Trauma Registry in Villavicencio, Colombia

Completed

• Conditions: Registries; Trauma; Polytrauma; Trauma Blunt; Penetrating Wounds; Severe Trauma
• Interventions: Other: Risk factor

• Registration Number: NCT05954936
• Lead Sponsor: Hospital Departamental de Villavicencio

Brief Summary

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

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.

Study Timeline

• Study First Submitted: 2023-07-11
• Study First Submitted QC: 2023-07-19
• Study First Posted: 2023-07-20
• Study Start: 2024-01-01
• Primary Completion: 2024-07-30
• Study Completion: 2024-08-31
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-09
• Last Update Posted: 2024-12-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 250

Inclusion Criteria

• Patients admitted to the emergency ward by trauma.

Exclusion Criteria

• None.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Penetrating injury	Risk factor	Penetrating wounds by guns, knives, and other penetrating injuries. Wounds that were caused by objects penetrating the skin.
Blunt injury	Risk factor	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.

Primary Outcome Measures

Name	Time	Method
Number of patients dead	28 days or discharge	Mortality on discharge or the first 28 days of hospitalization

Secondary Outcome Measures

Name	Time	Method
Number of patients needing ICU	28 days or discharge	Need of ICU
Number of days in ICU	28 days or discharge	ICU length of stay
Number of days in mechanical ventilation	28 days or discharge	Length of mechanical ventilation
Number of days in hospitalization	28 days or discharge	Hospital length of stay
Number of patients needing mechanical ventilation	28 days or discharge	Need of mechanical ventilation

Trial Locations

Locations (1)

Clinica Primavera; 🇨🇴 Villavicencio, Meta, Colombia