Trauma Registry of the Pan-American Trauma Society: One year of experience in two hospitals in southwest Colombia.
BACKGROUND
Trauma information systems are needed to improve decision making and to identify potential areas of intervention.


OBJECTIVE
To describe the first year of experience with a trauma registry in two referral centers in southwest Colombia.


METHODS
The study was performed in two referral centers in Cali. Patients with traumatic injuries seen between January 1 and December 31, 2012, were included. The collected information included demographics, mechanism of trauma, injury severity score (ISS), and mortality. A descriptive analysis was carried out.


RESULTS
A total of 17,431 patients were registered, of which 67.8% were male with an average age of 30 (±20) years. Workplace injuries were the cause of emergency consultations in 28.2% of cases, and falls were the most common mechanism of trauma (37.3%). Patients with an ISS ≥15 were mostly found in the 18-35-year age range (6.4%). Most patients who suffered a gunshot wound presented an ISS ≥15. A total of 2.5% of all patients died, whereas the mortality rate was 54% among patients with an ISS ≥15 and a gunshot wound.


CONCLUSIONS
Once the trauma registry was successfully implemented in two institutions in Cali, the primary causes of admission were identified as falls and workplace injuries. The most severely compromised patients were in the population range between 18 and 35 years of age. The highest mortality was caused by gunshot wounds.
Los sistemas de información en trauma son requeridos para mejorar la toma de decisiones e identificar potenciales áreas de intervención.


OBJECTIVE
Describir el primer año de experiencia del registro de trauma en dos centros de referencia de trauma del suroccidente Colombiano.
Estudio realizado en dos centros de referencia de Cali. Se incluyeron pacientes con trauma o lesiones externas entre el 1-Ene y el 31-Dic-2012. Se recolectó información demográfica, relacionada con mecanismos de trauma, severidad (ISS) y mortalidad. Se presenta un análisis descriptivo.


RESULTS
Se registraron 17,431 pacientes. El 67.8% de los pacientes eran de género masculino con edad promedio de 30 (±20) años. Las lesiones laborales fueron causa de consulta a urgencias en un 28.2%, y las caídas el mecanismo de trauma más frecuente (37.3%). Los pacientes con ISS ≥15 en su mayoría se encontraban en el rango de edad de 18-35 años (6.4%). El 28% de los pacientes que sufrieron lesión por arma de fuego presentaron un ISS ≥15. El 2.5% de los pacientes murieron y aquellos pacientes con ISS ≥15 y lesión por arma de fuego presentaron mortalidad del 54%.
una vez se logró implementar el registro de trauma en dos instituciones en Cali, se identificó que la principal causa de ingreso fue secundaria a caídas y las lesiones laborales. Los pacientes más severamente comprometidos están en el rango de población entre 18 a 35 años. La mayor mortalidad se presentó secundario a lesiones de causa externa por arma de fuego.
Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia.
Carlos A
CA
Ordoñez
Hospital Universitario del Valle, Cali, Colombia.
Mónica
M
Morales
Hospital Universitario del Valle, Cali, Colombia.
Johanna Carolina
JC
Rojas-Mirquez
Instituto CISALVA, Universidad del Valle, Cali, Colombia.
Francisco Javier
FJ
Bonilla-Escobar
Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia.
Marisol
M
Badiel
Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia.
Fernando
F
Miñán Arana
Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia.
Adolfo
A
González
Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia.
Luis Fernando
LF
Pino
Fundación Valle de Lili, Cali, Colombia.
Amadeus
A
Uribe-Gómez
Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia.
Mario Alain
MA
Herrera
Instituto CISALVA, Universidad del Valle, Cali, Colombia.
Maria Isabel
MI
Gutiérrez-Martínez
Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
Juan Carlos
JC
Puyana
Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
Michael
M
Abutanos
Department of Surgery, Division of Trauma, Critical Care and Emergency General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
Rao R
RR
Ivatury
D000058:Accidental Falls / Q000706:statistics & numerical data; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002947:Cities / Q000453:epidemiology; D003105:Colombia / Q000453:epidemiology; D005260:Female; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012042:Registries / Q000706:statistics & numerical data*; D017678:Sex Distribution; D013997:Time Factors; D014947:Wounds and Injuries / Q000453:epidemiology*; D014948:Wounds, Gunshot / Q000453:epidemiology
Emergency care information systems; cause of death; data systems; occupational injuries; registries; trauma; trauma severity indices; wounds and injuries