From Great Surgeons to Brilliant Observators, Evolution of Penetrating Neck Trauma in a Single Center Reference in Spain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 1,000
- 主要终点
- Complications
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All penetrating trauma patients admitted in the emergency department.
排除标准
- •All patients with any other diagnostic different from penetrating trauma
- •Blunt trauma patients admitted in the emergency department
结局指标
主要结局
Complications
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Demographyc description(2008-2022)
- Physiologic description(2008-2022)
- Wound(2008-2022)
研究者
Ana María González Castillo
Doctor
Hospital del Mar