Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients
Journal: International Journal of Surgery and Medicine (IJSM) (Vol.4, No. 1)Publication Date: 2018-01-01
Authors : Adel Hamed Elbaih Sameh T. Abu-Elela;
Page : 13-21
Keywords : Patterns; Missed injuries; polytrauma;
Abstract
Introduction: “polytrauma” patients are higher risk of complications and death than the summation of expected mortality and morbidity of their individual injuries. The ideal goal in trauma resuscitation care is to identify and treat all injuries. With clinical and technological advanced imaging available for diagnosis and treatment of traumatic patients, missed injuries still significant affect modern trauma services and its outcome. Aim: to improve outcome and determine the incidence and nature of missed injuries in polytrauma patients. Methods: the study is a cross-sectional, prospective study included 600 polytraumatized patients admitted in Suez Canal University Hospital. Firstly assessed and treated accordingly to Advanced Trauma Life Support (ATLS) guidelines and treat the life threading conditions if present with follow-up short outcome for 28 days. Results: The most common precipitate factor for missed injuries in my study was clinical evaluation error due to Inadequate diagnostic workup in 42.9%. And the second risk factor was Deficiency in Physical Examination in 35.7%. Lastly Incomplete assessment due to patient instability in 10.7% and incorrect interpretation of imaging10.7%.low rates of missed injuries (40.8%) in patients arriving during the day compared with (59.2%) of night arrivals. Conclusion: the incidence of missed injuries in the study is 9.0 % which is still high compared to many trauma centers. And mostly increase the period of stay in the hospital and affect the outcome of polytrauma patients.
Other Latest Articles
- Evaluation of Computed tomography (CT) scan ordering in children with mild head injury at Emergency Department at Suez Canal University Hospital
- Evaluation of Basic Laparoscopic Surgical Skills course programme for surgery residents- at a simulation lab in south India
- Tribute to prof. Valentin Voino-Iasenezkii (Archbishop Luca) (1877-1961)
- A Recurrence Biphasic Pulmonary Blastoma After Adjuvant Chemotherapy : A Case Report Of Rare Lung Malignancy
- Primary cystic mediastinal hemangiopericytoma: tracking a single case
Last modified: 2018-02-03 19:02:03