TraumCat: preliminary analysis of a year of severe trauma registry in Catalonia
Prat S, Domínguez Sampredro P, Koo M, Colilles C, Jiménez-Fábrega X, Espinosa L
Affiliation of the authors
Sección de Traumatología, Hospital Clínic, Barcelona, Spain. Programa de Trauma Pediátrico, Unidad de Transporte SEM Pediátrico, Hospital Universitario Vall de Hebron, Universitat Autónoma de Barcelona, España. Servicio de Anestesiología y Reanimación, Hospital Universistari de Bellvitge, Hospitalet de Llobregat, Spain. Servicio de Anestesiología y Reanimación. Hospital Parc Tauli, Sabadell, Spain. Servei dEmergencies Mèdiques, Barcelona, España. 6Consorci Sanitari Barcelona, Spain.
Prat S, Domínguez Sampredro P, Koo M, Colilles C, Jiménez-Fábrega X, Espinosa L. TraumCat: preliminary analysis of a year of severe trauma registry in Catalonia. Emergencias. 2014;26:267-74
Summary
Objective: To analyze results of the first years use of the Hospital Population-Based
Registry of Severe Trauma in Catalonia (TraumCat).
Methods: Fifteen hospitals prospectively collected information on adults and children (<
16 years of age) with severe trauma for 1 year (July 1, 2012 to July 1, 2013). The
information was stored in an online database.
Results: The registry received 1106 cases of high-energy trauma (12.2% under the age
of 16 years) were registered. Eight-four percent of the injuries in young adults were
accidental; in the full cohort, 54.4% of the patients were injured in traffic accidents and
26.9% in falls. Personal violence accounted for 5.4%. The Injury Severity Score was over
15 in 46% of the patients, and the New Injury Severity Score was over 15 in 51%.
Mortality was 10% overall, but in patients aged over 60 years, mortality was 25.2%.
Conclusions: TraumCat reveals the scope of severe trauma in Catalonia and facilitates
analysis of the process of treatment of these injuries. This tool should be more firmly
established and improved as a strategy for monitoring trauma care and outcomes.
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