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Abstract
The aim of the current study was to statistically analyze the pattern of trauma as regards type of trauma, site of injuries and sequence of management (conservative versus surgical) and mortality (1st day and 28 days mortality) among polytraumatised patients admitted to emergency department, Alexandria university Main Hospital in period from 1st August 2007 to 31st January 2008.
During this period we had 276 victims who constituted our study population.
Every patient’s admission sheet, cases and records were analysed.
The data included the patient personal history, type, and mechanism of injury, general condition of the patient, systemic examination, investigation, management and outcome.
The results recorded were as follows:
•The major mechanism of injury in polytrauma patient was road traffic accidents.
•The majority of cases in the age group between 25 to50 (35%).
•Males were 3 times more affected than females.
•The head was the most common site of injury (93.1%) followed by the abdomen (74.3%).
•The period (2pm-8pm) was the most common time of admission (47.1%) and August was the highest month of admission (20.3%).
•The major outcome of the cases was death (55.1%) followed by discharge (39%) and disability (5.9%).
•The most common cause of death was the circulatory (64.7%), followed by central cause (13.7%) then respiratory (13.1%) and multi system organ failure (8.5%).
•The cause of death in the first day was mainly the circulatory and there were no reported cases of MSOF while through the month MSOF was (8.5%).
•RTA was the most common cause of injury leading to death (77.6%); FFH was the second cause (19.7%) and other causes (2.6%).
•RTS is a good prognostic tool for polytrauma patients, as it increases, the prognosis of the cases improve and vice versa.
•The majority of cases was managed conservatively and was associated with high death rate.
•As regard death peaks, most deaths occur in the second peak 53% followed by the third peak 47% .