Background: Trauma is a major cause of morbidity and mortality. The impact of trauma on the Lebanese society has not been formally assessed. Regionalization of trauma care through establishment of designated trauma centers improves outcomes in affected victims. A comprehensive database is needed to evaluate several aspects of trauma care in Lebanon.
1) To describe characteristics such as demographic, injury patterns, clinical characteristics, management interventions, and outcomes of affected individuals.
2) To identify predictors in trauma outcomes and evaluate commonly used injury scores.
Methods: We will conduct a retrospective chart review study of all trauma patients’ records treated at AUBMC between January 1 2008 and December 18, 2013. An estimated 1000 charts will be included. Descriptive statistical analyses using SAS and multivariate analyses to identify predictors will be carried out.
Impact on Human
Health: This study will be the first to assess of trauma care in Lebanon and will provide evidence for the need for injury
prevention programs, the implementation of legislative measures, and the organization
of trauma care.
All trauma patients’ records treated at AUBMC
between January 1 2008 and December 18, 2013.
We are proposing to carry out a retrospective chart review study of all trauma patients’ records treated at AUBMC between January 1 2008 and December 18, 2013. The AUBMC medical records department will be contacted and asked to provide us with a list of all patients who were admitted to AUBMC through the ED and who have the ICD code in their discharged summaries for the specified period above.
Patients of all age groups admitted to the AUBMC ED will be considered eligible for inclusion in this study. Moreover, inclusion criteria will be based on definitions used in building Trauma registries in the US. More specifically, codes from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) were adopted. Eligible patients must have one of the following injury diagnostic codes:
- 987.9 (Smoke Inhalation),
- 994.0 (Lightning),
- 994.1 (Drowning and nonfatal submersion),
- 994.7 (Asphyxiation and Strangulation, includes Hanging),
- 994.8 (Electrocution), E-code 905.0 (Snakebites, venomous), or E-code 906.0 (Dog bite)
Patients with missing charts will be excluded from the study, in addition to those with isolated injuries, with the following injury diagnostic codes:
- 905-909.9 (late effects of injury)
- 910-924.9 (superficial injuries, including blisters, contusions, abrasions, and insect bites)
- 930-939.9 (foreign bodies)
- Same level fall in patients > 65 with isolated hip fracture (ICD-9 Codes 820.0 – 820.8)