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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Negative Factors Influencing Multiple-Trauma Patients.

Mihaela Anghele1, Virginia Marina2, Aurelian-Dumitrache Anghele3

  • 1Clinical-Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 47 Str. Domnească, 800201 Galati, Romania.

Clinics and Practice
|August 28, 2024
PubMed
Summary

Multiple trauma patients face higher mortality risks. Injury severity, number, and location significantly impact outcomes, especially during the critical "golden hour" post-trauma.

Keywords:
Injury Severity Scorehematomaintracranial hemorrhagemultiple trauma

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Critical Care

Background:

  • Multiple trauma presents significant challenges in emergency care.
  • Understanding trauma prevalence and associated complications is vital for patient management.

Purpose of the Study:

  • To assess the impact and predict outcomes for multiple trauma patients.
  • To identify the prevalence of trauma types and associated complications in this cohort.

Main Methods:

  • Retrospective cohort study of 352 multiple trauma patients (ages 3-93).
  • Data collected from 2015-2021 at a County Emergency Hospital.
  • Inclusion criteria: multiple trauma, intervention times, age, and trauma type.

Main Results:

  • Multiple trauma patients have an elevated mortality risk due to pathophysiological responses.
  • Key factors influencing outcomes include initial injury severity, number of injuries, and injury location.
  • Head, neck, and spine injuries are particularly severe and linked to life-threatening complications.

Conclusions:

  • The initial 60 minutes post-trauma (the "golden hour") are critical for patient outcomes.
  • Prompt and effective intervention during the golden hour is essential for improving survival rates.
  • Specific injury patterns, such as head, neck, and spine trauma, require immediate and specialized attention.