Influence of clinical-demographic and care factors on the survival of severe traumatised patients treated by the Navarre Emergency System. (Q3162346): Difference between revisions

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(‎Created claim: summary (P836): The incidence and survival of Graves Traumatised Patients show great variability. In Spain there are few studies that make it possible to relate aspects specific to the mechanism of production of the accident, its intensity and health care with survival. The objective of this project is to link care and clinical data with the survival and sequelae of polytraumatised patients treated by the Navarre Emergency System, compare the results with inter...)
(‎Changed label, description and/or aliases in en: translated_label)
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Influence of clinical-demographic and care factors on the survival of severe traumatised patients treated by the Navarre Emergency System.

Revision as of 16:42, 12 October 2021

Project Q3162346 in Spain
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English
Influence of clinical-demographic and care factors on the survival of severe traumatised patients treated by the Navarre Emergency System.
Project Q3162346 in Spain

    Statements

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    11,000.0 Euro
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    22,000.0 Euro
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    50.0 percent
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    1 January 2018
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    31 March 2021
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    FUNDACION INSTITUTO DE INVESTIGACION SANITARIA DE NAVARRA
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    42°49'6.42"N, 1°38'39.34"W
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    31201
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    La incidencia y la supervivencia de Pacientes Traumatizados Graves muestran una gran variabilidad. En España hay pocos estudios que permitan relacionar aspectos propios del mecanismo de producción del accidente, intensidad del mismo y atención sanitaria con la supervivencia. El objetivo de este proyecto es relacionar la asistencia y los datos clínicos con la supervivencia y las secuelas de los pacientes politraumatizados atendidos por el Sistema de Emergencias de Navarra, comparar los resultados con los estándares internacionales y detectar puntos críticos de mejora. Estudio de cohorte ambispectivo en el que se recogen pacientes lesionados con un Abbreviated Injury Scale (AIS) igual o superior a 3. Retrospectivamente se recogen casos desde 2010 y prospectivamente a partir de 1 de enero de 2018. Se estima un número de 1250 casos reclutados para el estudio. Se recogerán variables clave relacionadas con el accidente, el paciente y las respuestas del sistema sanitario tanto en el ámbito prehospitalario como hospitalario y el resultado final en términos de supervivencia y discapacidad. Se incluirá un análisis descriptivo así como modelos logísticos multivariantes, incluyendo como variables explicativas aquellas que resulten marginalmente significativas en los análisis univariantes. Se procederá estandarizar la mortalidad observada con la del Trauma Score - Injury Severity Score (TRISS) y Revised Injury Severity Classification, version II (RISC II). Los datos obtenidos nos permitirán comparar resultados, diseñar intervenciones, locales y generales, apoyadas en datos objetivos e implementar dinámicas de evaluación de resultados en salud en cada servicio participante (círculo de calidad local) y de comparación entre servicios (círculo de calidad general) (Spanish)
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    The incidence and survival of Graves Traumatised Patients show great variability. In Spain there are few studies that make it possible to relate aspects specific to the mechanism of production of the accident, its intensity and health care with survival. The objective of this project is to link care and clinical data with the survival and sequelae of polytraumatised patients treated by the Navarre Emergency System, compare the results with international standards and detect critical improvement points. Ambispective cohort study in which injured patients with an Abbreviated Injury Scale (AIS) equal to or greater than 3 are collected. Cases have been collected retrospectively since 2010 and prospectively from 1 January 2018. An estimated 1250 cases are recruited for the study. Key variables related to accident, patient and health system responses will be collected in both pre-hospital and hospital settings and the final outcome in terms of survival and disability. It will include a descriptive analysis as well as multivariate logistic models, including as explanatory variables those that are marginally significant in univariate analyses. The mortality observed should be standardised with Trauma Score — Injury Severity Score (TRISS) and Revised Injury Severity Classification, version II (RISC II). The data obtained will allow us to compare results, design interventions, local and general, supported by objective data and implement dynamics of evaluation of health outcomes in each participating service (local quality circle) and comparison between services (circle of general quality) (English)
    12 October 2021
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    Pamplona/Iruña
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    Identifiers

    PI17_00645
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