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VOLUME 13 , ISSUE 3 ( September-December, 2024 ) > List of Articles

RETROSPECTIVE COHORT STUDY

Trauma Registry in a General Hospital from Villavicencio, Colombia: An Observational Retrospective Trial

Maria X Mendoza, Norton Perez-Gutierrez, Aura L Sanchez, Miguel Melendez, Judy Ramirez, Juan M Ramos, Karen A Olivos, Paula A Gaviria, Karol J Torres

Keywords : Multiple trauma, Registries, Routinely collected health data, Trauma centers, Trauma severity indices, Wounds and injuries

Citation Information : Mendoza MX, Perez-Gutierrez N, Sanchez AL, Melendez M, Ramirez J, Ramos JM, Olivos KA, Gaviria PA, Torres KJ. Trauma Registry in a General Hospital from Villavicencio, Colombia: An Observational Retrospective Trial. Panam J Trauma Crit Care Emerg Surg 2024; 13 (3):143-149.

DOI: 10.5005/jp-journals-10030-1471

License: CC BY-NC 4.0

Published Online: 31-12-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Injuries are a frequent cause of mortality worldwide. Trauma registries help identify the characteristics of attention to trauma in specialized centers and institutions not explicitly dedicated to trauma. The study aimed to identify factors associated with mortality caused by major trauma in a general hospital in the Orinoco region of Colombia. Study design: Researchers designed a cross-sectional trial based on the revision of an institutional trauma database collected from January to August 2023. They collected demographic, clinical, and severity variables and analyzed the outcomes. Results: Two hundred fifty admission records to the emergency department were reviewed, mainly men (80%), with a median age of 31 years. Road traffic accidents (RTA) accounted for 64% of the admissions, with 58% involving motorcycles. Approximately, 66% of the incidents occurred in Villavicencio, and admission within the first 6 hours occurred in 87.2% of cases. The injury severity score (ISS) had a median of 20. The analysis identified head and neck injuries in 54.8% of cases. Immediate surgery was necessary in 42.8%. The mortality rate was 10%, and the median length of stay was 5 days. Factors associated with a lethal outcome included severity and injuries in multiple anatomical regions. Conclusion: The study revealed that the population affected by major trauma is predominantly young, especially due to accidents involving motorcycles. Educational and control measures are required to reduce accidents, mortality, and disabilities caused by the resulting sequelae.

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