Impact of a trauma service on trauma care in a university hospital

Baker, Christopher C.; Degutis, Linda C.; Santis, Joseph P. De; Baue, Arthur E.

doi:10.1016/s0002-9610(85)80039-8

Cited by 53 publications

(2 citation statements)

References 6 publications

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“…Kaya Travmalı hastalarda olay yerinde acil önlemlerin alınması, transportun hızlı şekilde yapılması, sıvı ve kan replasmanı, travma-tedavi süresinin kısaltılmasının mortalite ve morbiditeyi azaltmada önemli olduğu bildirilmektedir (20)(21)(22). Taçyıldız ve ark.…”

Section: Discussionunclassified

The Evaluation of Demographic and Clinical Features of Isolated Abdominal Trauma

Acar¹,

Baydın²,

Yardan³

2012

JAEM

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Objective:We aimed to investigate the demographical features, clinical and laboratory findings, treatment, rates of mortality of patients above 16 years admitted to emergency department with isolated abdominal trauma and who contribute to our country's literature. Material and Methods: This study involves 106 adult patients admitted to the emergency service of our hospital with isolated abdominal trauma between January 2005 and 2009. Data collected from files were loaded to the SPSS 15.0 computer programme. For continuous data in comparison of groups, Mann-Whitney U test; and for discontinuous data Chi-Square test was performed. Results: 79% of abdominal trauma patients were male and median age was 31. The most frequent mechanism of injury was penetrating trauma. The most frequent etiology was motor vehicle accident. We determined that 76.4% of patients were admitted in the first 3 hours. The most common complaint was abdominal pain, and rebound was observed in 20.8% of cases. We observed that 22.6% of the patients were hypotensive and, of those hypotensive patients, 91.7% underwent surgery. 45.3% of cases had erythrocyte therapy replacement and those who had 2 units and more replacement requirement had a higher probability of undergoing surgery (p<0.05). Conclusion: The main cause of abdominal trauma is motor vehicle accidents and a systolic blood pressure less than 90 mmHg increases the possibility of surgical treatment. (JAEM 2012; 11: 216-22) Özet Amaç: İzole karın travması nedeniyle acil servise başvuran 16 yaş ve üzerindeki erişkin olguların; demografik özelliklerini, karın travmalarının klinik ve laboratuar bulgularını, tedavilerini, mortalite oranlarını incelemeyi ve bu konuda ülkemizdeki literatüre katkıda bulunmayı amaçladık. Gereç ve Yöntemler: Bu Çalışma Ocak 2005-2009 tarihleri arasında hastanemiz acil servisine izole karın travması nedeniyle başvuran erişkin 106 hastayı kapsamaktadır. Hastaların dosyalarından elde edilen veriler SPSS 15.0 bilgisayar programına yüklendi. Gruplar arasındaki karşılaştırmalarda sürekli veriler için Mann-Whitney U testi, kesikli veriler için ki kare testi uygulanmıştır. Bulgular: Karın travmalı olguların %79.2'si erkekti ve yaş ortancası 31 idi. Karın travması oluş mekanizması açısından incelendiğinde en sık penetran travmanın (%52.8), nedeni açısından bakıldığında ise en sık trafik kazalarının (%35.8) görüldüğü saptandı. Olguların %76.4'ünün ilk 3 saat içinde acil servise başvurduğu, başvuru anında en sık şikayetin karın ağrısı olduğu ve fizik muayenede olguların %20.8'inde rebound tespit edildiği görüldü. Olguların %22.6'nın hipotansif olduğu ve bu hipotansif hastaların %91.7'sinin cerrahi olarak tedavi edildiği görüldü. Olguların %45.3'üne eritrosit replasmanı yapılırken, 2 ünite ve üzerinde eritrosit replasmanı ihtiyacı olanların cerrahiye girme olasılığının arttığı gözlemlendi (p<0.05). Sonuç: Karın travmalarına en sık trafik kazaları neden olmakta ve hastaların acil servise başvuru anındaki sistolik kan basıncının 90 mmHg'dan düşük olması cerrahi tedavi olasılığı...

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Section: Discussionunclassified

The Evaluation of Demographic and Clinical Features of Isolated Abdominal Trauma

Acar¹,

Baydın²,

Yardan³

2012

JAEM

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“…To improve outcomes in trauma care for severely injured patients, an organized approach, such as the Advanced Trauma Life Support (ATLS ® ), is essential [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients

Hensgens

Moumni

IJpma

et al. 2019

Eur J Trauma Emerg Surg

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Care for Victims of Urban Violence and the Education of Trauma and Critical Care Surgeons

Flint

Carrico²

1992

Arch Surg

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This article reviews the current status of trauma care education and its relationship to critical care education. The critical linkage of both of these endeavors with urban hospitals oriented to indigent care is stressed. Within the specialty of surgery, the recent progress toward resolution of conflicts that have threatened trauma and critical care education programs is reviewed. The partnership between the trauma programs of urban hospitals will be strengthened by this resolution.

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Impact of a trauma service on trauma care in a university hospital

Cited by 53 publications

References 6 publications

The Evaluation of Demographic and Clinical Features of Isolated Abdominal Trauma

The Evaluation of Demographic and Clinical Features of Isolated Abdominal Trauma

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients

Care for Victims of Urban Violence and the Education of Trauma and Critical Care Surgeons

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