title: Epidemiology of severe trauma in Spain. Registry of trauma in the ICU (RETRAUCI). Pilot phase.
abstract: 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.
  
  
  METHODS
  A prospective, multicenter registry.
  
  
  METHODS
  Thirteen Spanish ICUs.
  
  
  METHODS
  Patients with trauma disease admitted to the ICU.
  
  
  METHODS
  None.
  
  
  METHODS
  Epidemiology, out-of-hospital attention, registry of injuries, resources utilization, complications and outcome were evaluated.
  
  
  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%.
  
  
  CONCLUSIONS
  The pilot phase of the RETRAUCI offers a first impression of the epidemiology and management of trauma disease in Spanish ICUs.
authors.affiliation: UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: murgchico@yahoo.es.
authors.forename: M
authors.initials: M
authors.lastname: Chico-Fernández
authors.affiliation: Servei de Medicina Intensiva, Hospital Universitari Son Espases, Palma de Mallorca, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Llompart-Pou
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Virgen de las Nieves, Granada, España.
authors.forename: F
authors.initials: F
authors.lastname: Guerrero-López
authors.affiliation: Servicio de Medicina Intensiva, Hospital Virgen de la Salud, Toledo, España.
authors.forename: M
authors.initials: M
authors.lastname: Sánchez-Casado
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario de Donostia, San Sebastián, España.
authors.forename: I
authors.initials: I
authors.lastname: García-Sáez
authors.affiliation: Servicio de Medicina Intensiva, Complejo Hospitalario de Torrecárdenas, Almería, España.
authors.forename: M D
authors.initials: MD
authors.lastname: Mayor-García
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: J
authors.initials: J
authors.lastname: Egea-Guerrero
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Carlos Haya, Málaga, España.
authors.forename: J F
authors.initials: JF
authors.lastname: Fernández-Ortega
authors.affiliation: Servicio de Medicina Intensiva, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: A
authors.initials: A
authors.lastname: Bueno-González
authors.affiliation: Servicio de Medicina Intensiva, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
authors.forename: J
authors.initials: J
authors.lastname: González-Robledo
authors.affiliation: Servei de Medicina Intensiva, Hospital Universitari Arnau de Vilanova, Lérida, España.
authors.forename: L
authors.initials: L
authors.lastname: Servià-Goixart
authors.affiliation: Complejo Hospitalario de Pamplona, Pamplona (Navarra), España.
authors.forename: J
authors.initials: J
authors.lastname: Roldán-Ramírez
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Ballesteros-Sanz
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario de Getafe, Getafe (Madrid), España.
authors.forename: E
authors.initials: E
authors.lastname: Tejerina-Alvarez
authors.affiliation: UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: García-Fuentes
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario de Donostia, San Sebastián, España.
authors.forename: F
authors.initials: F
authors.lastname: Alberdi-Odriozola
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012042:Registries; D013030:Spain; D014947:Wounds and Injuries / Q000453:epidemiology*
keywords: Intensive care unit; RETRAUCI; Registros de trauma; Severe trauma; Trauma grave; Trauma registries; Unidad de Cuidados Intensivos