ThoRAciC Trauma IntubatiON Risk Score for Blunt Trauma

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-10-01

Study Completion Date

2024-10-01

Brief Summary

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The primary objective of this study is the evaluation of risk factors associated with orotracheal intubation in blunt chest trauma patients not intubated on the field and not fulfilling the criteria for intubation based on the Glasgow Coma scale score with the building of a predictive score based on those findings taking into account the clinical, laboratory and radiologic tests performed within 6 hours from hospital admission.

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Detailed Description

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Multicentre, prospective, observational study. All the consecutive blunt thoracic trauma patients consecutively admitted at the participating institutions' Emergency Department (ED) will be considered for enrolment. The primary outcome measure will be the need for orotracheal intubation for primary respiratory failure lasting at least 48 hours within 7 days after trauma. The secondary outcome measures related to analgesia are: the basal analgesia protocol received during the first 7 days from ED admission and the median cumulative dose of morphine-equivalents received as rescue therapy during the first 7 days after trauma. The secondary outcome measure related to the sonographic evolution of thoracic lesions is the global and regional LUS.

Conditions

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Trauma Chest

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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intubated within day 7th

patients needing oro-tracheal intubation within day 7th from admission.

oro tracheal intubation

Intervention Type PROCEDURE

chest trauma requiring oro tracheal intubation

non intubated within day 7th

patients not requiring intubation within day 7th from admission

No interventions assigned to this group

Interventions

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oro tracheal intubation

chest trauma requiring oro tracheal intubation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Blunt thoracic trauma with a documentable lesion (T-AIS ≥ 2)
* Age ≥ 18 years
* GCS \> 8 at ED admission
* Total body CT scan available performed within 6 hours from ED admission

Exclusion Criteria

* \- Penetrating thoracic trauma
* Age \< 18 years
* GCS \<= 8 at ED admission
* Patients already intubated at ED arrival
* Do not intubate order, for any reason
* Intubation for Urgent/Emergent surgery within 24 hours from hospital arrival

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No