Dur, Ali Bezmialem University - School of Medicine - Department of Emergency Medicine, Turkey , Koçak, Sedat University of Konya - Meram Faculty of Medicine - Department of Emergency Medicine, Turkey , Cander, Başar University of Konya - Meram Faculty of Medicine - Department of Emergency Medicine, Turkey , Sönmez, Ertan Bezmi Alem Foundation University - Department of Emergency Medicine, Turkey , Civelek, Cemil Bezmi Alem Foundation University - Department of Emergency Medicine, Turkey

Factors affecting mortality in patients with multitrauma which were treated in intensive care unit

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Objective: The aim of this study was to evaluate multiple trauma patients hospitalized in intensive care unit (ICU) of an emergency department at a university hospital. Methods: The study was performed between January 2006 and January 2009 with 138 patients in the emergency intensive care unit. Those patients who die within 6 hours after trauma and the patients with chronic renal failure, chronic liver failure, chronic heart failure and metastatic cancers were excluded to this study. Trauma etiology, duration of intensive care and mechanical ventilation, support therapies, trauma scores and mortality rates were determined. Data were evaluated by statistical methods. Results: The mean age of the patients was 31±21.8 (range 1-80) years. Of these patients, 112 (81.2%) were male and 26 (18.8%) were female. The most common etiologies of multitrauma were car occupant’s accidents (40.6%) and pedestrian’s accidents (37%). Mean length of stay at mechanical ventilation and length of stay in ICU were 2.2 days (0-30 days) and 5.3 days (1-30 days), respectively. Totally 56 (43.5%) patients were ventilated mechanically, 34 (26.4%) patients received nutritional support and 22 (14.5%) were given inotropic agents. Mortality rate of these papatients were 50%, 44.1% and 77.7% respectively. The multitrauma patients, who mechanically ventilated, supported by inotropic and nutritional therapy had higher mortality rate than other patients. Conclusion: The most common cause of multitrauma injuries were motor vehicle accidents, especially for young males. Trauma scores at admission, complications related to mechanical ventilation, inotropic and nutritional support therapies affected to morbidity and mortality in ICU trauma centers.

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Emergency departments , multitrauma , intensive care unit

Dicle Medical Journal

182