Clinical trial NCT06136273: Penetrating Trauma Registry and Open Source Data
Official title: Penetrating Trauma Registry and Open Source Data
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Penetrating Trauma Registry and Open Source Data
Keywords: Trauma
Lead sponsor: Methodist Health System
Sponsor class: OTHER
First posted: 2023-11-18
Enrollment: 200
Sex: ALL
Minimum age (years): 16
Maximum age (years): 75
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Methodist Health System (MHS) trauma patients

Brief summary: Penetrating injuries comprise roughly 30% of Methodist Health System (MHS) trauma patients. Firearm-related events have become more prevalent in the past few years. Active shooter events, mass casualties, assaults, and homicide are more commonplace which leads to an increase of trauma patients needing management of penetrating injuries.

Detailed description: Penetrating injuries comprise roughly 30% of Methodist Health System (MHS) trauma patients. Firearm-related events have become more prevalent in the past few years . Active shooter events, mass casualties, assaults, and homicide are more commonplace which leads to an increase of trauma patients needing management of penetrating injuries. On average, penetrating traumas only make up 14% of comparable center patient volumes. In spring 2022, we also were ranked 3/10 for our penetrating trauma outcomes with lower than expected mortality (TQIP Benchmarking Report). Together, as a Level 1 trauma center with above average penetrating injury volume we must take efforts to best understand the opportunities for our patients and disseminate those observations to the trauma community

Eligibility criteria: Inclusion Criteria:

* • Aged 16 years or older (National Trauma Data Standard for adult)

  * Penetrating injury or intent to cause penetrating injury

Exclusion Criteria:

* • Aged 15 years or younger

  * Prisoners, pregnant persons, or other protected population
  * Not involved in penetrating trauma

Primary outcomes:
measure: comprehensive data series
timeFrame: 3 years
measure: observational process improvement
timeFrame: 3 years
Secondary outcomes:
Other outcomes:
Locations:
city: Dallas
country: United States
facility: Methodist Dallas Medical Center
state: Texas
Study officials:
References:
citation: Bjelopera, J. (2022). Public Mass Shootings in the United States: Selected Implications for Federal Public Health and Safety Policy. Retrieved 18 August 2022, from https://crsreports.congress.gov/product/pdf/R/R43004.
citation: Lin PI, Fei L, Barzman D, Hossain M. What have we learned from the time trend of mass shootings in the U.S.? PLoS One. 2018 Oct 18;13(10):e0204722. doi: 10.1371/journal.pone.0204722. eCollection 2018.
citation: 3. Luca, M., Malhotra, D., & Poliquin, C. (2020). The impact of mass shootings on gun policy. Journal Of Public Economics, 181, 104083. https://doi.org/10.1016/j.jpubeco.2019.104083
citation: AJPH Global News. Am J Public Health. 2020 Oct;110(10):1446. doi: 10.2105/AJPH.2020.305872. No abstract available.
citation: 5. Schildkraut, J., Elsass, H., & Meredith, K. (2017). Mass shootings and the media: why all events are not created equal. Journal Of Crime And Justice, 41(3), 223-243. https://doi.org/10.1080/0735648x.2017.1284689
citation: Shultz JM, Thoresen S, Flynn BW, Muschert GW, Shaw JA, Espinel Z, Walter FG, Gaither JB, Garcia-Barcena Y, O'Keefe K, Cohen AM. Multiple vantage points on the mental health effects of mass shootings. Curr Psychiatry Rep. 2014 Sep;16(9):469. doi: 10.1007/s11920-014-0469-5.
citation: 7. Silva, J. (2020). A Comparative Analysis of Foiled and Completed Mass Shootings. American Journal Of Criminal Justice, 46(2), 187-208. https://doi.org/10.1007/s12103-020-09552-2