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Trauma pattern in a level I east-European trauma center
Authors: Bogdan Stoica, Sorin Paun, Ioan Tanase, Ionut Negoi, Mircea Beuran
Number of views: 409
Objective: To analyze trauma epidemiology, pattern of lesions or death profile in a level
I east-European trauma center.
Methods: Prospective observational study of patients admitted to a level I east-European
trauma center and enrolled in our trauma registry, between January 2012 to January 2013,
was conducted, with the inclusion criteria: (1) trauma lesions, (2) new injury severity
score (NISS) higher than 15.
Results: There were 141 patients admitted during the study interval, including 102
(72.3%) males, with a mean age of (43.52 ± 19.00) years, and a mean NISS of
27.58 ± 11.32. The trauma etiology was traffic-related injuries 101 (71.6%), falls 28
(19.9%) and crushing injuries 7 (5.0%). Only one case of gunshot wound was encountered in our study. Out of traffic-related injuries, the automobiles were involved in 56
(55.4%) and motorcycles in 9 (8.9%) patients. The bicyclists accounted for 2 (2.0%) of
patients and pedestrians hit by vehicles were in 33 (32.7%) cases. High-velocity falls
were found in 7 (25.0%) patients, whereas low-velocity falls accounted for 21 (75.0%) of
cases. The overall mortality was 30.00%, and these patients presented the mean NISS of
37.63.
Conclusions: Our trauma pattern profile is similar to the one found in west-European
countries, with a predominance of traffic-related injuries and falls. The severity and
anatomical puzzle for trauma lesions were more complex secondary to motorcycle or
bicycle-to-auto vehicles collisions. A trauma registry, with prospective enrollment of
patients, is a very effective tool for constant improvements in trauma care.