Pelvis kırığı bulunan multitravmalı hastalarda mortaliteyi etkileyen faktörler

Sonuç & Katkı:Bulgular: Toplam 42 hastada (%86) eşlik eden yaralanmalar vardı, en sık toraks (%51), ekstremiteler (%51) ve karın (%33) yaralanmaları bulunuyordu.

🔬Tür:Araştırma Makalesi

📍Kapsam:2008 · 42 hasta

⚙️Değişkenler:Alan Parametreleri

Özet

Amaç: Pelvis kırıkları, yüksek enerjili künt travmalar sonucu oluşur ve yüksek mortaliteyle seyreder. Bu yazıda, künt trav- maya bağlı pelvis kırıklarında mortaliteye etki eden faktörler araştırıldı. Gereç ve Yöntem: Aralık 2008 ile Aralık 2012 tarihleri arasın- da künt travma sonucu yaralanıp, yatırılarak tedavi edilen 49 pelvis kırıklı hastada (30 erkek, 19 kadın; ortalama yaş 39.8±17; dağılım 13-79 yıl) geriye dönük olarak; yaş, cinsiyet, travma mekanizması, kırığın instabilitesi, eşlik eden yaralan- malar, Yaralanma Şiddet Skoru (ISS), Revize Edilmiş Travma Skoru (RTS) ve transfüzyon gereksiniminin mortalite üzerin- deki etkisi araştırıldı. Bulgular: Toplam 42 hastada (%86) eşlik eden yaralanmalar vardı, en sık toraks (%51), ekstremiteler (%51) ve karın (%33) yaralanmaları bulunuyordu. Yirmi yedi stabil kırıklı hastanın 1i (%4) ve 22 instabil kırıklı hastanın 10u (%45) olmak üze- re toplam 11 (%22) hasta hayatını kaybetti. Tüm hastalarda ortalama ISS 30, RTS 6.85, transfüzyon ihtiyacı 3.5 Ü, kaybe- dilenlerde ise aynı sırayla 51, 4.45 ve 9.3 Ü bulundu (p

Abstract

Background: Pelvic injuries are caused by high-energy blunt traumas and are associated with high mortality. In this article, we investigated the factors affecting mortality in pelvic frac- tures caused by blunt trauma. Methods: Between December 2008 and December 2012, age, gender, trauma mechanism, instability of the fracture, associ- ated injuries, Injury Severity Score (ISS), Revised Trauma Score (RTS) and transfusion requirement on mortality were retro- spectively investigated in 49 patients (30 males, 19 females; mean age 39.8 ±17; range 13 to 79 years) managed due to pel- vic fractures caused by blunt trauma injuries. Results: A total of 42 (86%) patients had associated injuries. The distribution and proportion of these injuries were: chest (51%), extremities (51%) and abdomen (33%). One (4%) out of 27 patients with stable fractures and 10 (45%) out of 22 patients with unstable fractures died, totaling 11 (22%) deaths. The mean ISS, RTS and transfusion requirement of all patients were 30, 6.85 and 3.5 U respectively and these val- ues were detected as 51, 4.45 and 9.3 U in patients who died (p

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Bu Makaleye Atıf Yap

ALİMOĞLU, O., BAŞ, G., YÜCEL, M., ÖZPEK, A., SAĞLAM, N., ATAK, İ. (2022). Pelvis kırığı bulunan multitravmalı hastalarda mortaliteyi etkileyen faktörler. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 25 - Sayı: 1, 39–45. https://ajindex.com/articles/571384

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