Karayolu Trafik Kazaları Nedeniyle Yoğun Bakım Ünitesinde Takip Ve Tedavi Edilen Hastaların Retrospektif Olarak Değerlendirilmesi

Abstract

Aim:We aimed to investigate intensive care unit (ICU) treatments and factors associated with mortality in patients admitted to the ICU after road traffic accidents(RTAs). Methods:This study retrospectively analyzed patient comorbidities,features of traumas,alcohol use,Revised Trauma Score(RTS), interventions performed,ICU and hospital stays,the presence and extent of invasive mechanical ventilation(IMV),Acute Physiology and Chronic Health Evaluation (APACHE II), Simplified Acute Physiology Scores (SAPS II), as well as Glasgow Coma Scale (GCS) and NRS 2002 (Nutritional Risk Screening 2002) scores upon admission to the ICU. Brain death rates, transfusion rates, and ICU death rates were analyzed. Results: 90 of the 109 patients treated in the ICU for RTAs survived, and 19 patients (17.4%) died.GCS scores were lower and APACHE II scores were greater in the non-surviving patients than in the surviving patients (p < 0.0001). The number of patients who received cardiopulmonary resuscitation (CPR) was significantly higher in the non-surviving patient group(p < 0.0001).The most frequent etiology of trauma was non-vehicle traffic accidents(45%).The head was the most common site of traumas(71.5%).The GCS and RTS scores of non-survivor patients were significantly lower(p = 0.013,p = 0.001,respectively), and the APACHE II and SAPS II scores were higher(p < 0.001).It was found that the rates of intubation(100%),CPR(47.4%), and IMV(100%) in non-surviving patients outweighed in surviving patients( p= 0.005,p < 0.001, and p = 0.012,respectively). Conclusion:Multiple parameters are influential for determining the prognoses of patients treated in the ICU for traumas caused by RTAs.In particular,a high APACHE II score and CPR requirement are associated with mortality.