Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Sogut,

doi:10.4021/jcs101e

Cited by 12 publications

(25 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most common cause of trauma injuries in our study was motor vehicle accidents (motorcycle, car, pedestrian, bus) and fall from height, which was consistent with the findings of the study performed in Turkey (17). Moreover, motor vehicle accidents were the leading cause of injury in the patients younger than 60 years, while fall from height was the major cause in those over 60 years old.…”

Section: Discussionsupporting

confidence: 91%

“…In addition, elderly patients comprised a considerable proportion of patients which is similar to the results of the studies conducted in Turkey, India, and Greece as well as to the reports provided by WHO (12)(13)(14)(15). The sex ratio in our center was similar to that of the previous studies performed in other developing countries (14,(16)(17)(18). However, sex ratio was reported as 4.2 by a survey conducted in Tehran (the capital city of Iran) in 2004, which may reflect a change in incidence of injuries in recent years (19).…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

Yadollahi¹,

Anvar²,

Ghaem³

et al. 2015

Razavi Int J Med

View full text Add to dashboard Cite

Background: Traumatic injuries exert significant burden on human populations around the world. Iran as a developing country is at top 5 deadliest countries regarding injuries; however, few studies have examined the descriptive epidemiology of trauma in Iran. Objectives: To describe injuries regarding age, gender and injury mechanism and also time trend in emergency departments of Shahid Rajaee Trauma Center affiliated to Shiraz University of Medical Sciences. Patients and Methods:This descriptive cross-sectional study was carried out on all trauma patients (n = 21542) admitted to Shahid Rajaee Trauma Hospital (level I trauma referral center in Shiraz) between March 2011 and March 2012. Data were analyzed separately by age, gender, month of admission, and injury mechanisms (motorcycle collision, car-pedestrian accidents, car-car accidents, fall from height, stab wounds and gunshot injuries). Results: With a mean age of 36.0 ± 17.2 years, a total number of 21542 patients were visited, 16524 (76.7%) of whom were male. The male to female ratio was 3.3:1 with injured men being significantly younger than women (mean age 33.7 + 16.6 and 43.6 ± 19.2 years, respectively). There were 1492 trauma victims older than 60 years accounting for the smallest proportion of the population (6.92%). On admission, 1699 patients (7.9%) required cardiopulmonary cerebral resuscitation (CPCR) with a sex ratio of 2:1. Among those requiring CPCR, falling down was the major cause (45.24%) of injury in elderly (patients over 60 year) and car accident in those under 60 year (43.94%). Conclusions: Injuries affect all age groups; however, the disproportionately at risk population is the productive youth. Preventive strategies should focus on reducing trauma incidence among young men at population level. Considering the higher number of incidents occurring in mid spring and late summer, authorities should devise preventive plans mainly through alteration of traffic rules in this period.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

Yadollahi¹,

Anvar²,

Ghaem³

et al. 2015

Razavi Int J Med

View full text Add to dashboard Cite

show abstract

“…It is a well-known fact that trauma mostly affects the youth, particularly the third and fourth decades (12,13) . In our study, the mean age was 33.7±11.9 year, 55% were in age group between 20-40 years and males comprised (78%.3) of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Sogut O et al, had studied the Injury trends and mortality in adult patients with major trauma in New South Wales. They found that the percentage of in hospital deaths were 13.6% when severe polytraumatized patients were selected (13) . Regarding the effect of age on mortality, in our study the mortality rate increases with age as 43% of death occurred in patients in age group (50-60) with statistically significant relation (P=0.001).…”

Section: Discussionmentioning

confidence: 99%

Identification of the Clinical Predictors of Mortality in Blunt Polytrauma Patients Attending the Emergency Department in Suez Canal University Hospital

EL-Atiff¹,

Elbaih²,

Zeid³

et al. 2014

Suez Canal University Medical Journal

View full text Add to dashboard Cite

Background: Trauma is a worldwide problem. It is the disease of young and the leading cause of death in the first four decades of life. Several trauma scores have been devised to predict injury severity and risk of mortality. Trauma score systems try to translate the severity of injury into a number. Regardless their accuracy, they are complex to calculate and it is clear that their use in clinical decision making is limited. Aim: The aim of this study was to identify the clinical predicting factors of mortality in blunt poly-trauma patients. Patients and methods: This was a descriptive study conducted on 106 adult blunt poly-traumatized patients from July 2013 to December 2013 attending the Emergency Department at Suez Canal University Hospital. Results: In this study, 78.3% of 106 patients were males. Mortality rate was 18.9%, motor car accidents were responsible for 87.7% of the total cases. The most common sites to be affected were the extremities and pelvis but the head was the only injury related to mortality shock index (SI) was the most sensitive predictor 100% and the most specific one was ISS 100%. Heart rate (HR), Glasgow Coma Score (GCS), and systolic blood pressure (SBP) were good predictors to mortality. Conclusion: We conclude that SI, modified shock index (MSI), injury severity score (ISS), revised trauma score (RTS), and vital signs with presence of head trauma and the need for intubation or ICU admission are predictors of mortality in poly-traumatized patients.

show abstract

“…Patients who presented within one hour of injury were more likely to die than those who presented after one hour, OR=0.23 (95% CI 0.07-0.80) and P=0.021. Other studies have reported reduced mortality in patients who present within one hour of injury ('the Golden hour') [22,23]. This difference could be explained by the injury characteristics of these patients and their inhospital management.…”

Section: Distribution Of Factors Which Are Known To Affect Outcomementioning

confidence: 95%

Short Term Outcome of Haemorrhagic Shock in Trauma at Mulago Hospital, an Urban Tertiary Hospital in Sub Saharan Africa

Ongom¹

2013

Trop Med Surg

View full text Add to dashboard Cite

Introduction: Trauma is a major public health hazard, contributing significantly to mortality. It is the leading cause of death among adolescents and young adults worldwide. Road traffic injuries come top of the list of forms of trauma in urban areas, with more than 3000 deaths occurring daily. Most deaths (85%) occur in low and middle income countries and are a result of shock secondary to haemorrhage. There being a dearth of documented information on the short term outcome and associated factors of haemorrhagic shock in a Sub Saharan setting, a study to this effect was conducted.Methods: A prospective descriptive cohort study was conducted from October 2012 to March 2013, involving patients attending Mulago National Referral and Teaching Hospital's Accident and Emergency Department, who had traumatic haemorrhagic shock. Patients aged 5 years and above and of both genders were included. They were managed according to the ATLS guidelines and followed-up for 24 hours. The outcomes were: the 24 hour survival or mortality of these patients; the adequacy of resuscitation of the survivors; and the distribution of factors known to affect mortality.Results: A total of 55 participants, 40 (72.7%) of them males, were recruited. The mean age was 27.2 years. There were 16 (29.1%) deaths in 24 hrs. Of the survivors, 13 (33.3%) of them were inadequately resuscitated when clinical signs alone were used to monitor resuscitation. Grade IV shock, time since injury, and the need for major surgery to control bleeding, contributed significantly to mortality. Conclusion:The 24 hour mortality due to haemorrhagic shock at Mulago Hospital is slightly lower than that reported in some studies but strategies to reduce it further need to be explored.

show abstract

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Abstract: Background: This study evaluated the clinical characteristics of trauma patients in the southeastern coastal area of Turkey and investigated the factors influencing mortality.

Cited by 12 publications

References 14 publications

Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

Identification of the Clinical Predictors of Mortality in Blunt Polytrauma Patients Attending the Emergency Department in Suez Canal University Hospital

Short Term Outcome of Haemorrhagic Shock in Trauma at Mulago Hospital, an Urban Tertiary Hospital in Sub Saharan Africa

Contact Info

Product

Resources

About