From Great Surgeons to Brilliant Observators, Evolution of Penetrating Neck Trauma in a Single Center Reference in Spain

Not yet recruiting

• Conditions: Penetrating Neck Trauma

• Registration Number: NCT06228287
• Lead Sponsor: Hospital del Mar

Brief Summary

Penetrating neck trauma ranges from 5 to 10% of trauma patients and its management has been changing in the las 20 years and not all surgeons that attend this patients are trauma surgeons. The aim of the study is to describe the evolution of the management in a referal center and the complications of two periods, with and without a simplified protocol.

Detailed Description

Penetrating neck trauma ranges from 5 to 10% of trauma patients and its management has been changing in the las 20 years and not all surgeons that attend this patients are trauma surgeons.

Traditionally, the management was followed by surgical treatment, but the non-therapeutic cervicotomies were ascendent to the 89%, the zone approach was established, following the Monson anatomy zones, with different indications for surgery in every zone, and finally, after the year 2000, started to publish articles on where the injury was not correlated with the zone in about a 23% of the patients.

The aim of the study is to describe the evolution of the management in a referal center and the complications of two periods, with and without a simplified no zone approach protocol.

Study Timeline

• Status Verified: 2024-01
• Study First Submitted: 2024-01-18
• Study First Submitted QC: 2024-01-18
• Last Update Submitted: 2024-01-18
• Study First Posted: 2024-01-29
• Last Update Posted: 2024-01-29
• Study Start: 2024-02-20
• Primary Completion: 2024-05-30
• Study Completion: 2024-06-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

• All penetrating trauma patients admitted in the emergency department.

Exclusion Criteria

• All patients with any other diagnostic different from penetrating trauma
• Blunt trauma patients admitted in the emergency department

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Complications	2008-2022	The main outcome measure was the total of complications in patients with a penetrating neck trauma assessed by the Clavien-Dindo Classification.
Mortality	2008-2022	The second main outcome measure was the total of deaths in patients with a penetrating neck trauma assessed by preventable or non-preventable deaths.
Non-therapeutic cervicotomy	2008-2022	The third main outcome measure was the total of non-therapeutic and therapeutic cervitocomies before and after implementing a simplified protocol in patients with a penetrating neck trauma.

Secondary Outcome Measures

Name	Time	Method
Demographyc description	2008-2022	Description of the age and gender (Male / Female)
Physiologic description	2008-2022	Description of the vitals at arrival (bates per minute, blood pressure)
Wound	2008-2022	Description of the wound: bleeding, longitude, number of wounds