Data Analysis of 1811 Major Trauma Patients Admitted to the Emergency Departments of Thirteen Hospitals

Demet Yaldız; Gökhan Akbulut; Murat Anıl; Mustafa Onur Öztan; Sadık Yaldız

doi:10.5152/EurJTher.2018.783

Authors

Demet Yaldız Department of Thoracic Surgery, Manisa Celal Bayar University School of Medicine, Manisa https://orcid.org/0000-0002-5698-3056
Gökhan Akbulut Clinic of General Surgery, Tepecik Training and Research Hospital, İzmir https://orcid.org/0000-0002-3924-5342
Murat Anıl Clinic of Pediatrics, Tepecik Training and Research Hospital, İzmir https://orcid.org/0000-0002-2596-4944
Mustafa Onur Öztan Division of Pediatric Surgery, Katip Çelebi University School of Medicine, İzmir https://orcid.org/0000-0003-3696-4090
Sadık Yaldız Department of Thoracic Surgery, Manisa Celal Bayar University School of Medicine, Manisa https://orcid.org/0000-0001-6521-6185

DOI:

https://doi.org/10.5152/EurJTher.2018.783

Keywords:

Data, emergency department, major trauma

Abstract

Objective: Our objective was to determine metrics and measure the trauma-related emergency care quality.
Methods: Patients with majortrauma admitted to emergency departments of 13 hospitals in the north region of İzmir between January 01, 2014, and December 31, 2014, were included in this study. For the definition of major trauma, guideline of Centers for Disease Control (CDC) for field triage of injured patients version 2011 was used. Age, time passed in emergency, first order timing, number of consultations and amount of time taken by the consultations, number of deaths in emergency departments and intensive care units, number of radiological tests applied to patients, total score of interventional applications, and total billing were recorded.
Results: In one-year period, 2,415,361 patients applied to selected hospitals’ emergency departments, and 1811 patients (0.07%) were accepted as major trauma. The mean age of the patients was 29.4 years. The meantime passed in emergency was 28.3 h. The mean number of consultations and amount of time taken by consultations were 1.6 and 26.2 h, respectively. The number and mean X-ray, ultrasound, computerized tomography, and magnetic resonance imaging numbers were 3910 and2.16; 518 and0.29; 2805 and1.55; 114 and0.06, respectively. The total mortality rate was 1.04% (19 patients).
Conclusion: This is a preliminary study presenting the data obtained from different level hospitals in the region, and indicators in such a high number of patient group were evaluated for the first time. We believe that as national emergency care is built and strengthened with data, management of care for patients with trauma will improve.

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