Medical archives (Sarajevo, Bosnia and Herzegovina)最新文献

{"title":"Plastic Bronchitis Associated with Group C Streptococcus: a Case Report.","authors":"Zakaria Sharadgah, Mousa Ahmad Qatawneh, Roaa Khasawneh, Nisreen Alhamiedeen, Nuseibah Alramadinah, Alaa Zghreen, Moath Tarawneh, Osama Bataineh","doi":"10.5455/medarh.2025.79.61-63","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.61-63","url":null,"abstract":"<p><strong>Background: </strong>Plastic bronchitis (PB) is a rare airway-obstructive disease characterized by the formation of tenacious casts resembling bronchial airway architecture which can progress to extensive bronchial blockage, leading to pulmonary ventilation dysfunction and life-threatening respiratory failure.</p><p><strong>Objective: </strong>The aim of this article was to desribe a very rare case of plastic bronchitis caused by group C streptococcus (GCS) as a pathogen causing PB.</p><p><strong>Case presentation: </strong>A 5-year-old girl with no known underlying chronic diseases presented in October 2022 with a moderate-grade fever, dyspnea, and a productive cough of 3-months' duration On physical examination, she was slightly tachypneic with an oxygen saturation of 98%, but there were no other significant findings. Initial imaging studies, including a chest X-ray (CXR) and a two-dimensional echocardiogram, were normal. Most cases of PB result from procedures to repair congenital heart diseases, although other etiologies have been identified, including infections, inflammatory processes, and acute chest syndrome of sickle cell disease. The incidence of pulmonary infection associated with PB has increased over the years, primarily due to adenovirus, influenza viruses, Mycoplasma pneumoniae, and Haemophilus influen zae. To the authors' knowledge, this is the first case report describing group C streptococ cus (GCS) as a pathogen causing PB.</p><p><strong>Conclusion: </strong>To the authors' knowledge, this is the irst case report describing group C streptococcus (GCS) as a pathogen causing PB.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hydroxychloroquine-Induced Skin Hyperpigmentation in Systemic Lupus Erythematosus Patient: A Case Report.","authors":"Anhar Zahrani, Shaimaa Salaam, Sahar Alsifri, Amjad Alghamdi, Mohammed Zamil","doi":"10.5455/medarh.2025.79.67-70","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.67-70","url":null,"abstract":"<p><strong>Background: </strong>Hydroxychloroquine (HCQ) is an anti-malarial, antirheumatic disease-modifying medication. Besides the familiar adverse effects, HCQ has been associated with cutaneous manifestations like hyperpigmentation, vitiligo, and pruritus.</p><p><strong>Objective: </strong>This case report aims to describe the clinical features and outcome of hydroxychloroquine-induced skin hyperpigmentation in a patient with SLE.</p><p><strong>Case presentation: </strong>In this case report, we present a 32-year-old man with a history of Systemic lupus erythematosus who was treated with hydroxychloroquine. One year after treatment, the patient complained of diffused discoloration and melanonychia. Furthermore, punch biopsy from the involved sites showed pigment incontinence. To our knowledge, this is the only case reported with biopsy and photographic evidence from our geographical area.</p><p><strong>Conclusion: </strong>Hydroxychloroquine-induced pigmentation is not a rare adverse effect of HCQ. Biopsy revealed pigment incontinence. Additionally, our patient had no history of ecchymoses or anticoagulant therapy.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison and Relationship of Isometric Strength, Range of Motion, Ankle Mobility in Participants with Normal Medial Longitudinal Arch and Flat Foot.","authors":"Mohammad Ahsan, Turki Abualait","doi":"10.5455/medarh.2025.79.20-26","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.20-26","url":null,"abstract":"<p><strong>Background: </strong>The foot arch is an important structural characteristic that plays a key role in supporting weight and facilitating movement. Flat foot might result in difficulties due to changes in biomechanics and muscular imbalances.</p><p><strong>Objective: </strong>The aim of this study was to determine the differences of isometric strength, range of motion, ankle mobility in participants with normal medial longitudinal arch and flat foot.</p><p><strong>Methods: </strong>A Comparison cum correlation cross-sectional study was conducted with twenty-eight normal medial longitudinal arch and twenty-eight with flat foot participants were randomly selected for this study. The navicular drop test was employed to identify foot arch. Handheld dynamometer, ankle joint range of motion, and Dorsiflexion Lunge Test were used to assess isometric strength, goniometer, and ankle mobility, respectively. An independent t-test was used to compare between the two independent groups. Pearson correlation coefficient was used to find the relationship between variables.</p><p><strong>Results: </strong>The findings of this study indicated that there were statistically significant differences between participants' arch height, ankle mobility, muscular strength, and range of motion at dorsiflexion and plantar flexion. There were statistically significant relationships among all variables except calf muscle circumference with foot arch (r=.100,p=.463), and isometric muscular strength at dorsiflexion (r=.190,p=1.61). Arch height with range of motion at dorsiflexion (r=.190,p=.160), range of motion at dorsiflexion with range of motion at plantar flexion (r=.095,p=.486) for participants with normal medial longitudinal arch and participants with flat foot.</p><p><strong>Conclusion: </strong>Findings indicate that normal medial longitudinal arch group had greater scores for all variables than flat foot group. Positive significant correlations between all variables except ankle mobility were found. The relationship between range of motion and isometric strength was less pronounced, indicating that these variables may be influenced by other biomechanical factors.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum Concentrations of IL-18, IL-21, IL-22, IL-23, IL-27, and IL-31 in Patients With Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis and Their Correlation With Disease Severity.","authors":"Tran Thi Huyen, Nguyen Hoang Phuc, Pham Thi Lan, Le Huyen My, Nguyen Thi Ha Vinh, Dao Anh Son, Le Huu Doanh","doi":"10.5455/medarh.2025.79.9-14","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.9-14","url":null,"abstract":"<p><strong>Background: </strong>Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening conditions marked by extensive epidermal necrolysis and skin sloughing.</p><p><strong>Objective: </strong>The study aimed to assess the serum levels of specific proinflammatory interleukins (IL-18, -21, 22, -23, -27, and -31) and their relationship with the severity of SJS/TEN within the Vietnamese population.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted from 2018 to 2020. Serum levels of IL-18, -21, -22, -23, -27, and -31 were measured using the fluorescence covalent microbead immunosorbent assay.</p><p><strong>Results: </strong>The study included 61 patients (29 males and 32 females; 21 with SJS and 40 with TEN), with a median age of 51 years (interquartile range: 37-58), and 20 healthy controls. The median lesional area covered 45% of the body surface area (interquartile range: 8-70%). The most frequently identified medications were traditional medicine (19 patients; 31.15%), allopurinol (9 patients; 14.75%), and carbamazepine (8 patients; 13.11%). In the TEN group, the serum level of IL-18 was significantly elevated compared to the healthy control group. A correlation was found between serum levels of IL-18 and IL-27 and the lesional area in SJS/TEN patients, as well as between serum levels of IL-18 and IL-31 and the lesional area in TEN patients.</p><p><strong>Conclusion: </strong>Serum levels of IL-18 were increased in TEN group. Additionally, serum concentrations of IL-18, IL-27, and IL-31 were associated with disease severity as indicated by the lesional area. These interleukins may play an important role in the pathogenesis of SJS/TEN.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated Approach to Patient Engagement in Obtaining Dental Services.","authors":"Yerbol Duisebayev, Mairash Baimuratova, Bassymbek Dilbarkhanov, Bakhyt Omarova, Kairat Zhakipbekov","doi":"10.5455/medarh.2024.78.232-240","DOIUrl":"10.5455/medarh.2024.78.232-240","url":null,"abstract":"<p><strong>Background: </strong>The comprehensive approach to involving patients in receiving dental services in Kazakhstan is highly relevant in the present time due to several key reasons. National health, economic advantages, quality of life, education and enlightenment, modern challenges, and the development of the dental industry all play a crucial role.</p><p><strong>Objective: </strong>The purpose is to investigate a comprehensive approach to involving patients in receiving dental services in Kazakhstan.</p><p><strong>Methods: </strong>To achieve this purpose, various methods, statistical analysis of data, and comparative analysis were used in the study. The combination of these methods provided a comprehensive understanding of the problem of patient involvement in dental services in Kazakhstan and developed realistic strategies to address it.</p><p><strong>Results: </strong>As a result, the level of involvement of patients in dental services in various regions of Kazakhstan was analysed. This allowed identifying the most active and less active areas of involvement and highlighting factors influencing the level of patient participation. The main obstacles and issues preventing patients from receiving dental care or leading to their negative attitude toward dental medicine were identified. Best practices and strategies for involving patients in dental services used in other countries or regions were analysed. This allowed the identification of successful approaches that can be adapted and implemented in the context of Kazakhstan.</p><p><strong>Conclusion: </strong>This study contributes valuable knowledge and recommendations to the field of dental medicine, helping to optimise the processes of providing dental services, which ultimately can enhance the nation's health and reduce healthcare costs.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"78 3","pages":"232-240"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Pirdot Leaf Extract (Saurauia Vulcani Korth ) on SGPT and SGOT Value in Wistar Strain Rats Induced by Salmonella Typhimurium.","authors":"Haslinda Haslinda, Yunita Sari Pane","doi":"10.5455/medarh.2024.78.9-11","DOIUrl":"10.5455/medarh.2024.78.9-11","url":null,"abstract":"<p><strong>Background: </strong>Typhoid fever is an acute disease caused by Salmonella typhimurium that can invade the liver and cause symptoms of hepatomegaly,jaundice.Biochemically, these symptoms can be assessed by seeing the SGPT and SGOT levels increase. Pirdot Leaf is an herbal plant found in the Toba area of North Sumatra which has a lot of bioactive potential,namely flavonoids,steroids, saponins. Flavonoids are active substances that can overcome the inflammatory process, it is expected that the administration of Pirdot leaf extract can reduce levels of SGOT and SGPT in mice induced Salmonella Typhimurium.</p><p><strong>Objective: </strong>The purpose of this study was to determine the effect of ethanol extract of pirdot leaves on SGPT and SGOT values in rat models induced by Salmonella typhimurium. Methods: This study used 32 samples divided into four groups namely: Normal group, Negative group, Positive group and Treatment group. Results: The results were obtained for normal control SGPT (27,85) negative control (37,80) positive control (27,30) and for Dick treatment (26,21). The results of the study for SGPT obtained normal control (73,18), negative control (120,23), positive control (92,89), and treatment control (78,68).</p><p><strong>Conclusion: </strong>Giving ethanol extract of pirdot leaves effect on reducing SGPT and SGOT levels in wistar strain mice induced Salmonella typhimurium.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"78 1","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Subtalar Dislocations: Insights from a Case Study and Literature Review.","authors":"Alzahid Abdullah, Alghamdi Mohannad, Alkhadra Faisal, Almulihi Qasem, Assiri Mohammed, Almulhim Mohammed, Alhawas Abdulaziz","doi":"10.5455/medarh.2024.78.71-74","DOIUrl":"10.5455/medarh.2024.78.71-74","url":null,"abstract":"<p><strong>Background: </strong>Isolated subtalar joint dislocations without associated fractures are rare in the medical literature. They occur when the talus bone remains in place while the calcaneus and navicular bones shift out of place. These dislocations account for about 15% of talus bone injuries and 1 to 2% of all joint dislocations. They are more common in young men following inversion trauma.</p><p><strong>Objective: </strong>This study aims to improve the understanding of diagnosis, treatment, and management of these rare injuries for better patient care.</p><p><strong>Case presentation: </strong>17-year-old male patient with type 1 diabetes mellitus presented to the emergency department with severe ankle pain and swelling following an inversion injury, which rendered him unable to walk or stand. Despite his chronic condition, he was hemodynamically stable, with no neurovascular deficits but an apparent deformity in the left ankle. Treatment involved pain management with morphine, successful closed reduction under ketamine sedation, and immobilization. Follow-up radiographs and a CT scan revealed no fractures but indicated soft tissue edema, joint effusion, and subsequent osteopenia. At a three-month follow-up, the patient experienced ongoing pain and weight-bearing difficulties, diagnosed as complicated pain syndrome requiring further physiotherapy and rehabilitation.</p><p><strong>Conclusion: </strong>This case highlights the clinical challenges and complications in managing isolated subtalar joint dislocations, particularly in patients with systemic health issues, and contributes valuable insights to the sparse literature on this topic.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"78 1","pages":"71-74"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metaplastic Breast Cancer with Squamous Differentiation: Beyond the Recognized Statistics.","authors":"Rania Zaki Fallatah, Dhuha N Boumarah, Ghadeer Hajjaj, Abdullah Ahmed Alkhars, Mohammed AlDuhileb","doi":"10.5455/medarh.2024.78.75-77","DOIUrl":"10.5455/medarh.2024.78.75-77","url":null,"abstract":"<p><strong>Background: </strong>Metaplastic breast cancer is a clinically rare subtype of breast carcinomas, accounting for less than 1% of all breast neoplasms, and was not officially recognized till the end of the 20th century as an independent pathological diagnosis.</p><p><strong>Objective: </strong>In this paper, we report a case of metaplastic breast cancer with squamous differentiation in a 51-year-old female, with a succinct review of the literature.</p><p><strong>Case report: </strong>The patient presented to our outpatient department with a complaint of left breast mass for 2 months duration with a diagnostic workup found to be grade three metaplastic carcinoma with squamous differentiation. The management decision was to proceed with neoadjuvant chemotherapy, followed by surgical intervention based on the tumor cell response to neoadjuvant therapy.</p><p><strong>Conclusion: </strong>Metaplastic breast cancer represents a rare clinical entity, encountered in a minority of patients. The clinical presentation of metaplastic carcinomas in general is similar to other breast cancers, however, metaplastic breast cancer tend to present in later stages as a rapidly growing mass with poor prognosis. The recognized poor prognosis along with rarity necessities having a high index of suspicion for early detection and appropriate management of metaplastic breast cancer.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"78 1","pages":"75-77"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Highly Rare Complication: Right Obturator Artery Pseudoaneurysm in a Crohn's Disease Patient Due to Multiple Perianal Abscesses and Drainages.","authors":"Mohammed M Al-Ghamdi, Ahmed Albaqshi, Khwaja Junaid Saeed, Tarig Adlan, Zakaria AlSafran, Hassan Alsayegh","doi":"10.5455/medarh.2024.78.241-243","DOIUrl":"10.5455/medarh.2024.78.241-243","url":null,"abstract":"<p><strong>Background: </strong>Obturator artery pseudoaneurysm is a rare entity, typically caused by trauma or iatrogenic injury during pelvic procedures. It is associated with symptoms such as pain, swelling if the aneurysm is large, and anemia.</p><p><strong>Objective: </strong>To report the first documented case of obturator artery pseudoaneurysm as a complication of perianal involvement in a patient with Crohn's disease, detailing the diagnostic approach and therapeutic interventions to highlight the importance of considering vascular complications in patients with complex perianal diseases.</p><p><strong>Case presentation: </strong>A 39-year-old male with long-standing Crohn's disease affecting the perianal region, and a history of multiple surgical drainages for perianal abscesses, presented to the emergency room with minimal bloody discharge from a perianal fistula. He was vitally stable and thus, perianal MRI was booked on routine bases, revealing a large cystic lesion near the perineum, showing intense enhancement post IV contrast administration. Subsequent imaging confirmed the diagnosis of an obturator artery pseudoaneurysm. The patient underwent successful management via percutaneous trans-arterial embolization, recognized as a safe and effective treatment for such cases.</p><p><strong>Conclusion: </strong>This case is the first in the literature reporting an obturator artery pseudoaneurysm in a patient with Crohn's disease. It underscores the necessity of vigilance for vascular complications in patients with extensive perianal Crohn's disease, offering significant educational value for improving outcomes in similar clinical scenarios.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"78 3","pages":"241-243"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patterns and Quality of Acute Trauma Care in A University Hospital - A 5-year Analysis.","authors":"Omar A Bamalan, Ahmed A Alshaikhi, Nader M Alosaimi, Mamoun A Nabri, Adel J Osman, Humood A Alsadery, Ayman O Nasr","doi":"10.5455/medarh.2024.78.226-231","DOIUrl":"10.5455/medarh.2024.78.226-231","url":null,"abstract":"<p><strong>Background: </strong>Traumatic injuries contribute to over 5 million fatalities each year and cause a significant burden on healthcare systems' resources and availability. Traumatic injury patterns and a healthcare system's efficiency are critical to predicting patients' outcomes and should be regularly evaluated to deliver optimum care.</p><p><strong>Objective: </strong>The study will present and discuss trauma qualty indicators (TQI's) to display the local practices' opportunities for improvement and analyze patterns of traumatic injuries and outcomes.</p><p><strong>Methods: </strong>The study retrospectively analyzed trauma cases from January 2016 to December 2020, in which patients hospitalized and treated under the trauma unit were included. The collected data included several variables (e.g., demographics, mechanism of injury), and the patients were divided into early/late phase and severe/non-severe cases.</p><p><strong>Results: </strong>In total, there were 2024 cases, 70% were polytraumas with a mean age of 29 years and a male-to-female ratio of 3.8:1. The most common mechanism of injury was motor vehicle collision (55%) while the most common injuries were pneumothorax (18%) and lung contusions (17%). Notably, there was a 3.5-hour reduction in both the time to the operating room and the time to normotension when comparing the early to late phase. The 30-day outcomes for the patients were 90.5% recovery, 2.2% disability, 2.2% transfer, and 5.1% mortality rates.</p><p><strong>Conclusion: </strong>This study emphasizes how crucial trauma quality indicators are to achieve the best outcomes for patients. The results point to improvements in terms of trauma quality indicators and offer insightful information on patterns of traumatic injuries, aiding in the enhancement of trauma care. Thus, the continuous assessment of trauma quality indicators and the implementation of preventive measures are mandatory for the future advancement of trauma care.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"78 3","pages":"226-231"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}