcomes. Such an analysis will give knowledge to prioritize policies, resources, upgrade clinical practice guidelines, and improve results.

Official Title
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Trauma Registry in a General Hospital From Villavicencio, Colombia, First Semester 2023: An Observational Retrospective Trial

Conditions
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Trauma, Trauma Blunt, Penetrating Wounds, Severe Trauma, Polytrauma, Registries

Intervention / Treatment
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* Other: Risk factor


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients admitted to the emergency ward by trauma. Exclusion Criteria: None.

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 120 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Blunt injury<br>Patients with non-penetrating injuries from falls, car accidents, or other mechanisms. Injuries that were caused by impact with a blunt object where there is no penetration of the skin. | Other: Risk factor<br>* No therapeutic or diagnostic intervention will be provided; it is an observational study.<br>|
| Penetrating injury<br>Penetrating wounds by guns, knives, and other penetrating injuries. Wounds that were caused by objects penetrating the skin. | Other: Risk factor<br>* No therapeutic or diagnostic intervention will be provided; it is an observational study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients dead | Mortality on discharge or the first 28 days of hospitalization | 28 days or discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of days in hospitalization | Hospital length of stay | 28 days or discharge | 
| Number of patients needing ICU | Need of ICU | 28 days or discharge | 
| Number of days in ICU | ICU length of stay | 28 days or discharge | 
| Number of patients needing mechanical ventilation | Need of mechanical ventilation | 28 days or discharge | 
| Number of days in mechanical ventilation | Length of mechanical ventilation | 28 days or discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wounds and Injuries, Trauma Severity Indices, Trauma Centers, Multiple Trauma, Registries, Data Collection, Routinely Collected Health Data, Colombia