Comparative assessment of the hospital letality structure during severe mechanical injury for 2005–2006 and 2014–2015 years
https://doi.org/10.29235/1814-6023-2020-17-2-152-157
Abstract
The article provides a comparative assessment of data from 131 medical histories and autopsy protocols for those who died from severe mechanical trauma in 2005–2006 in the combined trauma unit of the medical institution “9th City Clinical Hospital” in Minsk with data on 133 case histories and autopsy reports of dead from severe mechanical injury in 2014–2015 in the combined trauma unit of the “City Clinical Emergency Hospital in Minsk”. During the study, general patterns and differences in the structure and dynamics of mortality in combined injuries were determined, which allows us to scientifically substantiate organizational measures to improve medical care for severe mechanical injuries in order to improve the results of diagnosis and treatment of victims at an early hospital stage.
About the Authors
E. V. Romanovskiy
Belarusian Medical Academy of Postgraduate Education
Belarus
Belarus
Evgeniy V. Romanovskiy – Postgraduate student
3/3, P. Brovka Str., 220013, Minsk
A. N. Voloshenyuk
Belarusian Medical Academy of Postgraduate Education
Belarus
Belarus
Aleksndr N. Voloshenyuk – Ph. D. (Med.), Assistant Professor
3/3, P. Brovka Str., 220013, Minsk
N. S. Serdiuchenko
Presidium of the National Academy of Sciences of Belarus
Belarus
Belarus
Nikolai S. Serdiuchenko – Corresponding Member, D. Sc. (Med.), Professor, Academician-Secretary of the Department of Medical Sciences of the National Academy of Sciences of Belarus
66, Nezavisimosti Ave., 220072
N. V. Zavada
Belarusian Medical Academy of Postgraduate Education
Belarus
Belarus
Nikolai V. Zavada – D. Sc. (Med.), Professor
3/3, P. Brovka Str., 220013, Minsk
I. N. Ladutsko
City Clinical Emergency Hospital
Belarus
Belarus
Ivan N. Ladutsko – Head of the Department
58, Kizhevatov Str., 220024, Minsk
References
1. Zavada N. V. Medical care for victims with combined trauma in a multidisciplinary hospital. Ekstrennaya meditsina [Emergency medicine], 2018, vol. 7, no. 2, pp. 184–208 (in Russian).
2. Voloshenyuk A. N., Zavada N. V., Stebunov S. S., Khilimon D. A., Shnaider A. G., Filinov S. V. Analysis of hospital mortality in combined trauma. Ekstrennaya meditsina [Emergency medicine], 2012, vol. 2, no. 2, pp. 67–74 (in Russian).
3. Baker S. P., O’Neill B., Haddon W. (Jr.), Long W. B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma: Injury, Infection, and Critical Care, 1974, vol. 14, no. 3, рр. 187–196.
4. Romanovskiy E. V., Voloshenyuk A. N., Serdiuchenko N. S. Experience of providing emergency assistance in case of severe mechanical trauma at an early hospital stage. Vestsі Natsyyanal’nai akademіі navuk Belarusі. Seryya medytsynskіkh navuk = Proceedings of the National Academy of Sciences of Belarus. Medical series, 2019, no. 1, pp. 93–98 (in Russian).
5. Saltzherr T. P., Visser A., Ponsen K. J., Luitse J. S., Goslings J. C. Complications in multitrauma patients in a Dutch level 1 trauma center. Journal of Trauma: Injury, Infection, and Critical Care, 2010, vol. 69, no. 5, pp. 1143–1146. https://doi.org/10.1097/ta.0b013e3181cb85bb
6. Pfeifer R., Teuben M., Andruszkow H., Barkatali B. M., Pape H.-C. Mortality patterns in patients with multiple trauma: a systematic review of autopsy studies. PLoS ONE, 2016, vol. 11, no. 2, p. e0148844. https://doi.org/10.1371/journal.pone.0148844
7. Romanovskiy E. V., Voloshenyuk A. N., Filinov S. V. Topical issues of organizing assistance in case of severe mechanical trauma in the Republic of Belarus. Ekstrennaya meditsina [Emergency medicine], 2018, vol. 7, no. 2, pp. 139–147 (in Russian).
8. Inozemtsev E. O., Grigor’ev E. G., Apartsin K. A. The actual issues of associated injuries (from the materials of Polytrauma journal). Politravma [Polytrauma], 2017, no. 1, pp. 6–11 (in Russian).
9. Zavada N. V., Voloshenyuk A. N., Stebunov S. S., Khilimon D. A., Filinov S. V. Mortality in combined injury and ways to reduce it. Khirurgia. Vostochnaya Evropa [Surgery. Eastern Europe], 2012, no. 1, pp. 125–131 (in Russian).
10. Naumann D. N., Vincent L. E., Pearson N., Beaven A., Smith I. M., Smith K. [et al.]. An adapted Clavien-Dindo scoring system in trauma as a clinically meaningful nonmortality endpoint. Journal of Trauma and Acute Care Surgery, 2017, vol. 83, no. 2, pp. 241–248. https://doi.org/10.1097/ta.0000000000001517
11. De Vries R., Reininga I. H. F., Pieske O., Lefering R., Moumni M. E., Wendt K. Injury mechanisms, patterns and outcomes of older polytrauma patients – an analysis of the Dutch Trauma Registry. PLoS ONE, 2018, vol. 13, no. 1, p. e0190587. https://doi.org/10.1371/journal.pone.0190587
12. Kocuvan S., Brilej D., Stropnik D., Lefering R., Komadina R. Evaluation of major trauma in elderly patients – a single trauma center analysis. Wiener Klinische Wochenschrift, 2016, vol. 128, no. S7, pp. 535–542. https://doi.org/10.1007/s00508- 016-1140-4
13. Hildebrand F., Pape H.-C., Horst K., Andruszkow H., Kobbe P., Simon T.-P., Marx G., Schürholz T. Impact of age on the clinical outcomes of major trauma. European Journal of Trauma and Emergency Surgery, 2016, vol. 42, no. 3, pp. 317– 332. https://doi.org/10.1007/s00068-015-0557-1
14. Probst C., Zelle B. A., Sittaro N. A., Lohse R., Krettek Ch., Pape H. C. Late death after multiple severe trauma: when does it occur and what are the causes? Journal of Trauma: Injury, Infection, and Critical Care, 2009, vol. 66, no. 4, pp. 1212– 1217. https://doi.org/10.1097/ta.0b013e318197b97c
Review
For citations:
Romanovskiy E.V., Voloshenyuk A.N., Serdiuchenko N.S., Zavada N.V., Ladutsko I.N. Comparative assessment of the hospital letality structure during severe mechanical injury for 2005–2006 and 2014–2015 years. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2020;17(2):152-157. https://doi.org/10.29235/1814-6023-2020-17-2-152-157
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