title: [<<RETRATO>> (REgistro de TRAuma grave de la provincia de TOledo): general view and mortality].
abstract: OBJECTIVE
  To analyze the management and progression of the critical trauma patient.
  
  
  METHODS
  A retrospective, descriptive analysis.
  
  
  METHODS
  The ICU in the province of Toledo.
  
  
  METHODS
  All patients with traumatic injury admitted during the 2001-2007 period (7 years).
  
  
  METHODS
  These include the variables at the scene of the accident, pre-hospitalization, during transportation, variables on admission and during development until discharge or death.
  
  
  RESULTS
  A total of 1090 trauma patients admitted were included. Of these, 79.5% were male, with an average age of 36.5 years (16% ≥ 65 years). There was a progressive decrease of patients from 2001 (142 patients) to 2007 (133 patients), with 46.9% admissions between May and September. A total of 29.4% did not belong to the health area. The causes were car accident (43.3%), fall from a height/fall (20.8%), motorcycle accident (13.8%), pedestrian being run over (6.6%). There were 2172 injuries; 30.1% had 3 injuries and 8.4% ≥ 4. The most frequently occurring injury was a head injury (33.7%), followed by thoracic trauma (20.2%) and orthopedic trauma (15.6%). 36.4% required surgery on the first day. Average length of stay in the ICU was 10.4+/-13.2 days. Time on mechanical ventilation was 7.3+/-12 days (median 1 day). Fifteen percent died in the ICU. This remains within the multivariable ICU mortality prediction model, including the pre-hospitalization variables: age (OR 1.05; 95% CI: 1.03-1.06), mydriasis (OR 2.6; 95% CI: 1.3-5.3), motor component of the Glascow Coma Score (GCS) (OR 0.7; 95% CI: 0.6-0.8), pre-hospitalization shock (OR 3.2; 95% CI: 1.8-5.5) and Injury Severity Score (ISS) (OR 1.1; 95% CI: 1.05-1.1).
  
  
  CONCLUSIONS
  The use of multicenter trauma registers gives an overall view of trauma management and helps improve the care.
authors.affiliation: Hospital Virgen de la Salud, Toledo, España.
authors.forename: L
authors.initials: L
authors.lastname: Marina-Martínez
authors.forename: M
authors.initials: M
authors.lastname: Sánchez-Casado
authors.forename: V
authors.initials: V
authors.lastname: Hortiguela-Martin
authors.forename: M A
authors.initials: MA
authors.lastname: Taberna-Izquierdo
authors.forename: A
authors.initials: A
authors.lastname: Raigal-Caño
authors.forename: A
authors.initials: A
authors.lastname: Pedrosa-Guerrero
authors.forename: M
authors.initials: M
authors.lastname: Quintana-Díaz
authors.forename: S
authors.initials: S
authors.lastname: Rodríguez-Villar
authors.forename: S
authors.initials: S
authors.lastname: Rodríguez-Villa
mesh_terms: D000058:Accidental Falls / Q000401:mortality / Q000706:statistics & numerical data; D000059:Accidents / Q000401:mortality / Q000706:statistics & numerical data*; D000063:Accidents, Traffic / Q000401:mortality / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D003422:Critical Care; D003953:Diagnosis-Related Groups; D005260:Female; D005392:First Aid; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D012042:Registries; D012121:Respiration, Artificial; D012189:Retrospective Studies; D012769:Shock / Q000453:epidemiology; D013030:Spain; D014947:Wounds and Injuries / Q000145:classification / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy