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[Treatment results in 588 patients with multiple trauma]
R Sonneborn1, R Espinoza, R Geni
1Servicio de Cirugía, Hospital del Trabajador de Santiago, Escuela de Medicina, Chile.
Revista Medica De Chile
|June 1, 1999
Summary
The Advanced Trauma Life Support (ATLS) system effectively manages multiple trauma patients, leading to high recovery rates and reduced mortality. This study confirms ATLS efficacy in improving patient outcomes following severe injuries.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Public Health
Context:
- Global annual toll of 10-15 million wounded and 700,000 deaths from accidents.
- Chile experiences 2,269 trauma-related deaths annually.
- Standardized initial management is crucial for effective trauma patient care.
Purpose:
- To evaluate the outcomes of trauma treatment using the Advanced Trauma Life Support (ATLS) protocol.
- Reviewing patient data from Hospital del Trabajador in Santiago between 1984 and 1994.
Summary:
- A retrospective review of 588 trauma patients (60% vehicular accidents) treated with ATLS.
- High incidence of limb, pelvis, head, neck, and thorax injuries.
- Mortality rate was 8%, with 79% of survivors achieving full recovery; severe injuries led to 28% mortality and 43% sequelae.
Impact:
- Confirms the efficacy of the ATLS system in managing multiple trauma patients.
- Highlights the critical role of head injuries in mortality and long-term disabilities.
- Demonstrates successful patient reintegration into usual activities post-treatment.