Your browser doesn't support javascript.
loading
Evaluate the incidence, topography, management, and outcomes in patients with polytrauma in the Suez Canal and Sinai areas
Elbaih, Adel Hamed; Abdallah, Bassant Sayed; Ismail, Monira Taha.
  • Elbaih, Adel Hamed; Emergency Medicine Department, Faculty of Medicine, Suez Canal University. Ismailia. EG
  • Abdallah, Bassant Sayed; Emergency Medicine Department, Faculty of Medicine, Suez Canal University. Ismailia. EG
  • Ismail, Monira Taha; Emergency Medicine Department, Faculty of Medicine, Suez Canal University. Ismailia. EG
African journal of emergency medicine (Print) ; 13(1): 30-36, 2023. figures, tables
Article in English | AIM | ID: biblio-1413412
ABSTRACT

Introduction:

The global prevalence of trauma-related mortality ranges from 2% to 32%; however, In Egypt, it reaches 8%. Trauma chiefly affects people in the productive age group; seriously ill patients with multiple injuries present with various levels of polytrauma. Application of incorrect triage systems and improperly trained trauma teams increase mortality and morbidity rates in non-dedicated institutions; however, these rates can decrease with appropriate infrastructure. This study aimed to improve the quality of care for patients with polytrauma through improved knowledge of the different severity levels of polytrauma and defined databases, using a suitable triage trauma system, well-trained trauma team, and appropriate infrastructure.

Methods:

This observational cross-sectional study was conducted at the emergency department (ED), over a study period of 7 months, from August 10, 2019, to March 09, 2020. This study included 458 patients with polytrauma who had met the inclusion and exclusion criteria and attended the ED of Suez Canal University Hospital.

Results:

The incidence of trauma among all emergency cases in the ED was 5.3%. However, most multiple injuries are mild, accounting for 44.4%, while 27.3% of the cases had life-threatening injuries. Moreover, 41.9% of the patients were managed non-operatively, whereas 58.1% of the patients required surgical interventions. Concerning the outcome, 56% and 6.9% of patients with and without life-threatening injuries respectively, died.

Conclusion:

Facilities of the highest quality should be available for patients with polytrauma, especially those with life-threatening injuries. In addition, training emergency medical service staff for trauma triage is essential, and at least one tertiary hospital is required in every major city in the Suez Canal and Sinai areas to decrease trauma-related mortality.
Subject(s)


Full text: Available Index: AIM (Africa) Main subject: Wounds and Injuries / Multiple Trauma / Topography / Prevalence / Morbidity / Mortality / Emergency Medical Services / Tertiary Care Centers Type of study: Incidence study / Observational study / Prevalence study / Prognostic study / Risk factors Language: English Journal: African journal of emergency medicine (Print) Year: 2023 Type: Article Institution/Affiliation country: Emergency Medicine Department, Faculty of Medicine, Suez Canal University/EG

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: AIM (Africa) Main subject: Wounds and Injuries / Multiple Trauma / Topography / Prevalence / Morbidity / Mortality / Emergency Medical Services / Tertiary Care Centers Type of study: Incidence study / Observational study / Prevalence study / Prognostic study / Risk factors Language: English Journal: African journal of emergency medicine (Print) Year: 2023 Type: Article Institution/Affiliation country: Emergency Medicine Department, Faculty of Medicine, Suez Canal University/EG