Combined trauma in peaceful time.

Authors

  • V. A. Chaika

DOI:

https://doi.org/10.26641/2307-0404.2014.2.28325

Keywords:

combined trauma, industrial region, mortality

Abstract

In the article epidemiological features of combined trauma (CT), characteristic for the industrial region were summarized. 486 cases of CT were analyzed for the period from 2010 to 2012. Male patients dominated. 267 (54.9%) patients were the age from 25 to 44 years. Most often the damage occurred in 2 anatomic regions (AR) - 224 (46.1%), 3 AR - 177 (36.4%) and 4 or more - 85 (17.5%). Trau­matic brain injury - 94.2%, skeletal trauma - 70.6%, the trauma of the chest and abdomen - 68.4% and 35.7%, respectively prevailed. Injury of the abdominal cavity as a dominant one - 148 (30.5%) occupied the first place. In 17 (3.5%) cases it was impossible to establish the dominant damage. Mortality rate was directly dependent on the type of the trauma and patient's age. Maximum values were found in the combined brain injury and that of abdominal organs - 28.6%, as well as in the group of patients older than 60 years - 35.1%. From 2010 to 2012 the overall mortality decreased by 3.5%.

Author Biography

V. A. Chaika

ул. Дзерджинского, 9, Днепропетровск, 49044, Украина
SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine"
Dzerzhinsky str., 9, Dnеpropetrovsk, 49044, Ukraine

References

Ермолов А.С. Структура госпитальной леталь¬ности при сoчетанной травме и пути её снижения / А.С. Ермолов, М.М. Абакумов В.А. Соколов // Хи¬рургия. - 2006. – № 9. – С. 16-20.

Королёв В.М. Организация медицинской помощи пострадавшим с сочетанной травмой в условиях травмоцентра первого уровня / В.М. Королёв, В.Н. Ко¬раблёв. – Хабаровск, 2012. — 98с.

Намазбеков М.Н. Эпидемиологические, диа¬гно¬стические и лечебные аспекты сочетанной травмы / М.Н. Намазбеков, А.К. Молдоташова, У.Б. Байзаков // Вестник КРСУ. - 2012. – Т.12, № 2. – С. 122-124.

Овсянников Д.М. Социальные и эпидемиологические аспекты черепно-мозговой травмы (обзор) / Д. М. Овсянников, А.А. Чехонацкий, В.Н. Колесов // Саратов. науч.-мед. журнал. – 2012. – Т. 8, № 3. - С. 777–785.

Щедренок В.В. Организация медицинской помощи пострадавшим с сочетанной черепно-мозговой травмой в городах с различной численностью населения и пути ее совершенствования / В.В. Щедренок, Е.К Гуманенко, О.В. Могучая // Вестник травматологии и ортопедии. – 2008. – № 1. – С. 3-7.

Эпидемиология тяжёлой сочетанной травмы в мегаполисе / Р.М. Габдулахов, М.В. Тимербулатов, Р.Г. Гараев [и др.] // Гений Ортопедии. - 2009. - № 4. - С. 95-98.

Hansen K.S. Epidemiology of severely and fatally injured patients in western pfrt of Norway / K.S. Hansen, I. Morild, L.B. Engeseter // Scandinavian J. Surgery. – 2004. – Vol. 93. – P. 198-203.

Norrls F.H. Understanding Research on the Epi¬demiology of Trauma and PTSD / F.H. Norrls, L.B. Slone // PTSD Res. Quarterly. –2013.–Vol. 24, N 2-3. – P. 1-13.

Potenza B.M. The epidemiology of serious and fatal injury in San Diego County over an 11-year period / B.M. Potenza, D.B. Hoyt, R. Coimbra // J.Trauma. – 2004. – Vol. 56, N 1. – P. 68-75.

Ermolov AS, Abakumov MM, Sokolov VA. [Structure of hospital mortality in combined trauma and ways to reduce]. Journal im. N.I. Pirogova. 2006;9:16-20. Russian.

Korolev VM, Korablev VN. [Management of medical aid to the victims with combined trauma in the first level centre of trauma]. 2012;98. Russian.

Namazbekov MN, Moldotashova AK, Bayzakov UB. [Epidemiological, diagnostic and therapeutic aspects of combined trauma]. Vestnik KRSU. 2012;12(2):122-4. Russian.

Ovsyannikov DM, Chekhonatskiy AA, Kolesov VN. [Social and epidemiological aspects of traumatic brain injury (Review)]. Saratovskiy nauchno-meditsinskiy Journal. 2012;8(3):777–85. Russian.

Shchedrenok VV, Gumanenko EK, Moguchaya OV. [Management of medical aid to the victims with combined brain injury in cities with varying populations and ways to improve it]. Vestnik travmatologii i ortopedii. 2008;1:3-7.

Gabdulakhov RM, Timerbulatov MV, Garaev RG. [Epidemiology of severe combined trauma in the city]. Geniy Ortopedii. 2009;4:95-98. Russian.

Hansen KS, Morild I, Engeseter LB. Epidemiology of severely and fatally injured patients in western part of Norway. Scandinavian Journal of Surgery. 2004;93:198-203.

Norrls FH, Slone LB. Understanding Research on the Epidemiology of Trauma and PTSD. PTSD Research Quarterly. 2013;24(2-3):1-13.

Potenza BM, Hoyt DB, Coimbra R. The epidemiology of serious and fatal injury in San Diego County over an 11-year period. J.Trauma. 2004;56(1):68-75.

Downloads

Published

2014-06-18

How to Cite

1.
Chaika VA. Combined trauma in peaceful time. Med. perspekt. [Internet]. 2014Jun.18 [cited 2024Apr.20];19(2):60-4. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/28325

Issue

Section

CLINICAL MEDICINE