Penetrating Trauma Registry and Open Source Data

Penetrating injuries comprise roughly 30% of Methodist Health System (MHS) trauma patients. Firearm-related events have become more prevalent in the past few years. Active shooter events, mass casualties, assaults, and homicide are more commonplace which leads to an increase of trauma patients needing management of penetrating injuries.

Study Overview

• Status: Recruiting
• Conditions: Penetrating Trauma Registry and Open Source Data
• Intervention / Treatment: Behavioral: Treatment measures and intervention strategies

Detailed Description

Penetrating injuries comprise roughly 30% of Methodist Health System (MHS) trauma patients. Firearm-related events have become more prevalent in the past few years . Active shooter events, mass casualties, assaults, and homicide are more commonplace which leads to an increase of trauma patients needing management of penetrating injuries. On average, penetrating traumas only make up 14% of comparable center patient volumes. In spring 2022, we also were ranked 3/10 for our penetrating trauma outcomes with lower than expected mortality (TQIP Benchmarking Report). Together, as a Level 1 trauma center with above average penetrating injury volume we must take efforts to best understand the opportunities for our patients and disseminate those observations to the trauma community

• Study Type: Observational
• Enrollment (Estimated): 200

Contacts and Locations

Study Locations

• United States
  • Texas
    • Dallas, Texas, United States, 75203
      • Recruiting
      • Methodist Dallas Medical Center
      • Contact: Colette Ngo Ndjom, MS; Phone Number: 217-947-4681; Email: mhsirb@mhd.com
      • Contact: Bethany Brauer, MPH; Phone Number: 71281 214-947-4681; Email: mhsirb@mhd.com
      • Principal Investigator: Joseph Amos, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Methodist Health System (MHS) trauma patients

Description

Inclusion Criteria:

• • Aged 16 years or older (National Trauma Data Standard for adult)

  • Penetrating injury or intent to cause penetrating injury

Exclusion Criteria:

• • Aged 15 years or younger

  • Prisoners, pregnant persons, or other protected population
  • Not involved in penetrating trauma

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
comprehensive data series	To establish a comprehensive data series from observational data to gain a better understanding of the specifics surrounding penetrating trauma and related events	3 years
observational process improvement	To conduct observational process improvement and hypothesis-deriving studies related to penetrating traumatic injuries using data from the Methodist trauma registry and open source data repositories.	3 years

Collaborators and Investigators

• Sponsor: Methodist Health System

Publications and helpful links

General Publications

• Bjelopera, J. (2022). Public Mass Shootings in the United States: Selected Implications for Federal Public Health and Safety Policy. Retrieved 18 August 2022, from https://crsreports.congress.gov/product/pdf/R/R43004.
• Lin PI, Fei L, Barzman D, Hossain M. What have we learned from the time trend of mass shootings in the U.S.? PLoS One. 2018 Oct 18;13(10):e0204722. doi: 10.1371/journal.pone.0204722. eCollection 2018.
• 3. Luca, M., Malhotra, D., & Poliquin, C. (2020). The impact of mass shootings on gun policy. Journal Of Public Economics, 181, 104083. https://doi.org/10.1016/j.jpubeco.2019.104083
• AJPH Global News. Am J Public Health. 2020 Oct;110(10):1446. doi: 10.2105/AJPH.2020.305872. No abstract available.
• 5. Schildkraut, J., Elsass, H., & Meredith, K. (2017). Mass shootings and the media: why all events are not created equal. Journal Of Crime And Justice, 41(3), 223-243. https://doi.org/10.1080/0735648x.2017.1284689
• Shultz JM, Thoresen S, Flynn BW, Muschert GW, Shaw JA, Espinel Z, Walter FG, Gaither JB, Garcia-Barcena Y, O'Keefe K, Cohen AM. Multiple vantage points on the mental health effects of mass shootings. Curr Psychiatry Rep. 2014 Sep;16(9):469. doi: 10.1007/s11920-014-0469-5.
• 7. Silva, J. (2020). A Comparative Analysis of Foiled and Completed Mass Shootings. American Journal Of Criminal Justice, 46(2), 187-208. https://doi.org/10.1007/s12103-020-09552-2

Study record dates

Study Major Dates

• Study Start (Actual): August 15, 2023
• Primary Completion (Estimated): August 19, 2025
• Study Completion (Estimated): August 19, 2025

Study Registration Dates

• First Submitted: October 18, 2023
• First Submitted That Met QC Criteria: November 14, 2023
• First Posted (Estimated): November 17, 2023

Study Record Updates

• Last Update Posted (Estimated): November 17, 2023
• Last Update Submitted That Met QC Criteria: November 14, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Keywords: Trauma
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: 106.TRA.2022.D

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Study data or any protected health information will not be shared with anyone that is not delegated to the study. The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual.
• IPD Sharing Time Frame: 2 years
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No