The Effective Factors in Emergency Department Observation on Hospitalization Requirement and Mortality in Blunt Trauma Patients
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Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Emergency Medicine Physicians Assoc Turkey
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: Today, despite social and economic development, trauma is the most important public health problem for all countries. Our aim is to retrospectively overview patients with blunt multi trauma who applied to our emergency department within their treatment period in the emergency department or other surgical departments and evaluate the factors which were effective for hospitalization and mortality. Materials and Methods: In our study we evaluated 226, patients over 15 years of age who applied to Dicle University Emergency Department between January 2006 and January 2008 due to blunt multi trauma such as motor vehicle crash, fall etc. retrospectively according to their definitive medical records. For statistical analysis, we divided our patients into two groups: treated in emergency department (n=105), treated in surgical departments (n=121). Results: Of our 226 patients 71.7% (n=162) were male and 28.3% (n=64) were female. Nineteen (8.4%) of trauma patients died. The average age for all patients was 35.9 +/- 15.882 (15-94). Blood transfusion requirement effected transfer of patients to surgical department (p=0.00). Between our groups, alanin transaminase, aspartate transaminase, hematocrit and white blood cells were submitted for statistical analysis (p>0.05). Injury Severity Score (ISS) and Abbreviated Injury Scale (AIS) were available for group 2 patients scientifically (p<0.05). Conclusion: Multivariate analysis showed that high white blood cell levels (OR=1.0, CI=1.00+1.00, P<0,01), high AIS score (OR=4.17, CI=2.34+7.43, P=0,00) and blood transfusion requirement (OR=0.042, CI=0.005+0.33, P<0,01) were effective factors for hospitalization.
Açıklama
Anahtar Kelimeler
Blunt Trauma, Emergency Department, Mortality
Kaynak
Eurasian Journal of Emergency Medicine
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
9
Sayı
3
