The assessment of clinical evaluation and treatment results of high-energy blunt polytrauma patients

Abstract

The aim of this study was to evaluate the mechanism of high-energy blunt trauma, age and gender of patients, severity of regional and multiple injury, ventilation time, length of stay in intensive care unit and in-hospital stay, in-hospital complications, and treatment outcome. Materials and methods. Data on 159 patients with severe multiple injuries, meeting inclusion criteria, were collected prospectively and evaluated retrospectively. Results. The mean age of multiple trauma patients was 43.9±1.4 years; males were injured 2.5 times more often than females (P<0.001). More than half (66.7%) of patients were 17–64-year-old males. Majority (83%) of all patients were injured in motor vehicle crashes, and 52.2% of these patients were pedestrians. The mean Injury Severity Score was 29.5±0.8, and severe (Abbreviated Injury Scale score of 3 and more) injuries of extremities, head, and chest made up 69.1% of all injuries. The mean ventilation time, mean length of stay in intensive care unit, and mean in-hospital stay were 5.5±0.7, 7.0±0.8, and 23.6±1.6 days, respectively. Acute lung complications were the most common (25.2%). Systemic inflammatory response syndrome developed in 7.5% of patients, and sepsis in 3.8% of patients. More than one-fifth (20.8%) of polytrauma patients died. Conclusions. Working-age male pedestrians (17–64 years old) made up two-thirds of all polytrauma patients. Severe injuries of extremities, head, and chest were present in 69.1% of all cases. Lung complications were the most common.

Management of Chest Trauma in Bangladesh Perspective: Experience of a Decade

“…[5][6][7] Many series derived from the South East Asian region had even younger patients comparing to studies done in the developed countries. [8][9][10][11][12][13][14] Blunt trauma was more frequent than penetrating trauma in our series which is compatible with other series. 2,5,11,12,15 The literature suggest that traffic accidents is the leading cause of chest trauma in most series, our study showed the same picture.…”

“…2,5,11,12,15 The literature suggest that traffic accidents is the leading cause of chest trauma in most series, our study showed the same picture. 2,5,[8][9][10][11][12][13][14][15][16] Violence was the second leading cause in our series. The current study showed only two centre report, and this result cannot be generalized until a broad-based epidemiological study is performed.…”

“…2,[6][7][8][10][11][12][13][14][15][16] Intrathoracic hemorrhage was the main indication of early thoracotomy, while late thoracotomies were performed to evacuate clotted hemothorax, or to repair diaphragmatic injuries in most cases. The mortality rate (3.6%) is relatively low in this study.…”

Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases

“…Trauma has the tendency to affect young males in the productive period of life [ 5 ][ 6 ][ 7 ]. Many series derived from the Middle East region had even younger patients [ 8 ][ 9 ][ 10 ][ 11 ] comparing to studies done in the developed countries [ 12 ][ 13 ][ 14 ]. Blunt trauma was more frequent than penetrating trauma in our series which is compatible with other series [ 2 ][ 5 ][ 11 ][ 12 ][ 15 ].…”

“…Blunt trauma was more frequent than penetrating trauma in our series which is compatible with other series [ 2 ][ 5 ][ 11 ][ 12 ][ 15 ]. The literature suggest that traffic accidents is the leading cause of chest trauma in most series [ 2 ][ 5 ][ 8 ][ 9 ][ 10 ][ 11 ][ 12 ][ 13 ][ 14 ][ 16 ]. But violence was the leading cause in our series and exceeded traffic accidents.…”