Evaluation of Co-relation Between Epidemiological and Clinical Factors and Final Outcome of Polytrauma Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Traffic accidents constitute a major population of deaths occurring worldwide. The aim of this study was to collect a more detailed descriptive overview of the polytrauma cases in a high volume centre based in a developing country with almost non-existent trauma registry systems. Material and Methods: The present study was conducted among 100 polytrauma patients who presented to emergency department. Standard ATLS guidelines were followed in the management of the polytrauma patients. Patients were divided into 2 groups, the patients who expired and the patients who were discharged and the various epidemiological and clinical factors were compared with the final outcome of the patient (death or discharge from the hospital). Results: Most of the patients were of 21-40 year age group with a total of 47 patients (47%) belonging to this age group and the minority belonging to >60 age group with only 7 patients(7%). There were more deaths when patients presented to the hospital more than 1 hour after the injury. In the death group mean RTS ± SD at 0 HR was 9.45±0.82 whereas in the discharge group it was found to be 11.42± 0.97. Patients with low RTS at presentation were more likely to be in the death group. Majority of the patients had an injury severity score (ISS) <20 with a total of 73 (73%) patients out of the total 100. The Mean ISS ±SD was 17.07±11.83. A significant co-relation was found between body region involved and final outcome in case of Head and Neck region. Conclusion: Influence of alcohol, Time period between injury and presentation to the hospital, SBP and GCS at the time of presentation and at 6,24 and 72 hours after presentation, RTS at the time of presentation, ISS and Injury to Head and Neck were found to be significant factors in predicting the final outcome (Death or Discharge) of the patient.
Authors and Affiliations
Ashok Kumar, Sanjeev Gupta, Prince Gupta
Keywords
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