African Journal of Emergency Medicine (Dec 2013)
Analysis of traumatic mortality cases
Abstract
In this study we aimed to analyse the trauma cases admitted to hospital and died in the 3-month follow-up. Methods: The cases that admitted to various departments due to trauma in one year period and died in 3 month follow-up were analysed retrospectively. Demographics, causes of trauma, type of arrivals, arrival vital signs and admitted clinic data were saved. The data obtained were evaluated. Results: For one year period 551 cases were admitted to hospital and 35 of them (6.35%) were died in follow up period. The mean age was 54.38 (min:11–max:90) and male/female ratio was 1,7. The most common causes were fall (n = 14), firearm wounds (n = 7) and traffic accidents (n = 4). 15 (42.35%) cases were brought by ambulance. 16 (45.7%) cases were unstable at arrival and it is identified that 11 (68.75%) of them were died in early period. The most common admitted services were neurosurgery (n = 14), orthopaedics (n = 9) and intensive care unit (n = 8). It is determined that 7 (20%) cases were died in early period (1 week) and other 24 (68.5%) cases were died in first one month period. Discussion and conclusion: It is observed that early period mortality proportion was low in all trauma mortalities and more patients were died due to late complications. It can be considered as this result is an indirect indicator of the effectiveness of early resuscitation applications.