Trauma pattern in a level I east-European trauma center

Bibliographic Details
Title: Trauma pattern in a level I east-European trauma center
Authors: Bogdan Stoica, Sorin Paun, Ioan Tanase, Ionut Negoi, Mircea Beuran
Source: Journal of Acute Disease, Vol 4, Iss 4, Pp 322-326 (2015)
Publisher Information: Wolters Kluwer Medknow Publications, 2015.
Publication Year: 2015
Collection: LCC:Medical emergencies. Critical care. Intensive care. First aid
Subject Terms: Trauma pattern, East-Europe, Trauma registry, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
More Details: 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.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2221-6189
Relation: http://www.sciencedirect.com/science/article/pii/S2221618915000530; https://doaj.org/toc/2221-6189
DOI: 10.1016/j.joad.2015.05.002
Access URL: https://doaj.org/article/1781d5726a9b49ffa7cddcf24f4c6ed2
Accession Number: edsdoj.1781d5726a9b49ffa7cddcf24f4c6ed2
Database: Directory of Open Access Journals
More Details
ISSN:22216189
DOI:10.1016/j.joad.2015.05.002
Published in:Journal of Acute Disease
Language:English