Hospital stay, morbidity, and mortality in polytrauma patients at Trauma Unit, Assiut University Hospital during 2017

Hamzawy, Mohamed MA.; Adam, Faisal F.; Balam, Khaled M. M.; Abubeih, Hossam M. A.

doi:10.4103/JCMRP.JCMRP_70_19

Hospital stay, morbidity, and mortality in polytrauma patients at Trauma Unit, Assiut University Hospital during 2017

Authors

Abstract

Aim
The aim of this work is to evaluate the management strategy of polytrauma patients at Assiut University Hospital, it will evaluate the hospital stay and its effect on patients' outcome, main causes of patient morbidity, and mortality in terms of short outcomes.
Patients and methods
All polytrauma patients attending Assiut University Trauma Unit from January 1 to December 31, 2017 were included in the study. Demographic characteristics of patients, injury characteristics, morbidity, and mortality were reviewed.
Results
Total coverage of all trauma patients attending Assiut University Trauma Unit from January 1 to December 31, 2017 were 292 trauma patients. Male sex was predominant demonstrating the majority of patients (68%), and around 70% of the patients were younger than 40. The current study revealed that motor car accident is the main cause of trauma (34%) followed by fall from height (19%) and then motorbike accident (17.5%) followed by train/bus (15.4%). Damage-control surgery was offered to about one-quarter of patients, while early total care is the standard of care for other patients. The trauma-related mortality was around 20%, half of them encountered early, and Central nervous system (CNS) is the leading cause for death.
Conclusion
Trauma is still a leading cause of death in Upper Egypt, trauma-related mortality is still high, despite of our standards of care, and an intensive National Preventive Program is essential to minimize that great trauma burden.

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