Mortality of Trauma in the Intensive Care Unit. (MOTRAM-ICU-COL)

Hospital Departamental de Villavicencio

Status: Not yet enrolling

Conditions: Trauma Patients; Trauma Injury; Trauma ICU Patients; Trauma (Including Fractures); Trauma Patients in ICU

Treatments: Other: Not exposed; Other: Exposed to trauma

Study type: Observational

Funder types: Other

Identifiers

NCT07208110

GRIVI_2025_01_QX_UCI_TMA

Details and patient eligibility

About

In this study, it was planned to establish the factors associated with severe trauma discharged from the intensive care unit and mortality. A cross-sectional trial will be conducted to review the ICU discharge database at a two-year interval to review records of trauma admissions patients and compare them with other types of admissions. Participant institutions are general hospitals (public and private) from the Colombian Orinoco region. the prevalence of admission by trauma will also be determined.

Full description

Introduction Trauma is the main cause of mortality and disability in young population worldwide. The violence and vehicle accidents are the most common mechanism, depending on regional context. Severe cases require admission to the intensive care unit usually. Comprehension of such the factors associated with trauma mortality will allow to optimize, prioritize and improve limited resources, by stratifying the risk, and focus therapeutic strategies, with a potential reduction on mortality, cost, and sequalae. The study aims to analyze the factors associated with outcomes in patients with severe trauma admitted to the intensive care unit.

Methodology An analytical cross-sectional trial will be performed, based on the review of discharge database in the intensive care unit during the period of study. The study will be performed in Hospital Departamental de Villavicencio and Clinica Primavera from January 2022 and December 2024. Al records from discharges will be reviewed to establish those related to trauma indications; the records will be divided in two groups for comparisons between the care after trauma and other admissions. Demographic variables of severity and diagnosis will be analyzed. The outcomes to evaluate will be mortality and ICU length of stay.

Expected results The cause of admission by trauma, severity scores by diagnostic groups, and the outcomes by type of trauma will be highlighted with this trial. With the advance of this research, we expect that predictive variables for mortality in trauma, polytrauma, and major trauma in the ICU, will be revealed, and a predictive model adjusted to the local context of the population cared will be established.

Enrollment: 500 estimated patients

Sex: All

Ages: 15 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admitted to the intensive care unit.

Exclusion criteria

• None.

Trial design

500 participants in 2 patient groups

Trauma

Description:

Records of patients admitted to the ICU with a diagnosis of trauma, major trauma, polytrauma, severe trauma.

Treatment:

Other: Exposed to trauma

Non-trauma

Description:

Records of patients admitted to the ICU with other non-trauma diagnosis.

Treatment:

Other: Not exposed