Epidemiologic Patterns of Bacteremia After Trauma

Completed

• Conditions: Bacteremia

• Registration Number: NCT04042636
• Lead Sponsor: Asan Medical Center

Brief Summary

Presence of pelvic and liver injury on arrival in ED, gastrointestinal tract perforation and massive transfusion within the first 24 hours after trauma appear a significant risk factor for bacteremia. Scoring with the ISS, intra-abdominal and pelvic injury and presence of transfusion and shock at admission to ED appears a useful tool for identifying trauma patients at increased risk of bacteremia.

Detailed Description

Purpose: Bacteremia is a major nosocomial infection problem in view of its high mortality. Bacteremia occurs in trauma patients frequently and increases a morbidity and mortality. The aim of this study was to identify risk factors and to describe epidemiological patterns for early onset (EOB) and late onset (LOB) bacteremia after trauma.

Methods: All trauma patients admitted to surgical intensive care unit (SICU) and general ward (GW) from January 2011 to December 2015 were retrospectively enrolled. The following information was collected for each patient and recorded in a computer database: demography, severity of trauma according to the Injury Severity Score (ISS) and each abbreviated injury score (AIS), severity of coma according to the Glasgow Coma Scale (GCS), presence of shock and transfusion. Early onset bacteremia was defined as EOB when onset occurred within 7 days after trauma, and late onset bacteremia was defined as LOB when appearing after 7 days from trauma.

Study Timeline

• Study Start: 2011-01-01
• Primary Completion: 2015-12-31
• Study Completion: 2018-12-31
• Status Verified: 2019-07
• Study First Submitted: 2019-07-31
• Study First Submitted QC: 2019-07-31
• Last Update Submitted: 2019-07-31
• Study First Posted: 2019-08-02
• Last Update Posted: 2019-08-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 859

Inclusion Criteria

• The patients who admitted to intensive care unit (ICU) or general ward (GW) through the emergency department after trauma were studied

Read More

Exclusion Criteria

• Patients who arrived on dead-on arrival

Read More

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Risk factor for bacteremia after trauma	5 years	finding fisk factor for bacteremia in traumatic patients

Secondary Outcome Measures

Name	Time	Method
Etiology of bacteremia after trauma	5 years	distinguishing G(+) cocci, G(-) rod, and candida spp.

Trial Locations

Locations (1)

Hakjae Lee; 🇰🇷 Seoul, Korea, Republic of