Literature DB >> 32995165

Clinical Profile, Treatment Details and Survival of Trauma Patients Treated at Intensive Care Unit in a Level II Trauma Center.

Anssi Ryösä1, Juuso Tainio1, Ari Itälä2, Eero Gullichsen2.   

Abstract

OBJECTIVE: This retrospective study evaluated all trauma patients who were admitted to intensive care unit in Turku University Central Hospital, Finland in 2000-2004.
METHODS: We reviewed details of demographic factors, injury mechanism, treatment details, and the overall recovery of patients after the hospital episode.
RESULTS: A total of 427 trauma patients were identified, 66% of these were severely injured (ISS > 15). 79% of patients were men. The median age of 44 years. The most frequent injury type was road traffic accidents, leisure-time accidents and injury mechanism a high-energy blunt trauma. Head injuries were the most frequently diagnosed severe injury and 59% of the patients were multiple traumatized.
CONCLUSIONS: Current results suggest that the overall survival of these patients is satisfactory, although, the head and cervical spine injuries are still often related to compromised prognosis. Despite the improvements in morbidity and mortality of these patients during last decades, still almost every tenth of trauma patient treated in the ICU dies to the complications of the injury.
Copyright © 2017 by Taiwan Society of Emergency Medicine & Ainosco Press. All Rights Reserved.

Entities:  

Keywords:  clinical; intensive care; severely injured; trauma; treatment protocol

Year:  2017        PMID: 32995165      PMCID: PMC7517882          DOI: 10.6705/j.jacme.2017.0701.003

Source DB:  PubMed          Journal:  J Acute Med        ISSN: 2211-5587


  13 in total

1.  Guidelines for intensive care unit admission, discharge, and triage. Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine.

Authors: 
Journal:  Crit Care Med       Date:  1999-03       Impact factor: 7.598

Review 2.  Damage control: collective review.

Authors:  M B Shapiro; D H Jenkins; C W Schwab; M F Rotondo
Journal:  J Trauma       Date:  2000-11

Review 3.  Alcohol and injury prevention.

Authors:  Carol R Schermer
Journal:  J Trauma       Date:  2006-02

Review 4.  Diagnostic errors in polytrauma: a structured review of the recent literature.

Authors:  Luana Stanescu; Lee B Talner; Frederick A Mann
Journal:  Emerg Radiol       Date:  2006-01-17

5.  Injured patients have lower mortality when treated by "full-time" trauma surgeons vs. surgeons who cover trauma "part-time".

Authors:  Elliott R Haut; David C Chang; David T Efron; Edward E Cornwell
Journal:  J Trauma       Date:  2006-08

Review 6.  A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems.

Authors:  Brian Celso; Joseph Tepas; Barbara Langland-Orban; Etienne Pracht; Linda Papa; Lawrence Lottenberg; Lewis Flint
Journal:  J Trauma       Date:  2006-02

7.  Epidemiology of adulthood injuries: a quickly changing injury profile in Finland.

Authors:  P Kannus; S Niemi; J Parkkari; M Palvanen
Journal:  J Clin Epidemiol       Date:  2001-06       Impact factor: 6.437

8.  Finnish Trauma Audit 2004: current state of trauma management in Finnish hospitals.

Authors:  L Handolin; A Leppäniemi; K Vihtonen; M Lakovaara; J Lindahl
Journal:  Injury       Date:  2006-07       Impact factor: 2.586

9.  Routine follow up of major trauma patients from trauma registries: What are the outcomes?

Authors:  Belinda J Gabbe; Peter A Cameron; Andrew P Hannaford; Ann M Sutherland; John J McNeil
Journal:  J Trauma       Date:  2006-12

10.  Missed injuries in patients with multiple trauma.

Authors:  G Buduhan; D I McRitchie
Journal:  J Trauma       Date:  2000-10
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