Derivation of candidates for the combat casualty critical care (C4) database

Ian J. Stewart, Raymond Fang, Jeremy W. Cannon, David H. Zonies, Benjamin D. Morrow, Jean A. Orman, James D. Oliver, Kevin C. Abbott, John A. Jones, Kevin K. Chung

Research output: Contribution to journalArticle

Abstract

Objective: To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. Methods: The Department of Defense's Joint Theater Trauma Registry was queried for all combat casualties injured from February 1, 2002 through February 1, 2011. The search was limited to patients who required admission to the intensive care unit and survived to be evacuated to Landstuhl Regional Medical Center. Results: The query yielded 6,011 patients. The mean age was 25.7± 6.2 years. The majority of patients were male (98.3%), injured in Iraq (80%) and were members of the U. S. Army (72.6%). Most patients (58.0%) had an injury severity score in the lowest severity category (0–15). The mortality rate was 1.8%. The median day of death after injury (interquartile range) was 6 (3–14). Conclusions: We identified a cohort of critically wounded combat casualties that encompasses the majority of such patients injured in the course of the wars in Iraq and Afghanistan. When this database is fully populated, rigorous epidemiologic analysis will seek to identify factors associated with morbidity and mortality to improve future care.

Original languageEnglish (US)
Pages (from-to)370-374
Number of pages5
JournalMilitary Medicine
Volume179
Issue number4
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Critical Care
Databases
Iraq
Mortality
Morbidity
Afghanistan
Injury Severity Score
Wounds and Injuries
Intensive Care Units
Registries
Joints
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Stewart, I. J., Fang, R., Cannon, J. W., Zonies, D. H., Morrow, B. D., Orman, J. A., ... Chung, K. K. (2014). Derivation of candidates for the combat casualty critical care (C4) database. Military Medicine, 179(4), 370-374. https://doi.org/10.7205/MILMED-D-13-00393

Derivation of candidates for the combat casualty critical care (C4) database. / Stewart, Ian J.; Fang, Raymond; Cannon, Jeremy W.; Zonies, David H.; Morrow, Benjamin D.; Orman, Jean A.; Oliver, James D.; Abbott, Kevin C.; Jones, John A.; Chung, Kevin K.

In: Military Medicine, Vol. 179, No. 4, 01.01.2014, p. 370-374.

Research output: Contribution to journalArticle

Stewart, IJ, Fang, R, Cannon, JW, Zonies, DH, Morrow, BD, Orman, JA, Oliver, JD, Abbott, KC, Jones, JA & Chung, KK 2014, 'Derivation of candidates for the combat casualty critical care (C4) database', Military Medicine, vol. 179, no. 4, pp. 370-374. https://doi.org/10.7205/MILMED-D-13-00393
Stewart, Ian J. ; Fang, Raymond ; Cannon, Jeremy W. ; Zonies, David H. ; Morrow, Benjamin D. ; Orman, Jean A. ; Oliver, James D. ; Abbott, Kevin C. ; Jones, John A. ; Chung, Kevin K. / Derivation of candidates for the combat casualty critical care (C4) database. In: Military Medicine. 2014 ; Vol. 179, No. 4. pp. 370-374.
@article{40a71899f7c54dc482b3840ea3032189,
title = "Derivation of candidates for the combat casualty critical care (C4) database",
abstract = "Objective: To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. Methods: The Department of Defense's Joint Theater Trauma Registry was queried for all combat casualties injured from February 1, 2002 through February 1, 2011. The search was limited to patients who required admission to the intensive care unit and survived to be evacuated to Landstuhl Regional Medical Center. Results: The query yielded 6,011 patients. The mean age was 25.7± 6.2 years. The majority of patients were male (98.3{\%}), injured in Iraq (80{\%}) and were members of the U. S. Army (72.6{\%}). Most patients (58.0{\%}) had an injury severity score in the lowest severity category (0–15). The mortality rate was 1.8{\%}. The median day of death after injury (interquartile range) was 6 (3–14). Conclusions: We identified a cohort of critically wounded combat casualties that encompasses the majority of such patients injured in the course of the wars in Iraq and Afghanistan. When this database is fully populated, rigorous epidemiologic analysis will seek to identify factors associated with morbidity and mortality to improve future care.",
author = "Stewart, {Ian J.} and Raymond Fang and Cannon, {Jeremy W.} and Zonies, {David H.} and Morrow, {Benjamin D.} and Orman, {Jean A.} and Oliver, {James D.} and Abbott, {Kevin C.} and Jones, {John A.} and Chung, {Kevin K.}",
year = "2014",
month = "1",
day = "1",
doi = "10.7205/MILMED-D-13-00393",
language = "English (US)",
volume = "179",
pages = "370--374",
journal = "Military Medicine",
issn = "0026-4075",
publisher = "Association of Military Surgeons of the US",
number = "4",

}

TY - JOUR

T1 - Derivation of candidates for the combat casualty critical care (C4) database

AU - Stewart, Ian J.

AU - Fang, Raymond

AU - Cannon, Jeremy W.

AU - Zonies, David H.

AU - Morrow, Benjamin D.

AU - Orman, Jean A.

AU - Oliver, James D.

AU - Abbott, Kevin C.

AU - Jones, John A.

AU - Chung, Kevin K.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective: To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. Methods: The Department of Defense's Joint Theater Trauma Registry was queried for all combat casualties injured from February 1, 2002 through February 1, 2011. The search was limited to patients who required admission to the intensive care unit and survived to be evacuated to Landstuhl Regional Medical Center. Results: The query yielded 6,011 patients. The mean age was 25.7± 6.2 years. The majority of patients were male (98.3%), injured in Iraq (80%) and were members of the U. S. Army (72.6%). Most patients (58.0%) had an injury severity score in the lowest severity category (0–15). The mortality rate was 1.8%. The median day of death after injury (interquartile range) was 6 (3–14). Conclusions: We identified a cohort of critically wounded combat casualties that encompasses the majority of such patients injured in the course of the wars in Iraq and Afghanistan. When this database is fully populated, rigorous epidemiologic analysis will seek to identify factors associated with morbidity and mortality to improve future care.

AB - Objective: To describe the development of the Combat Casualty Critical Care Database, a comprehensive database of critically injured combat casualties to identify potentially modifiable risk factors for morbidity and mortality in this population. Methods: The Department of Defense's Joint Theater Trauma Registry was queried for all combat casualties injured from February 1, 2002 through February 1, 2011. The search was limited to patients who required admission to the intensive care unit and survived to be evacuated to Landstuhl Regional Medical Center. Results: The query yielded 6,011 patients. The mean age was 25.7± 6.2 years. The majority of patients were male (98.3%), injured in Iraq (80%) and were members of the U. S. Army (72.6%). Most patients (58.0%) had an injury severity score in the lowest severity category (0–15). The mortality rate was 1.8%. The median day of death after injury (interquartile range) was 6 (3–14). Conclusions: We identified a cohort of critically wounded combat casualties that encompasses the majority of such patients injured in the course of the wars in Iraq and Afghanistan. When this database is fully populated, rigorous epidemiologic analysis will seek to identify factors associated with morbidity and mortality to improve future care.

UR - http://www.scopus.com/inward/record.url?scp=84927171551&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927171551&partnerID=8YFLogxK

U2 - 10.7205/MILMED-D-13-00393

DO - 10.7205/MILMED-D-13-00393

M3 - Article

VL - 179

SP - 370

EP - 374

JO - Military Medicine

JF - Military Medicine

SN - 0026-4075

IS - 4

ER -