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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The assessment of clinical evaluation and treatment results of high-energy blunt polytrauma patients

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Clinic of Orthopedics and Traumatology
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Clinic of Anesthesiology
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Clinic of Neurosurgery, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2007, 43(2), 137; https://doi.org/10.3390/medicina43020017
Received: 4 December 2006 / Accepted: 5 February 2007 / Published: 10 February 2007
The aim of this study was to evaluate the mechanism of high-energy blunt trauma, age and gender of patients, severity of regional and multiple injury, ventilation time, length of stay in intensive care unit and in-hospital stay, in-hospital complications, and treatment outcome.
Materials and methods
. Data on 159 patients with severe multiple injuries, meeting inclusion criteria, were collected prospectively and evaluated retrospectively.
Results
. The mean age of multiple trauma patients was 43.9±1.4 years; males were injured 2.5 times more often than females (P<0.001). More than half (66.7%) of patients were 17–64-year-old males. Majority (83%) of all patients were injured in motor vehicle crashes, and 52.2% of these patients were pedestrians. The mean Injury Severity Score was 29.5±0.8, and severe (Abbreviated Injury Scale score of 3 and more) injuries of extremities, head, and chest made up 69.1% of all injuries. The mean ventilation time, mean length of stay in intensive care unit, and mean in-hospital stay were 5.5±0.7, 7.0±0.8, and 23.6±1.6 days, respectively. Acute lung complications were the most common (25.2%). Systemic inflammatory response syndrome developed in 7.5% of patients, and sepsis in 3.8% of patients. More than one-fifth (20.8%) of polytrauma patients died.
Conclusions. Working-age male pedestrians (17–64 years old) made up two-thirds of all polytrauma patients. Severe injuries of extremities, head, and chest were present in 69.1% of all cases. Lung complications were the most common.
Keywords: multiple injuries; high-energy blunt trauma; injury severity; complications; mortality multiple injuries; high-energy blunt trauma; injury severity; complications; mortality
MDPI and ACS Style

Pamerneckas, A.; Pijadin, A.; Pilipavičius, G.; Tamulaitis, G.; Toliušis, V.; Macas, A.; Bilskienė, D.; Blazgys, A. The assessment of clinical evaluation and treatment results of high-energy blunt polytrauma patients. Medicina 2007, 43, 137.

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