Research Article
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Year 2019, Volume: 1 Issue: 1, 1 - 6, 23.04.2019

Abstract

References

  • Referans 1. Bazeli J, Aryankhesal A, Khorasani-Zavareh D. Exploring the perception of aid organizations' staff about factors affecting management of mass casualty traffic incidents in Iran: a grounded theory study. Electronic physician. 2017;9(7):4773-9.
  • Referans 2. Herman J, Ameratunga S, Jackson R. Burden of road traffic injuries and related risk factors in low and middle-income Pacific Island countries and territories: a systematic review of the scientific literature (TRIP 5). BMC public health. 2012;12:479.
  • Referans 3. Rezaei S, Arab M, Karami Matin B, Akbari Sari A. Extent, consequences and economic burden of road traffic crashes in Iran. Journal of injury & violence research. 2014;6(2):57-63.
  • Referans 4. Varol O EH, Oguzturk H, Korkmaz İ, Beydilli İ. Investigation of The Patients Who Admitted After Traffic Accident To The Emergency Department Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi. 2006 28 (2):55 - 60.
  • Referans 5. Neklapilova V, Zelnicek P. [Epidemiology of severe injuries from the viewpoint of the trauma center]. Casopis lekaru ceskych. 2003;142(11):676-8.
  • Referans 6. Jeong JH, Park YJ, Kim DH, Kim TY, Kang C, Lee SH, et al. The new trauma score (NTS): a modification of the revised trauma score for better trauma mortality prediction. BMC surgery. 2017;17(1):77.
  • Referans 7. Osler T, Glance L, Buzas JS, Mukamel D, Wagner J, Dick A. A trauma mortality prediction model based on the anatomic injury scale. Annals of surgery. 2008;247(6):1041-8.
  • Referans 8. Ernstberger A, Joeris A, Daigl M, Kiss M, Angerpointner K, Nerlich M, et al. Decrease of morbidity in road traffic accidents in a high income country - an analysis of 24,405 accidents in a 21 year period. Injury. 2015;46 Suppl 4:S135-43.
  • Referans 9. Jousi M, Reitala J, Lund V, Katila A, Leppaniemi A. The role of pre-hospital blood gas analysis in trauma resuscitation. World journal of emergency surgery : WJES. 2010;5:10.
  • Referans 10. Weinberg DS, Narayanan AS, Moore TA, Vallier HA. Prolonged resuscitation of metabolic acidosis after trauma is associated with more complications. Journal of orthopaedic surgery and research. 2015;10:153.
  • Referans 11. Rotondo MF, Zonies DH. The damage control sequence and underlying logic. The Surgical clinics of North America. 1997;77(4):761-77.
  • Referans 12. Gonzalez-Robledo J, Martin-Gonzalez F, Moreno-Garcia M, Sanchez-Barba M, Sanchez-Hernandez F. Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit. Medicina intensiva. 2015;39(7):412-21.
  • Referans 13. Blow O, Magliore L, Claridge JA, Butler K, Young JS. The golden hour and the silver day: detection and correction of occult hypoperfusion within 24 hours improves outcome from major trauma. The Journal of trauma. 1999;47(5):964-9.
  • Referans 14. Duchesne JC, Barbeau JM, Islam TM, Wahl G, Greiffenstein P, McSwain NE, Jr. Damage control resuscitation: from emergency department to the operating room. The American surgeon. 2011;77(2):201-6.
  • Referans 15. Summersgill A, Kanter M, Fraser RM, Caputo ND, Simon R. Determining the utility of metabolic acidosis for trauma patients in the emergency department. The Journal of emergency medicine. 2015;48(6):693-8.
  • Referans 16. Shane AI, Robert W, Arthur K, Patson M, Moses G. Acid-base disorders as predictors of early outcomes in major trauma in a resource limited setting: An observational prospective study. The Pan African medical journal. 2014;17:2.
  • Referans 17. Dabrowski GP, Steinberg SM, Ferrara JJ, Flint LM. A critical assessment of endpoints of shock resuscitation. The Surgical clinics of North America. 2000;80(3):825-44.Referans 18. Chang R, Holcomb JB. Optimal Fluid Therapy for Traumatic Hemorrhagic Shock. Critical care clinics. 2017;33(1):15-36.
  • Referans 19. Shojaee M, Faridaalaee G, Yousefifard M, Yaseri M, Arhami Dolatabadi A, Sabzghabaei A, et al. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chinese journal of traumatology = Zhonghua chuang shang za zhi. 2014;17(1):19-24.
  • Referans 20. Kendall JL, Kestler AM, Whitaker KT, Adkisson MM, Haukoos JS. Blunt abdominal trauma patients are at very low risk for intra-abdominal injury after emergency department observation. The western journal of emergency medicine. 2011;12(4):496-504.
  • Referans 21. Gunes Tatar I, Yilmaz KB, Ergun O, Balas S, Akinci M, Deryol R, et al. [The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident]. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES. 2015;21(4):256-60.
  • Referans 22. Herrmann FR, Safran C, Levkoff SE, Minaker KL. Serum albumin level on admission as a predictor of death, length of stay, and readmission. Archives of internal medicine. 1992;152(1):125-30.
  • Referans 23. Yukl RL, Bar-Or D, Harris L, Shapiro H, Winkler JV. Low albumin level in the emergency department: a potential independent predictor of delayed mortality in blunt trauma. The Journal of emergency medicine. 2003;25(1):1-6.
  • Referans 24. Chernow B, Zaloga G, McFadden E, Clapper M, Kotler M, Barton M, et al. Hypocalcemia in critically ill patients. Critical care medicine. 1982;10(12):848-51.
  • Referans 25. Zaloga GP, Chernow B, Cook D, Snyder R, Clapper M, O'Brian JT. Assessment of calcium homeostasis in the critically ill surgical patient. The diagnostic pitfalls of the McLean-Hastings nomogram. Annals of surgery. 1985;202(5):587-94.
  • Referans 26. Ward RT, Colton DM, Meade PC, Henry JC, Contreras LM, Wilson OM, et al. Serum levels of calcium and albumin in survivors versus nonsurvivors after critical injury. Journal of critical care. 2004;19(1):54-64.
  • Referans 27. Madsen T, Dawson M, Bledsoe J, Bossart P. Serial hematocrit testing does not identify major injuries in trauma patients in an observation unit. The American journal of emergency medicine. 2010;28(4):472-6.

Can We Predict Mortality in Traffic Accidents in Emergency Department?

Year 2019, Volume: 1 Issue: 1, 1 - 6, 23.04.2019

Abstract

Introduction and Objective: Traffic
accidents are one of the leading causes of mortality in young adults. Several
physiological and biochemical parameters were defined for this purpose. Our
objective was to investigate the correlation between mortality and the
biochemical parameters, hemogram parameters and blood gas parameters.



Materials and Methods:
768 patients, who had applied to the emergency unit of the Atatürk University
Research Hospital due to the traffic accident between 01.01.2017 and 01.07.2017,
were retrospectively investigated. Two groups were formed from patients, who
died (Group 1) and discharged (Group 2). The information about the patients and
the biochemical parameters, hemogram parameters, blood gas analyses were
retrieved from the electronic patient files and application files in the
emergency department. Data were analyzed with SPSS  v20 software package. The accepted limit of
significance was p<0.05.



Results:  42.2 % of patients were hospitalized and
treated in the clinics and 1.4 % died. There was a significant difference
between the groups regarding pH, lactate, HCO₃, SBC, PCO₂,  calcium and albumin levels. However, the
differences in respect of hematocrit, platelet,WBC levels were insignificant (Table).



Discussion and Conclusion: An
increase in the base deficit, which emerges due to the metabolic acidosis and
lactic acidosis as a result of hypovolemia, was described in several studies
focused on the patients injured in traffic accidents. Our study confirmed the
findings in the literature and showed that the values of pH, HCO₃, SBC, SBE,
calcium and albumin were lower in the patients, who died, compared to the
discharged patients.

References

  • Referans 1. Bazeli J, Aryankhesal A, Khorasani-Zavareh D. Exploring the perception of aid organizations' staff about factors affecting management of mass casualty traffic incidents in Iran: a grounded theory study. Electronic physician. 2017;9(7):4773-9.
  • Referans 2. Herman J, Ameratunga S, Jackson R. Burden of road traffic injuries and related risk factors in low and middle-income Pacific Island countries and territories: a systematic review of the scientific literature (TRIP 5). BMC public health. 2012;12:479.
  • Referans 3. Rezaei S, Arab M, Karami Matin B, Akbari Sari A. Extent, consequences and economic burden of road traffic crashes in Iran. Journal of injury & violence research. 2014;6(2):57-63.
  • Referans 4. Varol O EH, Oguzturk H, Korkmaz İ, Beydilli İ. Investigation of The Patients Who Admitted After Traffic Accident To The Emergency Department Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi. 2006 28 (2):55 - 60.
  • Referans 5. Neklapilova V, Zelnicek P. [Epidemiology of severe injuries from the viewpoint of the trauma center]. Casopis lekaru ceskych. 2003;142(11):676-8.
  • Referans 6. Jeong JH, Park YJ, Kim DH, Kim TY, Kang C, Lee SH, et al. The new trauma score (NTS): a modification of the revised trauma score for better trauma mortality prediction. BMC surgery. 2017;17(1):77.
  • Referans 7. Osler T, Glance L, Buzas JS, Mukamel D, Wagner J, Dick A. A trauma mortality prediction model based on the anatomic injury scale. Annals of surgery. 2008;247(6):1041-8.
  • Referans 8. Ernstberger A, Joeris A, Daigl M, Kiss M, Angerpointner K, Nerlich M, et al. Decrease of morbidity in road traffic accidents in a high income country - an analysis of 24,405 accidents in a 21 year period. Injury. 2015;46 Suppl 4:S135-43.
  • Referans 9. Jousi M, Reitala J, Lund V, Katila A, Leppaniemi A. The role of pre-hospital blood gas analysis in trauma resuscitation. World journal of emergency surgery : WJES. 2010;5:10.
  • Referans 10. Weinberg DS, Narayanan AS, Moore TA, Vallier HA. Prolonged resuscitation of metabolic acidosis after trauma is associated with more complications. Journal of orthopaedic surgery and research. 2015;10:153.
  • Referans 11. Rotondo MF, Zonies DH. The damage control sequence and underlying logic. The Surgical clinics of North America. 1997;77(4):761-77.
  • Referans 12. Gonzalez-Robledo J, Martin-Gonzalez F, Moreno-Garcia M, Sanchez-Barba M, Sanchez-Hernandez F. Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit. Medicina intensiva. 2015;39(7):412-21.
  • Referans 13. Blow O, Magliore L, Claridge JA, Butler K, Young JS. The golden hour and the silver day: detection and correction of occult hypoperfusion within 24 hours improves outcome from major trauma. The Journal of trauma. 1999;47(5):964-9.
  • Referans 14. Duchesne JC, Barbeau JM, Islam TM, Wahl G, Greiffenstein P, McSwain NE, Jr. Damage control resuscitation: from emergency department to the operating room. The American surgeon. 2011;77(2):201-6.
  • Referans 15. Summersgill A, Kanter M, Fraser RM, Caputo ND, Simon R. Determining the utility of metabolic acidosis for trauma patients in the emergency department. The Journal of emergency medicine. 2015;48(6):693-8.
  • Referans 16. Shane AI, Robert W, Arthur K, Patson M, Moses G. Acid-base disorders as predictors of early outcomes in major trauma in a resource limited setting: An observational prospective study. The Pan African medical journal. 2014;17:2.
  • Referans 17. Dabrowski GP, Steinberg SM, Ferrara JJ, Flint LM. A critical assessment of endpoints of shock resuscitation. The Surgical clinics of North America. 2000;80(3):825-44.Referans 18. Chang R, Holcomb JB. Optimal Fluid Therapy for Traumatic Hemorrhagic Shock. Critical care clinics. 2017;33(1):15-36.
  • Referans 19. Shojaee M, Faridaalaee G, Yousefifard M, Yaseri M, Arhami Dolatabadi A, Sabzghabaei A, et al. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chinese journal of traumatology = Zhonghua chuang shang za zhi. 2014;17(1):19-24.
  • Referans 20. Kendall JL, Kestler AM, Whitaker KT, Adkisson MM, Haukoos JS. Blunt abdominal trauma patients are at very low risk for intra-abdominal injury after emergency department observation. The western journal of emergency medicine. 2011;12(4):496-504.
  • Referans 21. Gunes Tatar I, Yilmaz KB, Ergun O, Balas S, Akinci M, Deryol R, et al. [The effect of clinical, laboratory and radiologic results on treatment decision and surgical results in patients admitted to the emergency department with blunt abdominal trauma due to traffic accident]. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES. 2015;21(4):256-60.
  • Referans 22. Herrmann FR, Safran C, Levkoff SE, Minaker KL. Serum albumin level on admission as a predictor of death, length of stay, and readmission. Archives of internal medicine. 1992;152(1):125-30.
  • Referans 23. Yukl RL, Bar-Or D, Harris L, Shapiro H, Winkler JV. Low albumin level in the emergency department: a potential independent predictor of delayed mortality in blunt trauma. The Journal of emergency medicine. 2003;25(1):1-6.
  • Referans 24. Chernow B, Zaloga G, McFadden E, Clapper M, Kotler M, Barton M, et al. Hypocalcemia in critically ill patients. Critical care medicine. 1982;10(12):848-51.
  • Referans 25. Zaloga GP, Chernow B, Cook D, Snyder R, Clapper M, O'Brian JT. Assessment of calcium homeostasis in the critically ill surgical patient. The diagnostic pitfalls of the McLean-Hastings nomogram. Annals of surgery. 1985;202(5):587-94.
  • Referans 26. Ward RT, Colton DM, Meade PC, Henry JC, Contreras LM, Wilson OM, et al. Serum levels of calcium and albumin in survivors versus nonsurvivors after critical injury. Journal of critical care. 2004;19(1):54-64.
  • Referans 27. Madsen T, Dawson M, Bledsoe J, Bossart P. Serial hematocrit testing does not identify major injuries in trauma patients in an observation unit. The American journal of emergency medicine. 2010;28(4):472-6.
There are 26 citations in total.

Details

Primary Language English
Subjects Intensive Care
Journal Section Original Articles
Authors

Fatma Tortum

Atıf Bayramoğlu

Publication Date April 23, 2019
Submission Date December 13, 2018
Acceptance Date March 5, 2019
Published in Issue Year 2019 Volume: 1 Issue: 1

Cite

APA Tortum, F., & Bayramoğlu, A. (2019). Can We Predict Mortality in Traffic Accidents in Emergency Department?. Eurasian Journal of Critical Care, 1(1), 1-6.
AMA Tortum F, Bayramoğlu A. Can We Predict Mortality in Traffic Accidents in Emergency Department?. Eurasian j Crit Care. April 2019;1(1):1-6.
Chicago Tortum, Fatma, and Atıf Bayramoğlu. “Can We Predict Mortality in Traffic Accidents in Emergency Department?”. Eurasian Journal of Critical Care 1, no. 1 (April 2019): 1-6.
EndNote Tortum F, Bayramoğlu A (April 1, 2019) Can We Predict Mortality in Traffic Accidents in Emergency Department?. Eurasian Journal of Critical Care 1 1 1–6.
IEEE F. Tortum and A. Bayramoğlu, “Can We Predict Mortality in Traffic Accidents in Emergency Department?”, Eurasian j Crit Care, vol. 1, no. 1, pp. 1–6, 2019.
ISNAD Tortum, Fatma - Bayramoğlu, Atıf. “Can We Predict Mortality in Traffic Accidents in Emergency Department?”. Eurasian Journal of Critical Care 1/1 (April 2019), 1-6.
JAMA Tortum F, Bayramoğlu A. Can We Predict Mortality in Traffic Accidents in Emergency Department?. Eurasian j Crit Care. 2019;1:1–6.
MLA Tortum, Fatma and Atıf Bayramoğlu. “Can We Predict Mortality in Traffic Accidents in Emergency Department?”. Eurasian Journal of Critical Care, vol. 1, no. 1, 2019, pp. 1-6.
Vancouver Tortum F, Bayramoğlu A. Can We Predict Mortality in Traffic Accidents in Emergency Department?. Eurasian j Crit Care. 2019;1(1):1-6.

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