[Nine years of trauma cases] (original) (raw)
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Polish Journal of Public Health, 2016
Introduction. Injuries are an extremely important public health problem, in both developed and developing countries. Various traumas contribute to some one third of deaths of the entire human population followed by cardiovascular diseases and cancer only. Understanding the epidemiology of trauma might improve hospitals’ ability to provide proper diagnoses and treatment. Aim. The aim of this study was to provide epidemiological characteristics of injuries in the analyzed group of patients. Material and methods. A retrospective analysis of patients admitted in state of emergency and hospitalized in the Department of Trauma Surgery and Emergency Medicine at the Medical University of Lublin due to injuries that occurred from January 1st 2011 till December 31st 2011 was conducted. Mechanism of injury, mortality rate, age and gender correlations were studied. Results. Some 485 patients were looked at in the study. The mortality rate reached 4.52% and was highest among males. Falling was t...
Archives of Trauma Research, 2013
Background: Trauma, especially chest and abdominal trauma is increasing due to the growing number of vehicles on the roads, which is responsible for the increasing incidence of road accidents. Urbanization, industrialization and accompanying problems are the other implicated factors which are accelerating this phenomenon. A better understanding of the etiology and pattern of such injuries can help improve the management and ultimate outcomes of these patients. Objectives: This study aimed to evaluate chest and abdominal trauma patients hospitalized in the surgery ward of the Poursina Teaching Hospital, Guilan, Iran. Patients and Methods: In this cross-sectional study, the data of all chest and abdominal trauma patients hospitalized in the surgery ward of the Poursina teaching hospital were studied from March 2011 to March 2012. Information about; age, gender, injured areas, type of injury (penetrating or blunt), etiology of injury, accident location (urban or rural) and patients' discharge outcomes were collected by questionnaire. Results: In total, 211 patients with a mean age of 34.1 ± 1.68 years were entered into the study. The most common cause of trauma was traffic accidents (51.7%). Among patients with chest trauma, 45 cases (35.4%) had penetrating injuries and 82 cases (64.6%) blunt lesions. The prevalence of chest injuries was 35.5% and rib fractures 26.5%. In chest injuries, the prevalence of hemothorax was 65.3%, pneumothorax 2.7%, lung contusion 4% and emphysema 1.3%, respectively. There were 24 cases (27.9%) of abdominal trauma which had penetrating lesions and 62 cases (72.1%) with blunt lesions. The most common lesions in patients with penetrating abdominal injuries were spleen (24.2%) and liver (12.1%) lesions. Outcomes of the patients were Arch Trauma Res Evaluation of Chest and Abdominal Injuries in Trauma Patients Vol. 1 Issue 4 Winter 2013 95.7% recovery and 4.3% death. The majority of deaths were observed in road traffic victims (77.7%).
The Egyptian Journal of Forensic Sciences and Applied Toxicology, 2017
Trauma is defined as any harm occurs to the human body due to application of force. Every minute in life we are liable to different forms of trauma. Traumatic injuries are one of the leading causes for death and infirmities. There is increasing rate of exposure to trauma especially in developing countries. This raises the concern for documentation and analysis of the causes to plan preventive strategy to decrease the mortality and morbidity. Aim of the study: to cast light on the pattern of trauma and mortality causes, patients at risk and the value of documentation in medicolegal work and in helping the authorities identifying the changes in causes of trauma pattern helping in building preventive measures Subjects and methods: Descriptive retrograde study done on patients admitted to tertiary trauma center in Assiut University Hospitals (AUH) in the period from 2005-2012. Analysis of the demographic data, cause and site of injury and mortality cases were carried out. Results: 77,380 patients were admitted during the period of the study. Age mean± SD was 29.41± 20.8 years, males were more predominant 75.5% compared to 24.5% females. The improvement was 78.9% in admitted patients and the death rate was 4%. The top causes of injury and mortality were; falling on the ground, road traffic accidents, falling from height, interpersonal violence and blunt injuries. The most affected body site was the lower limbs, upper limbs, head, vertebral column, chest, pelvis followed by abdomen. Conclusion: the road traffic accidents, falling accidents and interpersonal violence were the main causes of mortality. Attention must be paid for the young patients exposed to these injuries especially if head, lower limb, chest or abdomen were affected as they were at increasing risk. Also, Attention must be paid for documentation of injuries in details due to its medicolegal value.
Trauma no idoso por acidente de trânsito: revisão integrativa
Revista Da Escola De Enfermagem Da Usp, 2015
Objective: To describe the scientific knowledge produced about trauma in the elderly caused by traffic accidents in healthcare area studies. Methods: Integrative review of studies from 2003 to 2013 searched in LILACS, SciELO, PubMed and CINHAL databases. We used combination of the descriptors injuries, wounds and accidents, in English, Portuguese and Spanish languages. Results: 32 studies were selected. In the thematic analysis, three categories emerged: epidemiological data from traffic accidents involving elderly; traffic accidents with elderly pedestrians; and trauma care in the elderly. We observed increased incidence of trauma in most countries and pedestrians represented a large part of the victims. Among these, the elderly are the most vulnerable group. Conclusion: Studies showed that trauma care in the elderly need protocols and professionals with training in gerontology specialized in trauma care services.
International Journal of Medical Science and Public Health, 2015
Background: Abdominal trauma is one of the most common injuries among injuries caused mainly due to road traffic accidents. The rapid increase in motor vehicles and its aftermath has caused rapid increase in the number of victims to blunt abdominal trauma (BAT). Motor vehicle accidents account for 75%-80% of BAT. The knowledge in the management of BAT is progressively increasing due to the inpatient data gathered from different parts of the world. In spite of the best techniques and advances in diagnostic and supportive care, the morbidity and mortality remains at large. The reason of this could be due to the interval between trauma and hospitalization, delay in diagnosis, inadequate or lack of appropriate surgical treatment, postoperative complications, and associated trauma especially to spine, head, thorax, and extremities. Objective: To study the blunt and penetrating abdominal trauma, its various patterns of injuries, and its management. Materials and Methods: After initial resuscitation of the trauma victims, a careful history was taken to document any associated medical problem. Documentation of patients, which included identification, history, clinical findings, diagnostic test, operative findings, operative procedures, and complications during the stay in the hospital and during subsequent follow-up period, was recorded on a Performa specially prepared. The decision for operative or nonoperative management depended on the outcome of the clinical examination and results of diagnostic tests. Patients selected for nonoperative or conservative management were placed on strict bed rest and subjected to serial clinical examinations that included hourly pulse rate, blood pressure, respiratory rate, and repeated examination of abdomen and other systems. Result: The most common age group involved in BAT was between 13 and 20 years, whereas in penetrating abdominal trauma was between 21 and 30 years. This study showed that of 100 cases of abdominal trauma, 19 were presented with shock (blood pressure <100 mm Hg) while 30 had blood pressure between 100 and 110 mm Hg. Following BAT of 75 patients, 48 managed conservatively while 27 undergone operative management. Following penetrating abdominal trauma of 25 patients, only one managed conservative whereas all other required exploration. Conclusion: The best way of reducing the morbidity and mortality from BAT is prevention. There is an acute need of trauma center that is well equipped with all modern facilities in tertiary care center.
A public–private collaborative model for a trauma program implementation: findings from a prospective trauma registry at 14 hospitals in Buenos Aires, Argentina, 2020
Introduction Trauma is a leading cause of mortality and comprises an important cause of functional impairment among young people worldwide. The trauma registry (TR) is an integral component of modern comprehensive trauma care systems. Nevertheless, TRs have not been yet established in most developing countries. The objective of this study was to summarize the challenges, results, and lessons learned from a trauma program including initial results from a TR at tertiary-care public hospitals of Buenos Aires, Argentina. Material and methods This is a descriptive study of the implementation of a trauma program in 14 hospitals and analysis of the initial results in the period between January 2010 and December 2018, using data from Fundación Trauma TR. Patients fitting injury definition that remained in hospital for more than 23 h were included. Injured patients were divided by age groups. Data on patients’ demographics, mechanism of injury and severity, complications, treatments, and in-hospital mortality were analyzed between groups. A descriptive analysis is presented. Results There were 29,970 trauma cases during the study period. Median age was 23 years (RIC 12, 39) with a 2.4:1 male-tofemale ratio. Road traffic injuries (RTI) were the leading mechanism (30.8%) of admission and head was the most frequently injured body region (33.2%). Two-thirds of RTIs were motorcycle-related. Overall in-hospital mortality was 6.1%. Intentional self-harm in adult males and burns in adult females had the highest mortality rates (17.6% and 17.9%, respectively). Conclusions and discussion The implementation of a trauma program within a public–private collaborative program in a resource-limited environment is feasible. The hospital-based TR can be used as a tool for injury surveillance, monitoring of the quality of trauma care, development of a trauma system, and to guide public health policies.
Trauma pattern in a level I east-European trauma center
Journal of Acute Disease, 2015
To analyze trauma epidemiology, pattern of lesions or death profile in a level I east-European trauma center. Methods: Prospective observational study of patients admitted to a level I east-European trauma center and enrolled in our trauma registry, between January 2012 to January 2013, was conducted, with the inclusion criteria: (1) trauma lesions, (2) new injury severity score (NISS) higher than 15. Results: There were 141 patients admitted during the study interval, including 102 (72.3%) males, with a mean age of (43.52 ± 19.00) years, and a mean NISS of 27.58 ± 11.32. The trauma etiology was traffic-related injuries 101 (71.6%), falls 28 (19.9%) and crushing injuries 7 (5.0%). Only one case of gunshot wound was encountered in our study. Out of traffic-related injuries, the automobiles were involved in 56 (55.4%) and motorcycles in 9 (8.9%) patients. The bicyclists accounted for 2 (2.0%) of patients and pedestrians hit by vehicles were in 33 (32.7%) cases. High-velocity falls were found in 7 (25.0%) patients, whereas low-velocity falls accounted for 21 (75.0%) of cases. The overall mortality was 30.00%, and these patients presented the mean NISS of 37.63. Conclusions: Our trauma pattern profile is similar to the one found in west-European countries, with a predominance of traffic-related injuries and falls. The severity and anatomical puzzle for trauma lesions were more complex secondary to motorcycle or bicycle-to-auto vehicles collisions. A trauma registry, with prospective enrollment of patients, is a very effective tool for constant improvements in trauma care.
The Medical journal of Malaysia, 2013
Trauma is an ever increasing problem and it is the leading cause of morbidity and mortality in the under 40s age group. The main purpose of this study is to determine the pattern of death related to trauma cases presenting to the emergency department (ED) of a university hospital. This was a retrospective analysis of 75 consecutive trauma case records at a university hospital for a one year period. The most common cause of deaths is motor vehicle crashes. The mean score for the injury severity score (ISS) and revised trauma score (RTS) on arrival to the ED among the succumbed patients were 27.8 (s.d 8.6) and 5.7 (s.d 1.1) respectively. 58.7% of deaths occurred within 48 hours after the admission. Less than 50% of studied patients were still alive beyond 45 hours post admission and less than 10% still alive beyond 11 days. Our analysis also showed that 28% (n=21) and 56% (n=41) of the studied sample had a probability of survival between 50% to 75% and more than 75% respectively upon ...