Spanish trauma icu registry (RETRAUCI). final results of the pilot phase

Results We evaluated 2242 patients. Mean age 47.1 ± 19.02 years. Male 79%. Blunt trauma 93.9%. Injury Severity Score 22.2 ± 12.1, Revised Trauma Score 6.7 ± 1.6. Non-intentional in 84.4%, most common causes for trauma were road traffic accidents followed by pedestrian and high-energy falls. Up to 12.4% were taking antiplatelets or anticoagulants. Close to 28% had suspected or confirmed toxic influence in trauma. Up to 31.5% required out-of-hospital artificial airway. Time between trauma and ICU admission was 4.7 ± 5.3 hours. At ICU admission, 68.5% remained hemodinamically stable. Twenty-six percent received blood transfusion within 6 hours of ICU admission. Brain and chest injuries were predominant. Complications occurred frequently: trauma-induced coagulopathy in 32.1%, rhabdomyolysis 11.1%, early and late MOF 10.9% and 15.7% respectively, ARDS 23.4%, renal failure 14.7% and nosocomial infection 32.3%. Intracranial pressure was monitored invasively in 21%. Of them 65.8% presented intracranial hypertension. Mechanical ventilation was used in 69.5% of the patients (mean 8.2 ± 9.9 days), of which 24.9% finally required a tracheostomy ICU and hospital length of stay were 10.1 ± 12.8 and 16.0 ± 20.8 days respectively. ICU mortality was UCI 12.3% (273 patients). In-hospital after ICU mortality was 3.7%. Of note, up to 11.6% were transferred to another ICU.