Injuries type and its relation with Glasgow Coma Scale, injury severity score and blood transfusion in road traffic accident Victims.
Open Access
- 25 June 2018
- journal article
- research article
- Published by Dnipro State Medical University in Medicni perspektivi
- Vol. 23 (2), 148-159
- https://doi.org/10.26641/2307-0404.2018.2.133954
Abstract
Motor Vehicular Accidents claim about 1.2 million lives and injure more than 10 million people annually worldwide. The injuries caused by MVAs can be analyzed based on the type of injury, injury severity score, Glasgow Coma Scale and required blood transfusion. Methodology: A total number of 190 patients were included in this retrospective study from January 01, 2010 to December 31, 2015. The study aimed to determine the correlation between the type of injuries and GCS, ISS, and blood transfusions in the patients suffering from Motor Vehicle Accidents, who were presented to the Emergency Department at the King Khalid Hospital. All the data of the patients fulfilling the inclusion criteria were collected from the database at medical records department of the hospital. Results: Majority of the patients were adults Saudi male. 68.9% of the patients did not sustain shock, and 75.8% of patients did not require a blood transfusion. Patients with head, neck, chest, abdominal, internal organ, pelvic or spinal injuries conferred a statistically significant higher mean ISS. Patients with abdominal or internal organ injuries had a statistically significant higher mean units of blood transfused. GCS was seen to be lower in the head, neck, chest, abdominal, internal organ, spinal and other injuries. Conclusions: The study documents a significant correlation between the type of injury and GCS, ISS, and blood transfusion in victims of road traffic accident. Emergency physician and the caregivers should be more careful about the injuries associated with lower GCS. Patients sustaining injuries of certain parts related to high ISS (i.e., head, chest, abdominal, internal organ, pelvic) should be addressed on priority basis.Keywords
This publication has 13 references indexed in Scilit:
- Pattern, severity and circumtances of injuries sustained in road traffic accidents: A tertiary care hospital-based studyIndian Journal of Community Medicine, 2014
- Glasgow Coma Scale and Outcomes after Structural Traumatic Head Injury in Early ChildhoodPLOS ONE, 2013
- Do the severity and the body region of injury correlate with long-term outcome in the severe traumatic patient?Brazilian Journal of Anesthesiology (English Edition), 2013
- Traumatic brain injuries caused by traffic accidents in five European countries: outcome and public health consequencesEuropean Journal of Public Health, 2012
- Risky and aggressive driving in young adults: Personality mattersAccident Analysis & Prevention, 2011
- Current trends and update on injury preventionInternational Journal of Critical Illness and Injury Science, 2011
- In-Depth Analysis of Pedestrian Crashes in RiyadhTraffic Injury Prevention, 2009
- Pattern of road traffic injuries: A study from western MaharashtraIndian Journal of Community Medicine, 2008
- Road Traffic Injury Is an Escalating Burden in Africa and Deserves Proportionate Research EffortsPLoS Medicine, 2007
- Different AIS Triplets: Different Mortality Predictions in Identical ISS and NISSThe Journal of Trauma and Acute Care Surgery, 2006