Analysis of the treatment results of patients with concomitant trauma in a level 1 trauma center

Abstract

Adequate treatment of patients with combined trauma requires not only medical care at the highest level, but also coordination of organizational and logistical processes. We performed a retrospective analysis of the results of treatment of 256 patients with concomitant trauma in the regional trauma center from 2019 to 2021. The analysis included patients older than 18 years with (ISS) ≥18 and (AIS)>3 in two or more anatomical areas of the body. The average index of injury severity (ISS) was 30.5. Victims with combined trauma had a predominance of craniocerebral, chest, abdominal, and spinal trauma. The lethality rate was 15.2%, and the ISS of the deceased victims was 40.7. Victims with severe combined trauma do not tolerate time-consuming and traumatic operations, and «damage control» tactics are used for this group. To reduce the mortality rate it is necessary to transport patients with severe combined trauma from the scene to a level 1 trauma center. Only in a large multidisciplinary hospital with strong resource, therapeutic and human resource potential, it is possible to save victims with severe combined trauma.