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[Treatment of patients with multiple trauma in multi-field hospital]
V A Porkhanov1, A G Baryshev2, A N Blazhenko3
1Research Institute - Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics #1, Krasnodar, Russia.
Aim:
To analyze treatment of victims with multiple trauma in multi-field hospital.
Material And Methods:
Retrospective analysis of 2139 medical records of patients with multiple trauma (NISS score over 17) was performed. In-hospital mortality, patient transfer time, dominant injury, hospital-stay, gender and age of victims were assessed.
Results:
New diagnostic and treatment options allowed achieving significant decrease of mortality from 39.7% (2004) to 10.8% (2016).
Conclusion:
Improved mortality was achieved due to organized work of the 'regional traumatological systems'. Mortality rate was below 10.7% if victims were transferred to the hospital within 6 hours after trauma. The highest mortality was observed in patients who were transferred to the hospital within 6-12 hours after injury (20.3%).
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