مقالات پذیرفته شده در هشتمین کنگره بین المللی زیست پزشکی
Characteristics of Patients with Traumatic Injuries Presenting to the Emergency Department and their Association with Mortality and Surgical Intervention
Characteristics of Patients with Traumatic Injuries Presenting to the Emergency Department and their Association with Mortality and Surgical Intervention
Maryam Hosseini,1,*Mahnaz Yadollahi,2Mahsa Hajivalili,3Bahareh Niknam,4
1. Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran 2. Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran 3. Iran University of Medical Sciences 4. Shahid Beheshti University of Medical Sciences
Introduction: To determine the unique characteristics of acutely injured patients admitted to the emergency department and their relationship with mortality and surgical intervention outcomes.
Methods: This cross-sectional study was conducted on all trauma patients resuscitated in the emergency department of Shahid Rajaee (Emtiaz) Trauma Hospital in Shiraz, Iran, from May 2018 to June 2019. The study considered demographic information, mechanism of trauma, trauma type, injured body regions, criteria of abbreviated injury scale (AIS) score, injury severity score (ISS), and surgical intervention. The study analyzed the items related to the mortality and surgical performance outcomes among the patients.
Results: Of all 1281 cases, 82.9% were men, and the average age of the patients was 37.9±19.1 years. The most common cause of injury was a car accident, and the thorax was the most frequently injured area of the body. Most patients had moderate blunt trauma. The mechanism of trauma, Injury Severity Score (ISS), and the severity of head trauma were all significantly correlated with the need for surgical intervention. Additionally, age, the mechanism and type of trauma, ISS, and the necessity for surgery were significantly associated with mortality. Furthermore, head, thorax, and abdomen trauma were significantly related to a high mortality rate.
Conclusion: The mortality rate of injured patients was significantly associated with their age, the mechanism and type of trauma, Injury Severity Score (ISS), and the need for surgery. The severity of the trauma, especially head injuries and the mechanism of injury, were important factors in determining the necessity for surgery.