Analysis of Adult Trauma Patients Admitted to Emergency Department

Purpose: Trauma is one of the most common reason of admissions to emergency departments. In this study, it was aimed to determine the demographic characteristics, etiology, morbidity and mortality rates and prognosis of adult trauma patients admitted to our emergency department (ED). Materials and...

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Main Authors: Sema Puskulluoglu, Ayca Acikalin, Mehmet Oguzhan Ay, Nalan Kozaci, Akkan Avci, Muge Gulen, Ferhat icme, Salim Satar
Format: Article
Language:English
Published: Cukurova University 2015-09-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=174341
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author Sema Puskulluoglu
Ayca Acikalin
Mehmet Oguzhan Ay
Nalan Kozaci
Akkan Avci
Muge Gulen
Ferhat icme
Salim Satar
author_facet Sema Puskulluoglu
Ayca Acikalin
Mehmet Oguzhan Ay
Nalan Kozaci
Akkan Avci
Muge Gulen
Ferhat icme
Salim Satar
author_sort Sema Puskulluoglu
collection DOAJ
description Purpose: Trauma is one of the most common reason of admissions to emergency departments. In this study, it was aimed to determine the demographic characteristics, etiology, morbidity and mortality rates and prognosis of adult trauma patients admitted to our emergency department (ED). Materials and Methods: Patients over the age of 18 years, who admitted to ED between 01 March 2011 and 31 August 2011 were included in this retrospective study. Patient examination cards, hospitalization files and records entered with ICD 10 codes to hospital automation system were analyzed. Patients with inaccessible data were excluded from the study. Results: During the study period, total number of 110495 patients admitted to ED, and 13585 (12,29%) of them admitted with trauma. Simple extremity injuries (38,28%) and falls (31,7%) were most common etiological factors. Glasgow coma scales of 99,71% of the patients were between 13 and 15. Of the patients with trauma, 9,6% had a Computed Tomography (CT) scan, and 84,5% of CT scans were evaluated as normal, and cranial CT was the most requested one. Only 6% of the patients were hospitalized, and 0,9% of the trauma patients died. Falls from height in females and traffic accidents in males were the leading causes of death. Conclusion: Most of the patients with simple traumas admitted to ED can be discharged from the hospital with a complete history and careful examination. The rate of unnecessary medical tests, loss of time and waste money should be reduced, and the time and labor allocated to severe patients can be increased by this way. [Cukurova Med J 2015; 40(3.000): 569-579]
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spelling doaj.art-99ab8455430d4fecae3bdd1fd2f9af392023-02-15T16:21:42ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502015-09-01403569579174341Analysis of Adult Trauma Patients Admitted to Emergency DepartmentSema Puskulluoglu0Ayca Acikalin1Mehmet Oguzhan Ay2Nalan Kozaci3Akkan Avci4Muge Gulen5Ferhat icme6Salim Satar7Cukurova Askim Tufekci Devlet Hastanesi, Acil Tip Servisi, Adana, Turkiye Cukurova Universitesi Tip Fakultesi Acil Tip Anabilim Dali, Adana, Turkiye Adana Numune Egitim ve Arastirma Hastanesi Acil Tip Klinigi, Adana, Turkiye Antalya Egitim ve Arastirma Hastanesi Acil Tip Klinigi, Antalya, Turkiye Adana Numune Egitim ve Arastirma Hastanesi Acil Tip Klinigi, Adana, Turkiye Adana Numune Egitim ve Arastirma Hastanesi Acil Tip Klinigi, Adana, Turkiye Ankara Ataturk Egitim ve Arastirma Hastanesi Acil Tip Klinigi, Ankara, Turkiye Adana Numune Egitim ve Arastirma Hastanesi Acil Tip Klinigi, Adana, TurkiyePurpose: Trauma is one of the most common reason of admissions to emergency departments. In this study, it was aimed to determine the demographic characteristics, etiology, morbidity and mortality rates and prognosis of adult trauma patients admitted to our emergency department (ED). Materials and Methods: Patients over the age of 18 years, who admitted to ED between 01 March 2011 and 31 August 2011 were included in this retrospective study. Patient examination cards, hospitalization files and records entered with ICD 10 codes to hospital automation system were analyzed. Patients with inaccessible data were excluded from the study. Results: During the study period, total number of 110495 patients admitted to ED, and 13585 (12,29%) of them admitted with trauma. Simple extremity injuries (38,28%) and falls (31,7%) were most common etiological factors. Glasgow coma scales of 99,71% of the patients were between 13 and 15. Of the patients with trauma, 9,6% had a Computed Tomography (CT) scan, and 84,5% of CT scans were evaluated as normal, and cranial CT was the most requested one. Only 6% of the patients were hospitalized, and 0,9% of the trauma patients died. Falls from height in females and traffic accidents in males were the leading causes of death. Conclusion: Most of the patients with simple traumas admitted to ED can be discharged from the hospital with a complete history and careful examination. The rate of unnecessary medical tests, loss of time and waste money should be reduced, and the time and labor allocated to severe patients can be increased by this way. [Cukurova Med J 2015; 40(3.000): 569-579]http://www.scopemed.org/fulltextpdf.php?mno=174341Traumaemergencymortalityprognosis
spellingShingle Sema Puskulluoglu
Ayca Acikalin
Mehmet Oguzhan Ay
Nalan Kozaci
Akkan Avci
Muge Gulen
Ferhat icme
Salim Satar
Analysis of Adult Trauma Patients Admitted to Emergency Department
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Trauma
emergency
mortality
prognosis
title Analysis of Adult Trauma Patients Admitted to Emergency Department
title_full Analysis of Adult Trauma Patients Admitted to Emergency Department
title_fullStr Analysis of Adult Trauma Patients Admitted to Emergency Department
title_full_unstemmed Analysis of Adult Trauma Patients Admitted to Emergency Department
title_short Analysis of Adult Trauma Patients Admitted to Emergency Department
title_sort analysis of adult trauma patients admitted to emergency department
topic Trauma
emergency
mortality
prognosis
url http://www.scopemed.org/fulltextpdf.php?mno=174341
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AT mehmetoguzhanay analysisofadulttraumapatientsadmittedtoemergencydepartment
AT nalankozaci analysisofadulttraumapatientsadmittedtoemergencydepartment
AT akkanavci analysisofadulttraumapatientsadmittedtoemergencydepartment
AT mugegulen analysisofadulttraumapatientsadmittedtoemergencydepartment
AT ferhaticme analysisofadulttraumapatientsadmittedtoemergencydepartment
AT salimsatar analysisofadulttraumapatientsadmittedtoemergencydepartment