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E-ISSN: 2602-2974
Mortality Analysis of Trauma Patients in General Intensive Care Unit of a State Hospital
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Original Article
VOLUME: 13 ISSUE: 2
P: 68-74
August 2015

Mortality Analysis of Trauma Patients in General Intensive Care Unit of a State Hospital

J Turk Soc Intens Care 2015;13(2):68-74
DOI: 10.4274/tybdd.54154
İskender Kara 1
Savaş Altınsoy 2
Umut Gök 2
Ayhan Onur 2
Rıza Sarıbapıcçı 2
1. Gazi Üniversitesi Tip Fakültesi, Anesteziyoloji Ve Reanimasyon Anabilim Dali, Ankara, Türkiye
2. Konya Numune Hastanesi, Genel Yogun Bakim Ünitesi, Konya, Türkiye
No information available.
No information available
Received Date: 12.05.2015
Accepted Date: 13.07.2015
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ABSTRACT

Objective:

The aim of this study was to determine the mortality rate and factors affecting the mortality of trauma patients in general intensive care unit (ICU) of a state hospital.

Material and Method:

Data of trauma patients hospitalized between January 2012 and March 2013 in ICU of Konya Numune Hospital were retrospectively analyzed. Demographic characteristics and clinical data of patients were recorded. Patients were divided into two groups as survivors and dead. Mortality rate and factors affectin mortality were examined.

Results:

A total of 108 trauma patients were included in the study. The mortality rate of overall group was 19.4%. Median age of the patients was 44.5 years and 75.9% of them were males. Median Glasgow Coma Scale of death group was lower (5 (3-8) vs. 15 (13-15), p<0.0001), median APACHE II score was higher (20 (15-26) vs. 10 (8-13), p<0.0001) and median duration of ICU stay was longer (27 (5-62,5) vs. 2 (1-5), p<0.0001) than those in the survival group. The most common etiology of trauma was traffic accidents (47.2%) and 52.7% of patients had head trauma. The rate of patients with any fracture was significantly higher in the survival group (66.7% vs. 33.3%, p=0.007). The rate of erythrocyte suspension, fresh frozen plasma, trombocyte suspension and albumin were 38.9%, 27.8%, 0.9% and 8.3%, respectively in all group. The number of patients invasive mechanically ventilated was 27.8% and median length of stay of these patients were 5 (1.75-33.5) days. The rate of operated patients was 42.6%. The rate of tracheostomy, renal replacement therapy, bronchoscopy and percutaneous endoscopic gastrostomy enforcements were higher in the death group. The advanced age (p=0.016, OR: 1.054; 95% CI: 1.010-1100) and low GCS (p<0.0001, OR: 0.583; 95% CI: 0.456-0.745) were found to be independent risk factors the ICU mortality of trauma patients in logistic regression analysis.

Conclusion:

We believe that the determination of these risk factors affecting the mortality of trauma patients in our ICU may help to the management of trauma patients in other ICUs in our country.

Keywords: Intensive care unit, mortality, trauma

References

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