Assessing Trauma Patient Referrals in Val d'Oise
Retrospective Assessment of Referral of a Major Trauma Patient in Val-d'Oise
This study is trying to see if major trauma patients in the Val d'Oise area are being sent to the right hospitals for their care.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 461 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Hôpital NOVO Academic / other |
| Locations | 1 site (Pontoise) |
| Trial ID | NCT06551350 on ClinicalTrials.gov |
What this trial studies
This observational study aims to evaluate whether major trauma patients in the Val d'Oise region are referred to the appropriate trauma centers for their care. It focuses on assessing the quality of the triage process, which is essential for directing patients to the right level of care. The study will analyze data collected from patients suspected of having major trauma and will consider various physiological and anatomical criteria for inclusion. The findings could help improve the management of trauma patients and ensure better survival rates.
Who should consider this trial
Good fit: Ideal candidates for this study are patients suspected of major trauma who are referred by the Mobile Intensive Care Unit in the Val d'Oise region.
Not a fit: Patients who are deceased on site or those who do not meet the specified trauma criteria will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance the referral process for trauma patients, potentially improving survival rates and outcomes.
How similar studies have performed: While this study addresses a critical aspect of trauma care, similar studies have shown varying success in improving triage processes, indicating both the potential for improvement and the need for further investigation.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria :
* Between the 1st January 2023 and the 31th December 2023
* Regulated by SAMU 95 with suspected major trauma
* Sending an MCIU
* At least 1 Vittel criterion\*
Exclusion Criteria :
* Death on site
* Care by an MICU team outside the 95
* Minor patients and legal protection
* Transport refusals
* Vittel criterion :
• Physiological variables : Glasgow score \< 13 Systolic blood pressure \< 90 mmHg O2 saturation \< 90%
• Elements of kinetics : Ejection from a vehicle Other passenger killed in the same vehicle Fall \> 6 metres Victim thrown or crushed Overall assessment (deformation of the vehicle, estimated speed, absence of helmet, absence of seatbelt) Blast
• Anatomical lesions : Penetrating trauma to the head, neck, thorax, abdomen, pelvis, arm or thigh Flail chest Severe burn, smoke inhalation Pelvic fracture Suspected spinal cord injury Amputation of wrist, ankle or above Acute limb ischaemia
• Pre-hospital resuscitation : Assisted ventilation Filling \> 1000 ml with colloids Catecholamines Inflated shock-proof trousers
• Medical context (to be assessed) : Age \> 65 Cardiac or coronary insufficiency Respiratory insufficiency Pregnancy (2nd and 3rd trimesters) Blood crase disorders
Where this trial is running
Pontoise
- Resuscitation Services (SAMU 95/SMUR) - Hôpital NOVO -Pontoise Site — Pontoise, France (Recruiting)
Study contacts
- Principal investigator: Fabrice LOUVET — Hôpital NOVO
- Study coordinator: Maryline DELATTRE
- Email: maryline.delattre@ght-novo.fr
- Phone: +3333130754131
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.