Predicting factors and incidence of preventable trauma induced mortality

Abstract

Introduction Trauma is one of the most common causes of morbidity and mortality worldwide. Since the definition of preventable death has been described many studies like current one were conducted to evaluate this issue. Methods This cohort retrospective study investigated archived medical files of trauma victims from 2017 to 2020 in a referral single-center trauma hospital. Registered demographic data, vital signs, Glasgow coma scale (GCS), timing of trauma and death, executed interventions, type and mechanism of trauma in addition to time errors, clinical mismanagements, and missed injuries were extracted. Injury severity score, revised trauma score, and probability of survival based on TRISS method for each case were calculated. Eventually preventable and non-preventable death were defined and compared. Results Finally from the all 413 trauma deaths 246(54.9 %) files were enrolled. Dead persons were from 18 to 95 years. Of all 189(76.8 %) were males. Analysis manifested 135(54.9 %) of all deaths were potentially preventable and the rest 49.1 % was non-preventable for expiration(p = 0.001). Data showed that from all variables systolic blood pressure ≥80 mmHg, respiratory rate >19 per minute, GCS>8, higher RTS, road traffic accidents and control of external bleeding were contributed to prediction of preventable trauma related mortality. Conclusion This study implied on that frequency of trauma related preventable death was regionally high and associating factors that could influence the number of these mortalities included systolic blood pressure, respiratory rate, GCS, revised trauma score, mechanism of trauma, and external bleeding of trauma patients.

Preventable trauma deaths in the Western Cape of South Africa: A consensus-based panel review

“…Panellists' key recommendations were quality team-based care and timely access to (1) prehospital care, (2) emergency radiology and (3) operating theatre to manage haemorrhage and contamination. This is consistent with prior work that highlights the need for access to prehospital services, diagnostics and definitive care in order to address the high rate of preventable mortality in low resource settings [28].…”

“…One trauma death review in Ghana noted a decrease from 6% to 1% in trauma deaths from sepsis after an initial death review resulted in an educational intervention and implementation of sepsis protocols [34]. In addition to decreasing deaths, preventing MOF and sepsis will decrease morbidity and the burden on the limited resources in health systems in LMICs [28,31,33]. In this south African setting, the tertiary hospital receives patients requiring specialty care, such as neurosurgery, and/or admission to the ICU.…”

Awareness, Attitude, and Willingness Toward Bleeding Control by Bystanders in Riyadh

“…Among the trauma victims who arrive at the emergency department, bleeding is responsible for almost half of deaths during the first 24 hours [3]. Hence, in trauma patients, control of bleeding is an essential intervention [4], and sufficient and adequate bleeding control can increase the survival rate of the patient [5]. It might take only a few minutes to bleed significant volumes, but the arrival of healthcare providers at the accident site and further transportation for definitive care leads to a delay.…”