Factors Which Affect Mortality and Admission to Intensive Care in Penetrating Thorax and Abdominal Injuries
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 5
Abstract
The purpose of this study is to examine the relationship between mortality and stay times in intensive care and hematocrit value as of the time of application with trauma scores and hemodynamic measurements in patients with thorax and abdominal injuries due to stab wounds in the intensive care unit. Sosyodemographic data, vital signs, blood parameters, characteristics of injuries recorded and GCS, RTS, PATI, ISS, shock index were calculated for each patient from hospital records. 661 patients included to the study. 342 patients (51.7%) were identified with only thoracic, 224 (33.9%) with only abdominal and 95 (14.4%) with both thoracic and abdominal injuries. 14 (2.1%) of the patients who applied to the emergency service were mortal, 255 (38.6%) were admitted in intensive care for observation. In the multiariate regression analyses made to determine if age, operation, shock index, systolic blood pressure, pulse, respiratory rate, first hematocrit, GCS, ISS, RTS, PATI and blood transfusion were independent indicators for mortality and admission in intensive care, none of these parameters were identified as an independent variable for mortality. In conclusion shock index, pulse, systolic blood pressure, ISS and first hematocrit values demonstrated differences in both mortal patients and patients admitted in intensive care, no independent variable was identified for mortality. Keywords: Penetran trauma, mortality, intensive care admission
Authors and Affiliations
Emin Uysal, MD, Mustafa Aldemir, MD
Keywords
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