Trauma registry in Spain. Comment to “Trauma systems around the world: A systematic overview”

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To the Editor:
We read with great interest the article by Dijkink et al1 evaluating the existence of trauma systems in high-, middle-, and low-income countries. In their analysis of trauma systems, they included the existence of trauma registries. When referred to Spain, the authors stated “no nationwide trauma registry, initiatives in autonomous regions” citing an old reference by Queipo de Llano et al.2
Here, we would like to comment on the existence of a national registry of trauma patients admitted to Spanish intensive care units (ICUs), which is called RETRAUCI (in Spanish, acronym of REgistro de TRAuma en UCI). RETRAUCI was an initiative endorsed by the Neurointensive Care and Trauma Working Group of the Spanish Society of Intensive Care Medicine. The pilot phase was conducted from November 2012 to January 2015 in 13 hospitals. Data of the epidemiologic features and mortality adjustment of the 2,242 patients recruited in the pilot phase were already published.3,4 From 2015 to date, data were collected in a specific Web-based database.5 At the time of writing this article, the registry includes data of 6,800 patients with 49 hospitals and 109 investigators participating throughout the country. As occurs with all registries, RETRAUCI is not perfect and does not cover the whole spectra of trauma patients from the scene of trauma. However, we believe that it provides interesting information in a homogeneous part of trauma patients, the most severe admitted to the ICU, as stated by the mean Injury Severity Score of 22.2 ± 12.1, the use of mechanical ventilation in up to 69.5% of the patients included, and the ICU and in-hospital mortality rates of 12.3% and 16%, respectively.3,4
Trauma registries are a useful tool for benchmarking purposes and can therefore lead to an improvement of the quality of care provided to trauma patients. We expect RETRAUCI to play a major role for planning strategies and subsequently improve outcomes of severe trauma patients in Spain.
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