DETERMINATION OF THE EPIDEMIOLOGICAL CHARACTERISTICS OF THE TRAUMA PATIENTS

We have evaluated retrospectively adult trauma patients admitted to the Dokuz Eylül University Hospital Emergency Department (ED) between 1.1.1997 - 30.6.1997 by the aim of contributing epidemiological data about trauma related injuries of Turkey. Among the 1063 study patients, 626 patients were male, 437 patients were female and mean age of the patients was 40.6 ± 18. The most common causes of injury was fall. The revised trauma score lesser than 12 was 75 patients. It has been determined that 90.8% of the patients were brought to ED by the vehicles other than the ambulance. Among all patients, 872 patients (82%) were discharged from ED, 118 patients (11.1%) were admitted, 73 patients (6.9%) were referred to another hospitals and 13 patients (1.2%) were died. We have determined the significantly increased hospital admission rate in the subgrups of the penetrating trauma patients, patients older than 65 years old (p=0.001 and 0.003, respectively) and the significantly increased operative intervention and death in penetrating trauma patients (p=0.000 and 0.009, respectively).

TRAVMA HASTALARININ EPÝDEMÝYOLOJÝK ÖZELLÝKLERÝNÝN ARAÞTIRILMASI

Travmaya baðlý yaralanmalar hakkýnda ülkemizin epidemiyolojik verilerine katkýda bulunmak amacýyla Dokuz Eylül Üniversitesi Hastanesi Acil Servisine 1.1.1997 ve 30.6.1997 tarihleri arasýnda baþvuran eriþkin travma hastalarý retrospektif olarak incelendi. Ýncelenen 1063 hastanýn 626'sý erkek (%59), 437'si kadýn (%41) ve hastalarýn yaþ ortalamalarý 40.6±18'di. En sýk yaralanma nedeni (%43.5) düþme idi. Yetmiþbeþ hastada düzeltilmiþ travma skoru < 12 bulundu. Hastalarýn %90.8'inin ambulans dýþýndaki bir araçla acil servise getirildiði saptandý. Hastalarýn 13'ü (%1.2) öldü, 872 hasta (%82) acil servisten taburcu oldu, 118'i (%11.1) hastaneye yatýrýldý, 73'ü (%6.9) baþka bir saðlýk kuruluþuna sevk edildi. Altmýþbeþ yaþýn üzerindeki hastalarýn ve penetran travmalý hastalarýn hastaneye yatýþlarý daha fazla idi (sýrasýyla p=0.001, p=0.003). Penetran travmalý hastalarda aperatif giriþim ve ölüm daha fazlaydý (sýrasýyla p=0.000, p=0.009).