Determination of predictors and risk factors in patients with multiple emergency surgical traumas

ALAMSHAH, Seyed Mansour; PIPELZADEH, Mohammad; MOUSAVI, Seyed Reza; BAHARANFAR, Hasan; REZAPOUR, Ehsan

Determination of predictors and risk factors in patients with multiple emergency surgical traumas

Seyed Mansour ALAMSHAH, (Department, of Surgery, Jundishapour Univercity of Medical Science, Ahwaz, Iran)

Mohammad PIPELZADEH, (Department, of Surgery, Jundishapour Univercity of Medical Science, Ahwaz, Iran)

Seyed Reza MOUSAVI, (Department, of Surgery, Jundishapour Univercity of Medical Science, Ahwaz, Iran)

Hasan BAHARANFAR, (Department, of Surgery, Jundishapour Univercity of Medical Science, Ahwaz, Iran)

Ehsan REZAPOUR (Department, of Surgery, Jundishapour Univercity of Medical Science, Ahwaz, Iran)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2010 Cilt: 16 Sayı: 5 Sayfa Aralığı: 421 - 426 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Determination of predictors and risk factors in patients with multiple emergency surgical traumas

Öz:

AMAÇ Çoklu travmalı hastaların kurtarılması ve tedavilerinin düzenlenmesine yönelik bulgu ve risk faktörlerinin yok edilmesi umut verici sonucu garanti edebilir. GEREÇ VE YÖNTEM Bu çalışma, Jundishapour Üniversitesi Tıp Fakültesi, Cerrahi Bölümü’nde travma hastaları üzerinde 17 ay boyunca sürdürülen prospektif randomize kohort çalışmadır. Mortalite nedeni, komplikasyonlar ve taburculuk esasına göre hastalar ölenler, komplike ve komplike olmayan gruplar şeklinde ayrılmıştır. Bulgular risk faktörünün belirlenmesi için karşılaştırılmıştır. BULGULAR Çalışılan 125 hastanın 27 tanesi ölmüş, 19 olguda komplikasyon gelişmiş ve 79 travmalı hasta başarılı bir şekilde tedavi edilerek taburcu edilmiştir. Asıl (gerçek), orta derece ve prediktif risk faktörleri şeklinde çıkartılmış üç adet sınıflama bulunmuştur. Başvuru gecikmesi, tanı ve tedavi ile ilgili gecikme, ulaşma sırasında düşmüş kan basıncı, çoklu karın içi viseral travmalar ve ciddi asidoz asıl risk faktörlerini oluşturmuştur. Yaş, çoklu cerrahi ve tehlikeler, yoğun bakım ünitesine yatırılma, elektrolit dengesizliği ve transfer sırasındaki kötü yönetim orta derece risk faktörlerini oluşturmuştur. Düşük hemoglobin, hipoksemi, birden fazla sayıda servis tarafından gözlem ve 100 kilometreden daha fazla uzaklık prediktif faktörleri oluşturmuştur. SONUÇ Asıl risk faktörlerinin elimine edilmesi şeklindeki çözüm, kaçınılamaz mortaliteleri azaltmaya yönelik önemli bir konudur. Böylelikle risk faktörlerinin ölümcül zincirini kırmaya yönelik girişim hastanın yaşamını uzatabilir ve prognozu düzeltebilir.

Anahtar Kelime:

Konular: Cerrahi

Acil cerrahi gerektiren çoklu travmalı hastalarda prediktörlerin ve risk faktörlerinin belirlenmesi

Öz:

BACKGROUND In the rescue and management of patients with multiple traumas, identifying and eliminating risk factors can guarantee a promising outcome. METHODS This was a prospective randomized cohort study in trauma patients in the Department of Surgery, Jundishapour University of Medical Sciences, covering 17 months. Based on the cause of mortality, complications and discharge, the patients were divided into groups as non-survivor and complicated and non-complicated groups. The results were compared for the risk factor extraction. RESULTS From 125 studied patients, 27 died, 19 cases were complicated and 79 injured patients were successfully treated and discharged. Three extracted classifications as main (real), moderate and predictive risk factors were determined. Referral delay, delay in diagnosis and treatment, decreased blood pressure on arrival, multiple intra-abdominal visceral injuries, and severe acidosis were identified as the main risk factors. Age, multiple surgery and pitfalls, intensive care unit admittance, electrolyte imbalance, and mismanagement during transfer were identified as moderate risk factors. Low hemoglobin, hypoxemia, observation in multiple services, and distance of more than 100 kilometers were identified as predictive factors. CONCLUSION Elimination of the main risk factors is a substantial issue to decrease inevitable mortalities. Thus, attempt to shorten the lethal chain of the risk factors can lengthen a patient’s life and improve the prognosis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ALAMSHAH S, PIPELZADEH M, MOUSAVI S, BAHARANFAR H, REZAPOUR E (2010). Determination of predictors and risk factors in patients with multiple emergency surgical traumas. , 421 - 426.
Chicago	ALAMSHAH Seyed Mansour,PIPELZADEH Mohammad,MOUSAVI Seyed Reza,BAHARANFAR Hasan,REZAPOUR Ehsan Determination of predictors and risk factors in patients with multiple emergency surgical traumas. (2010): 421 - 426.
MLA	ALAMSHAH Seyed Mansour,PIPELZADEH Mohammad,MOUSAVI Seyed Reza,BAHARANFAR Hasan,REZAPOUR Ehsan Determination of predictors and risk factors in patients with multiple emergency surgical traumas. , 2010, ss.421 - 426.
AMA	ALAMSHAH S,PIPELZADEH M,MOUSAVI S,BAHARANFAR H,REZAPOUR E Determination of predictors and risk factors in patients with multiple emergency surgical traumas. . 2010; 421 - 426.
Vancouver	ALAMSHAH S,PIPELZADEH M,MOUSAVI S,BAHARANFAR H,REZAPOUR E Determination of predictors and risk factors in patients with multiple emergency surgical traumas. . 2010; 421 - 426.
IEEE	ALAMSHAH S,PIPELZADEH M,MOUSAVI S,BAHARANFAR H,REZAPOUR E "Determination of predictors and risk factors in patients with multiple emergency surgical traumas." , ss.421 - 426, 2010.
ISNAD	ALAMSHAH, Seyed Mansour vd. "Determination of predictors and risk factors in patients with multiple emergency surgical traumas". (2010), 421-426.

APA	ALAMSHAH S, PIPELZADEH M, MOUSAVI S, BAHARANFAR H, REZAPOUR E (2010). Determination of predictors and risk factors in patients with multiple emergency surgical traumas. Ulusal Travma ve Acil Cerrahi Dergisi, 16(5), 421 - 426.
Chicago	ALAMSHAH Seyed Mansour,PIPELZADEH Mohammad,MOUSAVI Seyed Reza,BAHARANFAR Hasan,REZAPOUR Ehsan Determination of predictors and risk factors in patients with multiple emergency surgical traumas. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.5 (2010): 421 - 426.
MLA	ALAMSHAH Seyed Mansour,PIPELZADEH Mohammad,MOUSAVI Seyed Reza,BAHARANFAR Hasan,REZAPOUR Ehsan Determination of predictors and risk factors in patients with multiple emergency surgical traumas. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.5, 2010, ss.421 - 426.
AMA	ALAMSHAH S,PIPELZADEH M,MOUSAVI S,BAHARANFAR H,REZAPOUR E Determination of predictors and risk factors in patients with multiple emergency surgical traumas. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(5): 421 - 426.
Vancouver	ALAMSHAH S,PIPELZADEH M,MOUSAVI S,BAHARANFAR H,REZAPOUR E Determination of predictors and risk factors in patients with multiple emergency surgical traumas. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(5): 421 - 426.
IEEE	ALAMSHAH S,PIPELZADEH M,MOUSAVI S,BAHARANFAR H,REZAPOUR E "Determination of predictors and risk factors in patients with multiple emergency surgical traumas." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.421 - 426, 2010.
ISNAD	ALAMSHAH, Seyed Mansour vd. "Determination of predictors and risk factors in patients with multiple emergency surgical traumas". Ulusal Travma ve Acil Cerrahi Dergisi 16/5 (2010), 421-426.