Penetrating Neck Trauma
Conditions
Keywords
Penetrating Trauma, Trauma surgery, No zone approach, Non-surgical treatment, Polytrauma
Brief summary
Penetrating neck trauma ranges from 5 to 10% of trauma patients and its management has been changing in the las 20 years and not all surgeons that attend this patients are trauma surgeons. The aim of the study is to describe the evolution of the management in a referal center and the complications of two periods, with and without a simplified protocol.
Detailed description
Penetrating neck trauma ranges from 5 to 10% of trauma patients and its management has been changing in the las 20 years and not all surgeons that attend this patients are trauma surgeons. Traditionally, the management was followed by surgical treatment, but the non-therapeutic cervicotomies were ascendent to the 89%, the zone approach was established, following the Monson anatomy zones, with different indications for surgery in every zone, and finally, after the year 2000, started to publish articles on where the injury was not correlated with the zone in about a 23% of the patients. The aim of the study is to describe the evolution of the management in a referal center and the complications of two periods, with and without a simplified no zone approach protocol.
Interventions
None listed
Sponsors
Hospital del Mar
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* All penetrating trauma patients admitted in the emergency department.
Exclusion criteria
* All patients with any other diagnostic different from penetrating trauma * Blunt trauma patients admitted in the emergency department
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complications | 2008-2022 | The main outcome measure was the total of complications in patients with a penetrating neck trauma assessed by the Clavien-Dindo Classification. |
| Mortality | 2008-2022 | The second main outcome measure was the total of deaths in patients with a penetrating neck trauma assessed by preventable or non-preventable deaths. |
| Non-therapeutic cervicotomy | 2008-2022 | The third main outcome measure was the total of non-therapeutic and therapeutic cervitocomies before and after implementing a simplified protocol in patients with a penetrating neck trauma. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wound | 2008-2022 | Description of the wound: bleeding, longitude, number of wounds |
| Demographyc description | 2008-2022 | Description of the age and gender (Male / Female) |
| Physiologic description | 2008-2022 | Description of the vitals at arrival (bates per minute, blood pressure) |
Contacts
Primary ContactAna María González Castillo
Outcome results
None listed