Lethal outcome and time to death in injured hospitalised patients

Orient Journal of Medicine Pub Date : 2005-10-24 DOI:10.4314/OJM.V17I1.29089

C. U. Nwadinigwe, Ndubuisi Co Onyemaechi

{"title":"Lethal outcome and time to death in injured hospitalised patients","authors":"C. U. Nwadinigwe, Ndubuisi Co Onyemaechi","doi":"10.4314/OJM.V17I1.29089","DOIUrl":null,"url":null,"abstract":"Objectives: There is a recent realization tha tdeath following injury is time dependent and occurs in a predictable way. The object of this study therefore is to identify trauma death pattern in our environment with emphasis on time of death with the view to proffer efficient trauma care strategies. \nMethods: The medical records of patients admitted acutely through the Accident and Emergency Department of our institution and who subsequently died between 1998 and 2000 were reviewed. Such information as their age, sex, aetiology of injury, primary diagnosis on admission, interval between injury and presentation, and time to death, and the cause of death as recorded in the duplicate copy of death certificates were collected and analyzed. \nResults: There were 85 trauma related deaths, fifty-one males and thirty-four females. The male to female ratio is 1.5:1. The age range is 6-78 years with a mean of 36-/+2.5 years. The most common aetiological factor was road traffic accidents 43(50.59%). This was followed by burns35 (41.17%). Of the 85 patients, burns were the most common diagnoses on admission 46 (54.12%). Fifteen (17.65%) cases sustained injuries to multiple organ systems injuries while open fractures accounted for 12(14.12%) of the deaths. The time to death showed two peaks. The first peak accounted for 12(14.12%) of the deaths. The time to death showed two peaks occurred within the first 96 hours du to uncompensated shock, respiratory failure and acute renalshot down while the second peak was observed after the twelfth day due to sepsis and multiple organ failure. \nConclusion: Trauma is common cause of death. In our setting patients that arrived the hospital alive run the risk of of dying from complications ranging from uncompensated shock in the immediate post injury period to multiple organ failure later. These deaths are largely preventable if a well-funded comprehensive trauma system manned by skilled personnel is put in place. Keywords: Lethal outcome, time to death, injured hospitalized patients Orient Journal of Medicine Vol. 17 (1&2) 2005: 28-33","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2005-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orient Journal of Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/OJM.V17I1.29089","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 6

Abstract

Objectives: There is a recent realization tha tdeath following injury is time dependent and occurs in a predictable way. The object of this study therefore is to identify trauma death pattern in our environment with emphasis on time of death with the view to proffer efficient trauma care strategies. Methods: The medical records of patients admitted acutely through the Accident and Emergency Department of our institution and who subsequently died between 1998 and 2000 were reviewed. Such information as their age, sex, aetiology of injury, primary diagnosis on admission, interval between injury and presentation, and time to death, and the cause of death as recorded in the duplicate copy of death certificates were collected and analyzed. Results: There were 85 trauma related deaths, fifty-one males and thirty-four females. The male to female ratio is 1.5:1. The age range is 6-78 years with a mean of 36-/+2.5 years. The most common aetiological factor was road traffic accidents 43(50.59%). This was followed by burns35 (41.17%). Of the 85 patients, burns were the most common diagnoses on admission 46 (54.12%). Fifteen (17.65%) cases sustained injuries to multiple organ systems injuries while open fractures accounted for 12(14.12%) of the deaths. The time to death showed two peaks. The first peak accounted for 12(14.12%) of the deaths. The time to death showed two peaks occurred within the first 96 hours du to uncompensated shock, respiratory failure and acute renalshot down while the second peak was observed after the twelfth day due to sepsis and multiple organ failure. Conclusion: Trauma is common cause of death. In our setting patients that arrived the hospital alive run the risk of of dying from complications ranging from uncompensated shock in the immediate post injury period to multiple organ failure later. These deaths are largely preventable if a well-funded comprehensive trauma system manned by skilled personnel is put in place. Keywords: Lethal outcome, time to death, injured hospitalized patients Orient Journal of Medicine Vol. 17 (1&2) 2005: 28-33

查看原文本刊更多论文

住院受伤患者的致死结果与死亡时间

目的:最近有一种认识，即受伤后死亡与时间有关，并以可预测的方式发生。因此，本研究的目的是在我们的环境中识别创伤死亡模式，重点是死亡时间，以期提供有效的创伤护理策略。方法:回顾我院1998 ~ 2000年间急诊科收治的急性死亡患者的病历资料。收集和分析死亡证明副本中记录的年龄、性别、受伤原因、入院时的初步诊断、受伤至出现的时间间隔、死亡时间和死亡原因等信息。结果:创伤死亡85例，男51例，女34例。男女比例是1.5:1。年龄范围6-78岁，平均36-/+2.5岁。最常见的病因为道路交通事故43例(50.59%)。其次是烧伤35例(41.17%)。85例患者中，烧伤是入院时最常见的诊断46例(54.12%)。多脏器损伤15例(17.65%)，开放性骨折12例(14.12%)。死亡时间有两个高峰。第一个高峰12例(14.12%)。死亡时间显示，由于无代偿性休克、呼吸衰竭和急性肾衰，在前96小时内出现两个高峰，而由于败血症和多器官衰竭，第12天后出现第二个高峰。结论:外伤是常见的死亡原因。在我们的研究中，活着到达医院的病人有死于并发症的风险，从损伤后立即发生的无补偿性休克到后来的多器官衰竭。如果有一个资金充足、由熟练人员管理的综合创伤系统，这些死亡在很大程度上是可以预防的。关键词:致死结果，死亡时间，受伤住院患者。东方医学杂志Vol. 17 (1&2) 2005: 28-33

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Orient Journal of Medicine

自引率

0.00%

发文量