Heura Llaquet Bayo (Sabadell / ES), Anna González Costa (Sabadell / ES), Sandra Montmany Vioque (Sabadell / ES), Núria Llorach Perucho (Sabadell / ES), Pere Rebasa Cladera (Sabadell / ES), Andrea Campos Serra (Sabadell / ES), Raquel Gràcia Roman (Sabadell / ES), Ariadna Cidoncha Secilla (Sabadell / ES), Salvador Navarro Soto (Sabadell / ES)
Abstract text (incl. references and figure legends)
INTRODUCTION
To improve the quality of care in trauma patients, it is necessary to have an adequate registry and to monitor it.
Our objective is to assess changes observed in the last 15 years in our trauma centre. MATERIAL & METHODS
Descriptive study of trauma patients >16 years admitted to our critical care unit (level 1 trauma centre) or dead before admission.
Variables: demographic, mechanism, severity criteria, injuries and treatment, errors, missed injuries and mortality.
RESULTS
From 2006 to 2021, 2198 trauma patients were collected. 75.8% were men, with a mean age of 49 years, mean Charlson index was 1.48 ± 1.96 SD. Mean ISS was 19.3 ± 14.1 SD and 94.3% of the injuries were blunt.
Most frequent injuries recorded were rib fractures, subarachnoid hemorrhage and vertebral fracture. 28.7% required urgent surgical treatment, while 8.3% underwent urgent arteriography. Overall mortality was 10.1%.
Main causes of death were: neurological (54%) and hypovolemic shock (23%). Preventable mortality was 7.2% (0-2 deaths/year). 296 missed injuries were identified.
Most common errors that lead to missed injuries were clinical (45.8%) and radiological (45.1%). In these 15 years, no significant changes in epidemiological data were identified.
Although there were no differences in the overall mortality rate, changes on mortality pattern were identified (decrease in mortality during the first 24 hours as well as decrease in hypovolemic shock as a cause of death)
There was also a decrease in the number of missed injuries and preventable mortality.
CONCLUSIONS
No relevant epidemiological differences have been observed in the last 15 years.
The changes on the mortality pattern, and the decreasing of missed injuries and preventable mortality are probably related to better training of professionals.
REFERENCES
O"Reilly GM et al. Global trauma registry mapping: a scoping review. Injury. 2012 Jul;43(7):1148-53.
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