Pilot study about the incidence of missed injuries after implantation of protocol of tertiary survey in patients with severe trauma

Methods Prospective, descriptive, observational study, in patients with severe trauma (Injury Severity Score (ISS) > 15), who were admitted to the Trauma and Emergency ICU of a high complexity hospital from May 2013 to January 2014. The tertiary survey was performed at 24-48 hours of admission patient and it was conducted by an experienced staff and a resident not involved in the initial patient care. We collected demographic variables, initial Glasgow Coma Score (GCS), Injury Severity Score, hemodynamic status on admission, length of stay in ICU, days of Mechanical Ventilation (MV), complications and mortality. Furthermore, we collected missed injuries and their impact on patients outcomes. Quantitative variables were expressed as mean ± standard deviation. For qualitative variables we used percentages. Statistical data were analyzed by SPSS 16.0 considering statistically significant P < 0.05.