Ignite Creation Date:
2024-10-26 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 3:39 PM
Study NCT ID:
NCT06580262
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-22
Brief Title:
Evaluation of the Vittel Criteria for Pre-hospital Triage of Severe Trauma Patients in the French West Indies and in French Guiana
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Evaluation of the Vittel Criteria for Pre-hospital Triage of Severe Trauma Patients in the French West Indies and in French Guiana
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
TRAUMA-DOM
Brief Summary:
Severe trauma is a public health problem because it is the leading cause of death in young people and the third leading cause of death in France for all ages These injuries will cause anatomical and functional after-effects that are sometimes permanent and are therefore among the leading causes of acquired disability in France
The Vittel criteria constitute a decision-making algorithm of 24 criteria for triage of trauma patients The presence of only one criterion out of the 24 must direct the patient to a trauma referral center The existence of only one trauma referral center per territory questions the relevance of using the Vittel criteria in the French Antilles and Guiana
It therefore seems important that the relevance of the different Vittel criteria be reassessed in our territories where the typology of patients and the urban network is different compared to that of mainland France are a common cause of severe trauma followed by assaults or fights accidents at work during leisure or at home falls from a great height and weapon-related injuries Special and rapid care is then necessary
This is why trauma severity criteria and triage scores are used to target these serious patients and direct them to the appropriate healthcare facilities
The Vittel criteria constitute a decision-making algorithm of 24 criteria for triage of trauma patients The presence of only one criterion out of the 24 must direct the patient to a trauma referral center The existence of only one trauma referral center per territory questions the relevance of using the Vittel criteria in the French Antilles and Guiana
It therefore seems important that the relevance of the different Vittel criteria be reassessed in Martinique Guadeloupe and french Guiana french overseas territories where the typology of patients and the urban network is different compared to that of mainland France
The Vittel criteria constitute a decision-making algorithm of 24 criteria for triage of trauma patients The presence of only one criterion out of the 24 must direct the patient to a trauma referral center The existence of only one trauma referral center per territory questions the relevance of using the Vittel criteria in the French Antilles and Guiana
It therefore seems important that the relevance of the different Vittel criteria be reassessed in our territories where the typology of patients and the urban network is different compared to that of mainland France are a common cause of severe trauma followed by assaults or fights accidents at work during leisure or at home falls from a great height and weapon-related injuries Special and rapid care is then necessary
This is why trauma severity criteria and triage scores are used to target these serious patients and direct them to the appropriate healthcare facilities
The Vittel criteria constitute a decision-making algorithm of 24 criteria for triage of trauma patients The presence of only one criterion out of the 24 must direct the patient to a trauma referral center The existence of only one trauma referral center per territory questions the relevance of using the Vittel criteria in the French Antilles and Guiana
It therefore seems important that the relevance of the different Vittel criteria be reassessed in Martinique Guadeloupe and french Guiana french overseas territories where the typology of patients and the urban network is different compared to that of mainland France
Detailed Description:
Trauma severity criteria and prehospital triage scores have been proposed since the 1990s In 2002 a conference of experts in France proposed a decision algorithm for prehospital triage of trauma patients known as the Vittel criteria Indeed the presence of a single criterion out of the 24 others should direct the patient to a trauma referral center Level 1 Trauma Center However since their implementation few studies have evaluated the relevance of these criteria on over- or under-triage on the prescription of additional imaging tests and finally on the prognosis of patients including disabling sequelae Indeed some criteria are subjective and taken alone it seems difficult to be able to put them on the same level to guide the patient
In the French Antilles-Guiana inter-region trauma from accidents on public roads and assaults with knives or firearms are a very common reason for interventions by SMUR teams Despite this frequency knowledge of the local epidemiology of these injuries is patchy Furthermore the referral of patients treated in pre-hospital care either by firefighter teams or by the SMUR is almost always done to the only reference health facility in each of the three French departments Martinique Guadeloupe Guiana The existence of only one trauma reference center per territory questions the relevance of using the Vittel criteria in the French Antilles-Guyana
Twenty years after the development of the Vittel criteria several changes have occurred in society particularly in road safety and personal protective equipment These advances would result in a reduction in the risks and severity related to accidents Despite all these security advances there is a lack of use and respect for them in the territories of the Antilles-Guiana At the same time violence and assaults by weapon have evolved with the use of firearms and weapons of war relatively frequently in our territories
The relevance of the various Vittel criteria must be reassessed particularly in the Antilles-Guyana where the typology of patients and the urban network is different from that of mainland France The hypotheses are that certain criteria such as age comorbidities speed and deformation of vehicles taken in isolation would not be prognostic criteria for a serious anatomical injury or intensive care or even early mortality Conversely other criteria such as the taking of toxics or two-wheeled road accidents would be more important criteria to take into consideration
In the French Antilles-Guiana inter-region trauma from accidents on public roads and assaults with knives or firearms are a very common reason for interventions by SMUR teams Despite this frequency knowledge of the local epidemiology of these injuries is patchy Furthermore the referral of patients treated in pre-hospital care either by firefighter teams or by the SMUR is almost always done to the only reference health facility in each of the three French departments Martinique Guadeloupe Guiana The existence of only one trauma reference center per territory questions the relevance of using the Vittel criteria in the French Antilles-Guyana
Twenty years after the development of the Vittel criteria several changes have occurred in society particularly in road safety and personal protective equipment These advances would result in a reduction in the risks and severity related to accidents Despite all these security advances there is a lack of use and respect for them in the territories of the Antilles-Guiana At the same time violence and assaults by weapon have evolved with the use of firearms and weapons of war relatively frequently in our territories
The relevance of the various Vittel criteria must be reassessed particularly in the Antilles-Guyana where the typology of patients and the urban network is different from that of mainland France The hypotheses are that certain criteria such as age comorbidities speed and deformation of vehicles taken in isolation would not be prognostic criteria for a serious anatomical injury or intensive care or even early mortality Conversely other criteria such as the taking of toxics or two-wheeled road accidents would be more important criteria to take into consideration
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None