Trauma pattern in a level I east-European trauma center
Objective: 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, w...
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Wolters Kluwer Medknow Publications
2015-10-01
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doaj-1781d5726a9b49ffa7cddcf24f4c6ed22020-11-25T01:02:12ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892015-10-014432232610.1016/j.joad.2015.05.002Trauma pattern in a level I east-European trauma centerBogdan Stoica0Sorin Paun1Ioan Tanase2Ionut Negoi3Mircea Beuran4General Surgery Department, Emergency Hospital of Bucharest, RomaniaGeneral Surgery Department, Emergency Hospital of Bucharest, RomaniaGeneral Surgery Department, Emergency Hospital of Bucharest, RomaniaGeneral Surgery Department, Emergency Hospital of Bucharest, RomaniaGeneral Surgery Department, Emergency Hospital of Bucharest, RomaniaObjective: 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.http://www.sciencedirect.com/science/article/pii/S2221618915000530Trauma patternEast-EuropeTrauma registry |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bogdan Stoica Sorin Paun Ioan Tanase Ionut Negoi Mircea Beuran |
spellingShingle |
Bogdan Stoica Sorin Paun Ioan Tanase Ionut Negoi Mircea Beuran Trauma pattern in a level I east-European trauma center Journal of Acute Disease Trauma pattern East-Europe Trauma registry |
author_facet |
Bogdan Stoica Sorin Paun Ioan Tanase Ionut Negoi Mircea Beuran |
author_sort |
Bogdan Stoica |
title |
Trauma pattern in a level I east-European trauma center |
title_short |
Trauma pattern in a level I east-European trauma center |
title_full |
Trauma pattern in a level I east-European trauma center |
title_fullStr |
Trauma pattern in a level I east-European trauma center |
title_full_unstemmed |
Trauma pattern in a level I east-European trauma center |
title_sort |
trauma pattern in a level i east-european trauma center |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Acute Disease |
issn |
2221-6189 |
publishDate |
2015-10-01 |
description |
Objective: 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. |
topic |
Trauma pattern East-Europe Trauma registry |
url |
http://www.sciencedirect.com/science/article/pii/S2221618915000530 |
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