scholarly journals FIVE YEARS CHARACTERISTIC OF KIDNEY TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017

2019 ◽  
Vol 26 (2) ◽  
Author(s):  
Ilhamul Karim ◽  
Kuncoro Adi
Keyword(s):  
Multiple Trauma ◽  
Traffic Accidents ◽  
Secondary Data ◽  
Tertiary Hospital ◽  
Trauma Patients ◽  
Trauma Mechanism ◽  
Mortality And Morbidity ◽  
Associated Injury ◽  
Kidney Trauma ◽  
Mechanism Of Trauma

Objective: Globally, trauma is one of the leading cause of mortality and morbidity. Kidney is an organ that is often affected in trauma cases in urology. This study aimed to determine the characteristics of cases of kidney trauma treated in Hasan Sadikin Bandung Hospital, and used as part of the database of urogenital trauma in Indonesia. Material & Methods: The secondary data was derived from the medical records of patients with kidney trauma treated at Department of Urology in Hasan Sadikin Hospital Bandung for 5 years period (January 2013 to August 2017), as many as 130 cases. Information used was patients’ gender, mechanism of trauma, grading of kidney trauma, associated injury, management, shock, and outcome after treatment. The data obtained was subsequently recapitulated and processed using a spreadsheet. Results: A total 20489 trauma cases admission in Hasan Sadikin Hospital, 477 cases (2.33%) were urogenital trauma, and 130 of which are cases of kidney trauma (0.63%). The majority of patients with kidney trauma are male (87.7%). Based on the mechanism of trauma, 80% of them were related to traffic accidents, especially in motorcycle traffic accidents, as well as the trauma mechanism of falling from a height (13%). There were 69 patients (53.1%) who had major kidney trauma, and 61 patients (46.9%) had minor kidney trauma; specifically, 42.3% grade I and 21.5% grade V kidney trauma. In general, kidney trauma patients experienced multiple trauma, only 19 cases (14.6%) had not associated injury. Most of patients (63%) did not experience shock, and 87.75% of patients survived after treatment. In the timespan of 5 years, 44 patients underwent McAnninch procedure. Conclusion: In Hasan Sadikin Hospital, most cases of kidney trauma were experienced by men, and were caused by blunt trauma in traffic accidents, especially on motorcyclists. Most patients with kidney trauma experienced multiple trauma.

scholarly journals FIVE YEARS CHARACTERISTIC OF URETERAL TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017

2021 ◽  
Vol 28 (1) ◽  
pp. 35-38
Author(s):  
Adi Bachtiar Tambah ◽  
Kuncoro Adi
Keyword(s):  
General Hospital ◽  
Medical Records ◽  
Gunshot Wounds ◽  
Tertiary Hospital ◽  
Trauma Patients ◽  
Trauma Mechanism ◽  
Ureteral Trauma ◽  
Iatrogenic Trauma ◽  
Retrospective Data Collection ◽  
Mechanism Of Trauma

Objective: This study aims to determine the characteristics of trauma patients, especially ureteral trauma in Hasan Sadikin General Hospital and expected to be used as data for trauma nationally. Material & Methods: This study was descriptive. Retrospective data collection is taken from medical records of ureteral trauma from 2013 until August 2017 at Hasan Sadikin General Hospital, Bandung. The data obtained are gender, mechanism of trauma, and management of ureteral trauma. Results: A total of 20489 cases of trauma handled in Hasan Sadikin General Hospital, 2.3% is a case of urogenital trauma and 40 of which are cases of ureteral trauma (0.19%). Most ureteral trauma patients are female (90%). Based on the trauma mechanism, 39 patients iatrogenic trauma (97.5%) and 1 patient gunshot wounds (2.5%). From iatrogenic ureteral trauma, 36 patients (90%) had iatrogenic trauma from the gynecological procedure, 5% as a result of the urological procedure, and 2.5% due to gastrointestinal procedure. Management of ureteral trauma is 47.5% ureteroureterostomy and 25% ureteroneocystostomy. Conclusion: Most cases of ureteral trauma are experienced by women, and most commonly due to iatrogenic trauma. Iatrogenic ureteral trauma caused by gynecology procedure is the most common.

Epidemiology, Mortality and Morbidity in Multiple Trauma Patients

Orthopedics ◽  
1985 ◽  
Vol 8 (12) ◽  
pp. 1523-1528
Author(s):  
Ramon B Gustilo ◽  
Vicente Corpuz ◽  
Robert K Sherman
Keyword(s):  
Multiple Trauma ◽  
Trauma Patients ◽  
Mortality And Morbidity ◽  
Multiple Trauma Patients

scholarly journals Epidemiological analysis of demographic characteristics and type of injuries in patients with multiple trauma with respect to conclusive treatment outcome

2008 ◽  
Vol 136 (3-4) ◽  
pp. 136-140 ◽  
Author(s):  
Slavisa Zagorac ◽  
Marko Bumbasirevic ◽  
Aleksandar Lesic ◽  
Ivan Milosevic
Keyword(s):  
Treatment Outcome ◽  
Multiple Trauma ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Injury Mechanism ◽  
Organic System ◽  
Mortality And Morbidity ◽  
Number Of Patients ◽  
Significant Difference ◽  
Presentation Methods

Introduction Multiple trauma is one of the leading causes of mortality and morbidity in the population of people under 45 years of age. The consequences of multiple trauma have huge epidemiological, social and economic significance. Objective The aim of the paper was to analyze the conclusive treatment outcome of multiply traumatized patients with respect to their sex, age, injury mechanism and type. METHOD This retrospective study included 100 patients with multiple injuries (ISS>16) treated in the Emergency Room of the Clinical Centre of Serbia in the course of 2004. Clinical, X-ray, laboratory and numerical presentation methods - scores (ISS and GCS) were used to show the injury severity. Results Most of the injured were males (80%), and the average age was 40?20 (5-83). Out of the total number of patients who died, 23 (82%) were males, and 5 (18%) were females. The average age of the patients with fatal outcomes was 48?21 (8-86). Traffic accidents were the leading cause of injury (59%). The median GCS was 10?3 (3-15). The average ISS was 30 (20-66) in the surviving patients, and 53 (27-77) in those who died. Conclusion With respect to sex, in most cases multiple trauma affects males (p<0.01), with the average age of about 40. With respect to injury mechanism, the main cause of the occurrence of multiple trauma is traffic accidents (p<0.01). There is a statistically significant difference in the values of GCS and ISS relative to the definitive outcome (p<0.01). Statistical data processing indicated that there was a statistically significant correlation between mortality and type of injury in a given organic system (p<0.01), but that there was no statistically significant correlation between mortality and age. .

scholarly journals Prevalence and Factors Predicting Preventable Trauma Induced Mortality

2021 ◽  
Author(s):  
Abbas Hajian ◽  
Abdoulhossein Davoodabadi ◽  
Esmail Abdourrahim Kashi ◽  
Mojtaba Sehat ◽  
Shahrzad Ale Mohammad
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Demographic Data ◽  
Vital Signs ◽  
Trauma Patients ◽  
Preventable Death ◽  
Probability Of Survival ◽  
Trauma Victims ◽  
Mechanism Of Trauma

Abstract Introduction: Trauma is one of the most common causes of morbidity and mortality worldwide. Since the definition of preventable death has been described many studies, like current one, were conducted to evaluate this issue.Materials and Methods: This cohort retrospective study investigated archived medical files of trauma victims from 2017 to 2020 in a referral single-center trauma hospital. Registered demographic data, vital signs, Glasgow coma scale (GCS), timing of trauma and death, executed interventions, type and mechanism of trauma in addition to time errors, clinical mismanagements and missed injuries were extracted. Injury severity score (ISS), revised trauma score (RTS) and probability of survival (Ps) based on TRISS method for each case were calculated. Eventually preventable and non-preventable death groups were compared.Results: Finally from the all 413 trauma victims 246(54.9%) files were enrolled. Victims aged from 18 to 95 years. Of all 189(76.8%) were males. Analysis manifested 135(54.9%) of all deaths were potentially and 2(0.08%) were certainly preventable; while the other 49.1% were non-preventable for expiration(p=0.001). Data showed that from all variables systolic blood pressure (SBP) ≥80mmHg, respiratory rate (RR) ≥20 per minute, GCS ≥8, higher RTS, road traffic accidents and control of external bleeding were contribute to prediction of preventable trauma related mortality.Conclusion: This study implied on frequency of trauma related preventable death was regionally high and associated factors that could be lessen the number of these mortalities including of SBP, RR, GCS, RTS, mechanism of trauma and external bleeding of trauma patients should be paid more attention.Trial registration: Retrospectively registered.

scholarly journals SPINE TRAUMA EPIDEMIOLOGICAL PROFILE IN A TERTIARY NEUROSURGERY HOSPITAL IN SOUTH BRAZIL

2021 ◽  
Vol 20 (3) ◽  
pp. 224-228
Author(s):  
GUILHERME FINGER ◽  
TIAGO PACZKO BOZKO CECCHINI ◽  
MARIA EDUARDA CONTE GRIPA ◽  
TOBIAS LUDWIG DO NASCIMENTO ◽  
FELIPE MARTINS DE LIMA CECCHINI ◽  
...  
Keyword(s):  
Latin America ◽  
Traffic Accidents ◽  
Demographic Data ◽  
Neurological Status ◽  
Tertiary Hospital ◽  
Spine Injury ◽  
Trauma Patients ◽  
Spine Trauma ◽  
Level Of Evidence ◽  
Epidemiological Profile

ABSTRACT Objective The aim of this paper is to analyze the epidemiological profile of a large series of spine trauma victims in the Southernmost state of Brazil. Methods A retrospective study including spine trauma patients was performed at a tertiary hospital from January 1st, 2013 to December 31st, 2018. The variables analyzed include demographic data, information related to the trauma (etiology, trauma mechanism, type of spine injury, number of vertebrae involved, vertebral segment involved), neurological status at hospital admission (Frankel scale), treatment performed and the outcome (number of days in hospital, neurological outcome, and mortality). Results A total of 808 patients were included. The mean age was 47.9 (±19.0), and the majority were male and Caucasian. The most frequent etiology was falls from height (N=508; 62.9%) followed by traffic accidents (N=185; 22.9%). The thoracolumbar segment was the spinal segment most frequently affected, occurring in 401 (52.1%) patients, followed by the cervical, thoracic and lumbar segments. The incidence of SCI was 16.7%. Non-operative treatment was indicated in 510 (63.1%) patients. Conclusion The authors presented the largest epidemiological profile regarding spine trauma in Latin America, analyzing a total of 808 patients, which represents an incidence of 134.6 cases/year. This paper fills a gap in the medical literature regarding the epidemiological profile of this disease in Latin America. Level of evidence II; Prognostic study.

scholarly journals Pattern of Maxillofacial Fractures in Severe Multiple Trauma Patients: A 7-year Prospective Study

2014 ◽  
Vol 25 (6) ◽  
pp. 561-564 ◽  
Author(s):  
La-Salete Alves ◽  
Irene Aragão ◽  
Maria-José Carneiro Sousa ◽  
Ernestina Gomes
Keyword(s):  
Multiple Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Severe Multiple Trauma ◽  
Facial Wound ◽  
Maxillofacial Fractures ◽  
Multiple Trauma Patients

The incidence of facial trauma is high. This study has the primary objective of documenting and cataloging maxillofacial fractures in polytrauma patients. From a total of 1229 multiple trauma cases treated at the Emergency Room of the Santo Antonio Hospital - Oporto Hospital Center, Portugal, between August 2001 and December 2007, 251 patients had facial wounds and 209 had maxillofacial fractures. Aged ranged form 13 to 86 years. The applied selective method was based on the presence of facial wound with Abbreviated Injury Scale ≥1. Men had a higher incidence of maxillofacial fractures among multiple trauma patients (86.6%) and road traffic accidents were the primary cause of injuries (69.38%). Nasoorbitoethmoid complex was the most affected region (67.46%) followed by the maxilla (57.42%). The pattern and presentation of maxillofacial fractures had been studied in many parts of the world with varying results. Severe multiple trauma patients had different patterns of maxillofacial injuries. The number of maxillofacial trauma is on the rise worldwide as well as the incidence of associated sequelae. Maxillofacial fractures on multiple trauma patients were more frequent among males and in road traffic crashes. Knowing such data is elementary. The society should have a key role in the awareness of individuals and in prevention of road traffic accidents.

scholarly journals P014: Incidental findings in trauma whole-body CT scans: a systematic review

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S69-S69
Author(s):  
V. Tsang ◽  
K. Bao ◽  
J. Taylor
Keyword(s):  
Systematic Review ◽  
Incidental Findings ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Subsequent Treatment ◽  
Whole Body ◽  
Trauma Patients ◽  
Patient Demographics ◽  
Study Results

Introduction: Whole-body computed tomography scans (WBCT) are a mainstay in the work-up of polytrauma or multiple trauma patients in the emergency department. While incredibly useful for identifying traumatic injuries, WBCTs also reveal incidental findings in patients, some of which require further diagnostic testing and subsequent treatment. Although the presence of incidental findings in WBCTs have been well documented, there has been no systematic review conducted to organize and interpret findings, determine IF prevalence, and document strategies for best management. Methods: A systematic review was conducted using MEDLINE, PUBMED, and EMBASE. Specific journals and reference lists were hand-mined, and Google Scholar was used to find any additional papers. Data synthesis was performed to gather information on patient demographics, prevalence and type of incidental findings (IFs), and follow-up management was collected. All documents were independently assessed by the two reviewers for inclusion and any disagreements were resolved by consensus. Results: 1231 study results were identified, 59 abstracts, and 12 included in final review. A mean of 53.9% of patients had at least one IF identified, 31.5% had major findings, and 68.5% had minor findings. A mean of 2.7 IFs per patient was reported for articles that included number of total IFs. The mean age of patients included in the studies were 44 years old with IFs more common in older patients and men with more IFs than women. IFs were most commonly found in the abdominal/pelvic region followed by kidneys. Frequency of follow-up documentation was poor. The most common reported mechanisms of injury for patients included in the study were MVA and road traffic accidents (60.0%) followed by falls from >3m (23.2%). Conclusion: Although there is good documentation on the mechanism of injury, patient demographics, and type of IF, follow-up for IFs following acute trauma admission lacks documentation and follow-up and is an identified issue in patient management. There is great need for systematic protocols to address management of IFs in polytrauma patients.

scholarly journals Effectiveness of trauma care systems at different stages of development in reducing mortality: a systematic review and meta-analysis protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e047439
Author(s):  
Rayan Jafnan Alharbi ◽  
Virginia Lewis ◽  
Sumina Shrestha ◽  
Charne Miller
Keyword(s):  
Systematic Review ◽  
Trauma Care ◽  
Data Extraction ◽  
Meta Analysis ◽  
Trauma System ◽  
Secondary Data ◽  
Trauma Centre ◽  
Trauma Patients ◽  
Trauma Systems ◽  
Stages Of Development

IntroductionThe introduction of trauma systems that began in the 1970s resulted in improved trauma care and a decreased rate of morbidity and mortality of trauma patients. Worldwide, little is known about the effectiveness of trauma care system at different stages of development, from establishing a trauma centre, to implementing a trauma system and as trauma systems mature. The objective of this study is to extract and analyse data from research that evaluates mortality rates according to different stages of trauma system development globally.Methods and analysisThe proposed review will comply with the checklist of the ‘Preferred reporting items for systematic review and meta-analysis’. In this review, only peer-reviewed articles written in English, human-related studies and published between January 2000 and December 2020 will be included. Articles will be retrieved from MEDLINE, EMBASE and CINAHL. Additional articles will be identified from other sources such as references of included articles and author lists. Two independent authors will assess the eligibility of studies as well as critically appraise and assess the methodological quality of all included studies using the Cochrane Risk of Bias for Non-randomised Studies of Interventions tool. Two independent authors will extract the data to minimise errors and bias during the process of data extraction using an extraction tool developed by the authors. For analysis calculation, effect sizes will be expressed as risk ratios or ORs for dichotomous data or weighted (or standardised) mean differences and 95% CIs for continuous data in this systematic review.Ethics and disseminationThis systematic review will use secondary data only, therefore, research ethics approval is not required. The results from this study will be submitted to a peer-review journal for publication and we will present our findings at national and international conferences.PROSPERO registration numberCRD42019142842.

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