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ANALYSIS OF FACTORS INFLUENCING THE MORTALITY RATE AMONG PATIENTS WITH POLYTRAUMA IN THE EARLY STAGE HOSPITALIZED IN REGIONAL MULTIDISCIPLINARY HOSPITAL

https://doi.org/10.21886/2219-8075-2016-4-39-44

Abstract

Objective: rate the importance of the factors affecting the level of mortality in polytrauma victims in the early posttraumatic period hospitalized in the regional multidisciplinary hospital. Material and methods: in this work is the analysis of treatment results of 3873 patients with polytrauma (NISS≥17), treated in Research Institute Regional clinical hospital №1 named after prof. C. V. Ochapovskiy in Krasnodar in the period from 2003 to 2014. During this time period the upgrading of the versatile hospital, reorganization scheme of assistance to victims with polytrauma within the hospital and development of a regional system of hospitalization. Results: the mortality among patients with polytrauma was decreased from 39.8% in 2003 to 8.1% in 2014. Conclusion: there are identified and evaluated eight factors that influenced the decline of mortality in patients with polytrauma.

About the Authors

V. A. Porkhanov
Research Institute Regional clinical hospital №1 named after prof. C. V. Ochapovskiy; Kuban State Medical University
Russian Federation
167 Pervogo maya st., Krasnodar 350086, Russia; 350063, Krasnodar, street 4 Sedina st., Krasnodar 350063, Russia


A. A. Zavrazhnov
Research Institute Regional clinical hospital №1 named after prof. C. V. Ochapovskiy; Kuban State Medical University
Russian Federation
167 Pervogo maya st., Krasnodar 350086, Russia; 350063, Krasnodar, street 4 Sedina st., Krasnodar 350063, Russia


A. A. Afaunov
Research Institute Regional clinical hospital №1 named after prof. C. V. Ochapovskiy; Kuban State Medical University
Russian Federation
167 Pervogo maya st., Krasnodar 350086, Russia; 350063, Krasnodar, street 4 Sedina st., Krasnodar 350063, Russia


A. N. Blazhenko
Research Institute Regional clinical hospital №1 named after prof. C. V. Ochapovskiy; Kuban State Medical University
Russian Federation
167 Pervogo maya st., Krasnodar 350086, Russia; 350063, Krasnodar, street 4 Sedina st., Krasnodar 350063, Russia


M. L. Mukhanov
Research Institute Regional clinical hospital №1 named after prof. C. V. Ochapovskiy; Kuban State Medical University
Russian Federation
167 Pervogo maya st., Krasnodar 350086, Russia; 350063, Krasnodar, street 4 Sedina st., Krasnodar 350063, Russia


References

1. Багненко С.Ф., Стожаров В.В., Мирошниченко А.Г. Организация и оказание скорой медицинской помощи пострадавшим в дорожно–транспортных происшествиях. СПб., 2011 – С. 20 – 31.

2. Вовк Ю.И. и соавт. Организация медицинской помощи пострадавшим на трассе М– 4 «Дон» // Медицинский вестник юга России. – 2014. – №3. – С. 77– 81.

3. Pape, H. C. / H. C. Pape, C. Krettek // Unfallchirurg. – 2003. – Bd 106. – N2.– Р. 87–96.

4. Агаджанян В. В., Шаталин А. В., Кравцов С. А. Основные принципы организации и тактики медицинской транспортировки пострадавших с политравмой //Вестник травматологии и ортопедии им. Н.Н. Приорова. – 2009. – №. 1. – С. 7–12.

5. Stevenson J. When the trauma patient is elderly //Journal of PeriAnesthesia Nursing. – 2004. – Т. 19. – №. 6. – С. 392– 400.

6. Травма. В 3– х т. Т 2. / Дэвид В. Феличано, Кеннэт Л. Маттокс, Эрнест Е. Мур / пер. с англ.; под редакцией Л.А.Якимова, Н.Л.Матвеева – М.: Издательство Панфилова; БИНОМ. Лаборатория знаний, 2013. – с. 736: ил.

7. Блаженко А.Н. «Обоснование лечебно-диагностических подходов при оказании медицинской помощи пострадавшим в остром периоде политравмы в многопрофильном стационаре» / диссертация на соискание ученой степени доктора медицинских наук / ГОУВПО «Российский университет дружбы народов». Москва, 2012. – С. 84– 95

8. Елисеева И.И., Юзбашев М.М. Общая теория статистики. — М.: Финансы и статистика, 1999. – С. 368.

9. Скамай Л.Г., Трубочкина М.И. Статистический анализ деятельности предприятия. – М.: Инфра– М, 2007 С. 127.


Review

For citations:


Porkhanov V.A., Zavrazhnov A.A., Afaunov A.A., Blazhenko A.N., Mukhanov M.L. ANALYSIS OF FACTORS INFLUENCING THE MORTALITY RATE AMONG PATIENTS WITH POLYTRAUMA IN THE EARLY STAGE HOSPITALIZED IN REGIONAL MULTIDISCIPLINARY HOSPITAL. Medical Herald of the South of Russia. 2016;(4):39-44. (In Russ.) https://doi.org/10.21886/2219-8075-2016-4-39-44

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ISSN 2219-8075 (Print)
ISSN 2618-7876 (Online)