The Relationship Between Pre-hospital High Blood Pressure and Mortality Risk in Trauma Patients

Abstract

<strong data-sider-select-id="c592b0bd-4e99-45cf-92c2-2b0907fcc491">Objectives: To identify and manage the factors that reduce the duration of time patients spend in the hospital or are associated with mortality rates are important. Therefore, this study was conducted to investigate the relationship between high blood pressure before admission to the hospital and mortality rates in trauma patients. <strong data-sider-select-id="dbbdc2e2-5a9a-4112-a19f-5447ee9a5abe">Design: A cross sectional descriptive study this is a cross sectional descriptive study which was done in emergency department of Imam Reza hospital Setting(s): Emergency department of Imam Reza hospital, Tabriz, Iran. Participants: All the trauma patients admitted to the emergency department of Imam Reza Hospital in Tabriz by emergency medical services over 12 months were included in this study using the complete enumeration method. Outcome Measures: Vital signs, including blood pressure, were recorded in vital sign sheets and forms designed by researchers. Other outcomes such as admission, discharge from the hospital, and death were also recorded Results: From a total of 331 trauma patients, 251 (75.8 %) were men, and the rest were women; moreover, the average age of women and men was 46.8±17.7 and 41.4±16.0, respectively. In addition, 41.3% of women and 18.3% of men (23.9% of all the patients) had a history of hypertension. Furthermore, gender and high blood pressure in the scene of trauma did not exhibit any relationship with patients’ outcomes (P>0.05), while age had a significant relationship with the death of the patients (P=0.002). <strong data-sider-select-id="b148f088-c44d-40fc-bff2-8f9fd3d9fa99">Conclusions: A positive correlation between the probability of death and age in trauma patients was found, while high blood pressure in the scene did not seem to affect the mortality rates in trauma patients in the ED or the ward.