Trauma pattern in a level I east-European trauma center

• Published in: Journal of acute disease Vol. 4; no. 4; pp. 322 - 326
• Main Authors: Stoica, Bogdan, Paun, Sorin, Tanase, Ioan, Negoi, Ionut, Beuran, Mircea
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01.10.2015; Wolters Kluwer Medknow Publications
• Subjects: East-Europe; Trauma pattern; Trauma registry; Trauma pattern; Trauma registry; East-Europe
• ISSN: 2221-6189; 2221-6189
• DOI: 10.1016/j.joad.2015.05.002

To analyze trauma epidemiology, pattern of lesions or death profile in a level I east-European trauma center. Prospective observational study of patients admitted to a level I east-European trauma center and enrolled in our trauma registry, between January 2012 to January 2013, was conducted, with the inclusion criteria: (1) trauma lesions, (2) new injury severity score (NISS) higher than 15. There were 141 patients admitted during the study interval, including 102 (72.3%) males, with a mean age of (43.52 ± 19.00) years, and a mean NISS of 27.58 ± 11.32. The trauma etiology was traffic-related injuries 101 (71.6%), falls 28 (19.9%) and crushing injuries 7 (5.0%). Only one case of gunshot wound was encountered in our study. Out of traffic-related injuries, the automobiles were involved in 56 (55.4%) and motorcycles in 9 (8.9%) patients. The bicyclists accounted for 2 (2.0%) of patients and pedestrians hit by vehicles were in 33 (32.7%) cases. High-velocity falls were found in 7 (25.0%) patients, whereas low-velocity falls accounted for 21 (75.0%) of cases. The overall mortality was 30.00%, and these patients presented the mean NISS of 37.63. Our trauma pattern profile is similar to the one found in west-European countries, with a predominance of traffic-related injuries and falls. The severity and anatomical puzzle for trauma lesions were more complex secondary to motorcycle or bicycle-to-auto vehicles collisions. A trauma registry, with prospective enrollment of patients, is a very effective tool for constant improvements in trauma care.