Clinico-anatomical characteristic of the traffic-transport trauma in the megapolic environment. The third report: severity of injury

Abstract

Objective. Formation of unified clinical characteristic of damages in participants of traffic, who were injured due to traffic-transport accidents in the megapolis environment. Materials and methods. Retrospective analysis of data, concerning 1139 injured persons, who were traumatized due to traffic-transport accidents and stationary treated in the Kyiv’s Clinical Hospital of Emergent Medical Help in the 2019 - 2020 yrs period, was accomplished. Results. The persons, suffering relatively nonsevere trauma – 83.67% - dominated in general investigated massive, while extremely severe and severe damages have been encountered in 7.97% injured persons only. Positive result of the traumatic process course was noted also in the biggest quantity of the injured persons with the trauma severity up to 16 points – in 74.56%, and among the dead individuals the first place was occupied by injured persons with the damage severity more than 45 points – in 44.0%. While the injury severity constituting more than 45 points, the part of the injured persons survived was 55.10%. All the injured participants of the traffic with nonsignificant (up to 16 points) injury severity score have had occupied first places, but the value of such an index was different in all of them. Among pedestrians there was a biggest part of the injured persons, owing the damage severity more than 45 points in accordance to the NISS scale – 7.62%. In these participants of traffic such damages occur in 3.2 times more frequently, than in the injured persons, who were inside of the vehicle (drivers, passangers). The injury severity essentially impacts the result of the traumatic process course in all participants of traffic. Conclusion. The trauma of severity up to 16 points in accordance to the NISS scale are obtaining 71.29% of the persons, injured due to the traffic-transport accidents. The severest traumas are obtained by the pedestrians. There was established, that the damage severity trustfully depends on factors of participation in traffic and impacts occurrence of negative result of the traumatic process course.