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

CİVELEK, Cemil; DUR, Ali; Cander, Başar; Kocak, Sedat; SÖNMEZ, Ertan

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

Ali DUR, (Bezmialem Vakıf Üniversitesi, Tıp Fakültesi, Acil Tıp Kliniği, İstanbul, Türkiye)

Sedat KOÇAK, (Selçuk Üniversitesi, Meram Tıp Fakültesi, Acil Tıp Anabilim Dalı, Konya, Türkiye)

Başar CANDER, (Selçuk Üniversitesi, Meram Tıp Fakültesi, Acil Tıp Anabilim Dalı, Konya, Türkiye)

Ertan SÖNMEZ, (Bezmialem Vakıf Üniversitesi, Tıp Fakültesi, Acil Tıp Kliniği, İstanbul, Türkiye)

Cemil CİVELEK (Bezmialem Vakıf Üniversitesi, Tıp Fakültesi, Acil Tıp Kliniği, İstanbul, Türkiye)

Dicle Tıp Dergisi

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Yıl: 2013 Cilt: 40 Sayı: 2 Sayfa Aralığı: 177 - 182 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

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

Öz:

Amaç: Bu çalışmanın amacı, bir üniversite hastanesininacil yoğun bakım biriminde takip edilen çoklu travma hastalarının değerlendirilmesidir. Yöntemler: Çalışmaya Ocak 2006- Ocak 2009 tarihleri arasında fakültemizin acil yoğun bakım biriminde takipedilen çoklu travma hastaları alındı. Travma sonrası ilkaltı saat içinde hayatını kaybedenler, kronik böbrek yetmezliği, kronik karaciğer hastalığı, konjestif kalp yetersizliği ve metastatik kanser hastaları çalışma dışı bırakıldı. Travmanın nedeni, yoğun bakım ve mekanik ventilatörlerde kalış süreleri, aldığı destek tedaviler, travma skorlarıve mortalite oranları belirlendi. Elde edilen bulgular ista-tistiksel olarak değerlendirildi. Bulgular: Çalışmaya alınan hastaların yaş ortalaması 31±21.82 (aralık 1-80) yıl idi. Hastaların 112’si (%81.2) erkek 26’sı (%18.8) kadın idi. Çoklu travmanın en sık nedenleri araç içi trafik kazaları (%40.6) ve araç dışı trafik kazaları (%37) idi. Ortalama yoğun bakımda ve mekanik ventilatörde kalış süreleri sırasıyla 5.3 gün (1-30 gün) ve 2.2 gün (0- 30 gün) idi. Hastalardan 56’sı (%43.5) mekanik ventilatör desteği alırken, 34 (%26.4) hastanın beslenme desteği aldığı ve 22 (%14.5) hastanın inotrop desteği aldığı belirlenmiştir. Bu hastaların mortalite oranları sırasıyla %50, %44.1 and %77.7 idi. Mekanik ventilasyondaki, inotrop ve beslenme desteği alan çoklu travma hastalarındaki mortalite oranları tüm hastalardaki mortalite oranlarından yüksek bulunmuştur. Sonuç: Çoklu travma yaralanmalarının en sık nedeni motorlu araç kazaları olup, özellikle genç erkekleri etkilemektedir. Hastaların mekanik ventilasyon, inotrop ve beslenme desteği ile ilgili komplikasyonlar travma yoğun bakım merkezlerindeki ölüm ve sakatlıklar üzerinde etkili olmaktadır.

Anahtar Kelime:

Konular: Cerrahi

Yoğun bakım biriminde izlenen çoklu travma hastalarında mortaliteye etki eden faktörler

Öz:

Objective: The aim of this study was to evaluate multipletrauma patients hospitalized in intensive care unit (ICU) ofan emergency department at a university hospital.Methods: The study was performed between January2006 and January 2009 with 138 patients in the emer-gency intensive care unit. Those patients who die within 6hours after trauma and the patients with chronic renal fail-ure, chronic liver failure, chronic heart failure and meta-static cancers were excluded to this study. Trauma etiolo-gy, duration of intensive care and mechanical ventilation,support therapies, trauma scores and mortality rates weredetermined. 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), re- spectively. Totally 56 (43.5%) patients were ventilated me- chanically, 34 (26.4%) patients received nutritional sup- port and 22 (14.5%) were given inotropic agents. Mortal- ity 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 in- juries were motor vehicle accidents, especially for young males. Trauma scores at admission, complications re- lated to mechanical ventilation, inotropic and nutritional support therapies affected to morbidity and mortality in ICU trauma centers.

Anahtar Kelime:

Konular: Cerrahi

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

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APA	DUR A, Kocak S, Cander B, SÖNMEZ E, CİVELEK C (2013). Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. , 177 - 182.
Chicago	DUR Ali,Kocak Sedat,Cander Başar,SÖNMEZ Ertan,CİVELEK Cemil Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. (2013): 177 - 182.
MLA	DUR Ali,Kocak Sedat,Cander Başar,SÖNMEZ Ertan,CİVELEK Cemil Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. , 2013, ss.177 - 182.
AMA	DUR A,Kocak S,Cander B,SÖNMEZ E,CİVELEK C Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. . 2013; 177 - 182.
Vancouver	DUR A,Kocak S,Cander B,SÖNMEZ E,CİVELEK C Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. . 2013; 177 - 182.
IEEE	DUR A,Kocak S,Cander B,SÖNMEZ E,CİVELEK C "Factors affecting mortality in patients with multitrauma which were treated in intensive care unit." , ss.177 - 182, 2013.
ISNAD	DUR, Ali vd. "Factors affecting mortality in patients with multitrauma which were treated in intensive care unit". (2013), 177-182.

APA	DUR A, Kocak S, Cander B, SÖNMEZ E, CİVELEK C (2013). Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. Dicle Tıp Dergisi, 40(2), 177 - 182.
Chicago	DUR Ali,Kocak Sedat,Cander Başar,SÖNMEZ Ertan,CİVELEK Cemil Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. Dicle Tıp Dergisi 40, no.2 (2013): 177 - 182.
MLA	DUR Ali,Kocak Sedat,Cander Başar,SÖNMEZ Ertan,CİVELEK Cemil Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. Dicle Tıp Dergisi, vol.40, no.2, 2013, ss.177 - 182.
AMA	DUR A,Kocak S,Cander B,SÖNMEZ E,CİVELEK C Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. Dicle Tıp Dergisi. 2013; 40(2): 177 - 182.
Vancouver	DUR A,Kocak S,Cander B,SÖNMEZ E,CİVELEK C Factors affecting mortality in patients with multitrauma which were treated in intensive care unit. Dicle Tıp Dergisi. 2013; 40(2): 177 - 182.
IEEE	DUR A,Kocak S,Cander B,SÖNMEZ E,CİVELEK C "Factors affecting mortality in patients with multitrauma which were treated in intensive care unit." Dicle Tıp Dergisi, 40, ss.177 - 182, 2013.
ISNAD	DUR, Ali vd. "Factors affecting mortality in patients with multitrauma which were treated in intensive care unit". Dicle Tıp Dergisi 40/2 (2013), 177-182.