Pattern of Injuries in Poly-Traumatized Patients Admitted to Emergency and Poly-Trauma Unit at Mansoura Emergency Hospital
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- Category: Vol. 85, September 2017
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Pattern of Injuries in Poly-Traumatized Patients Admitted to Emergency and Poly-Trauma Unit at Mansoura Emergency Hospital, MOHAMED EL-SAID AHMED, AHMED S. AL-SHAARAWY, SAMIR M. ATIA and SAMER A. REGAL
Abstract
Background: Poly-trauma is the main reason of public health morbidity and mortality all over the world. Injuries are responsible for just about 3.7% of all society health costs. Modern society and standard life style have led to spectacular changes in patterns of trauma in Egypt country. As a result of non-available data from different sources in a single place and limited research, the concept of “hidden epidemic” in Egyptian poly-traumatized patients is a fact.
Objective: The study aimed to determine the magnitude and characteristics pattern of adult injuries in Egyptian patients at Mansoura Emergency Hospital and to identify the associated risk factors.
Methods: 252 patients were included in the study. An information sheet was organized for all patients attending to the Emergency Hospital of Mansoura University. It contains information about social-demographic data, injury pattern, clinical assessment outcome, investigations plus different treatment protocols.
Results: Road Traffic Accident (RTA) was the mainly widespread form of trauma by 140 patients (55.6%), subse-quently falling in 57 patients (22.6%) and violence was the least frequent reason in 55 patients (21.8%). As look upon different patterns of injuries: Trauma to extremities (65.1%) was the mainly frequent pattern of trauma followed by skull trauma (44%), thorax trauma (36.5), abdominal trauma (34%), pelvic fractures (18.6%) and maxillofacial trauma (13%). As regards poly-trauma managing protocols, surgical management was the mainly ordinary decision in extremities trauma (79.7%) followed by spine fracture (58.2%) then head trauma (57.7%).
Conclusion: Young males are the most common individuals subjected to poly-trauma. RTA was the most common mode of injury. Trauma to extremities was the most common pattern of injury followed by head injury. Head injuries were the most common cause of death. Surgical intervention was the most common management plan. The mean Revised Trauma Score (RTS) in the current study population was 7.05±1.16 (RTS <8 indicate instability). 38% of study population admitted to ICU. In the current study, 220 patients were cured (87.3%) and 32 patients were died (12.7%). The median hospital length