An analysis of causes of trauma, spectrum of injuries and treatment outcomes in patients treated at Multitrauma Centre of the University Teaching Hospital No 1 in Szczecin in 2015. Comparison of results from years 2015 and 2007
Journal Title: Polish Journal of Surgery - Year 2019, Vol 91, Issue 4
Abstract
Introduction: Multitrauma is defined as injury involving two or more different body parts, with a condition that at least one of these injuries is life-threatening. They represent serious traumas, requiring treatment in the intensive care units and frequently surgical intervention. Aim: The objective of this study was epidemiological and clinical analysis of patients treated in 2015 year in Multitrauma Centre of the University Teaching Hospital no 1 in Szczecin, and comparison the results with outcomes of similar study conducted in the same Centre in 2007 year. Material: Clinical material comprised medical notes of 82 patients, 52 men (63%) and 30 women (37%), with a mean age of 44 years, who sustained multitrauma injuries. An analysis included causes of traumas, spectrum of injuries, involvement of body parts, methods and outcomes of the treatment. Results: The most common cause of multitrauma was traffic accident – 45 cases (55%), followed by fall from height – 22 (27%) and other mechanism – 15 (18%). The most frequent component of multitrauma made bone fractures (spine, pelvis, limbs) – 64 cases (78%), followed by head traumas – 63 (77%), chest – 53 (65%) and abdominal 30 (36%) injuries. A total of 48 patients (58%) required surgical intervention, the most frequently fixation of bone fractures – 24 patients (29%), repair of abdominal and head injuries – 18 (22%) either. Of 82 treated patients 64 (78%) survived and 18 (22%) died. A mean period of stay in Multitrauma Centre was 23 days for survived patients and 17 days for those who died. Comparing to similar analysis conducted 8 years earlier, a change in involvement of particular body parts comprising multitrauma injury was observed: number of head injuries increased of 14%, number of chest traumas and bone fractures decreased of 21% and 11%, respectively. The survival rate improved of 10%.<br/><br/>
Authors and Affiliations
Dawid Dziubiński, Urszula Abramczyk, Jan Kozłowski, Cezary Pakulski, Andrzej Żyluk
Keywords
Related Articles
- EP ID EP604957
- DOI 10.5604/01.3001.0013.2953
- Views 91
- Downloads 0
Retroperitoneal Fibrosis as a Rare Cause of Lower Limb Claudication
The study presented a case of a 58-year-old male patient treated for retroperitoneal fibrosis, right hydronephrosis, and right common iliac artery stenosis and saccular aneurysm of the above-mentioned vessel. The patient...
True and Pseudocysts of the Spleen - A Diagnostic and Therapeutic Problem
Can the surgeon live his whole life? Analysis of the risk of death related to the profession
More than half of physicians in Poland are over 50 years old. This raises concerns about the risk of lack of continuity of health care services due to the generational gap, particularly marked among interventional specia...
Rectal Prolapse in Young Women
Rectal prolapse belongs to the group of rare diseases of the rectum and anus. It is mostly observed in elderly multiparous women in the seventh and eighth decade. The precise cause of this pathology is not thoroughly und...
Supraclavicular Approach to the Subclavian Vein – One Well Forgotten Technique with Impressive Results
Purpose: Insertion of temporary and tunneled catheters for hemodialysis in the internal jugular vein is a “gold standard”. On the other hand, the supraclavicular approach to the subclavian vein was described by Yoffa in...