Evaluation of Multitrauma Patients Applying to the Emergency Department: A Retrospective Cross-Sectional Study
Mustafa Yilmaz, Abdurrahman Yilmaz, Eda Yaman, Sema Can.
Abstract
Multitrauma-related deaths are more common in
non-developed countries and approximately 50 million people in the world remain
disabled after multitrauma every year. We aim of this study is to
retrospectively evaluate the clinical features and risk factors affecting
mortality in multitrauma patients admitted to the emergency department (ED).
The study included 188 patients hospitalized from the ED to the Anesthesia
Intensive Care Unit due to multitrauma. 75% of the cases were male and the mean
age was 45.55 ± 19.29 years. The most common type of trauma was traffic
accident 61.7% and injuries were 47.1% rib fracture. 6.9% of the cases died.
When the risk factors affecting mortality were evaluated by multivariate
analysis: it was determined that intubating the cases and high lactate level
increased the risk of mortality independently of other variables. In these
cases, the frequency of mortality and morbidity can be reduced by taking more
serious precautions in the early period and by appropriate treatment
management. The most effective way to reduce mortality and morbidity is to
prevent trauma.