Treatment of patients with multiple trauma in multi-field hospital

Porkhanov V.A.; Baryshev A.G.; Blazhenko A.N.; Shevchenko A.V.; Mukhanov M.L.; Shkhalakhov A.K.; Polyushkin K.S.

doi:https://doi.org/10.17116/hirurgia201812182

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinic Hospital №1 of Healthcare Ministry of Krasnodar Region, Krasnodar, Russia;
Chair of Surgery №1, Advanced Training Faculty, Kuban State Medical University, Krasnodar, Russia

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

Baryshev A.G.

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Blazhenko A.N.

Department of Orthopedics, Traumatology and Military Surgery of Kuban State Medical University of Healthcare Ministry of the Russian Federation, Krasnodar, Russia

Shevchenko A.V.

Research Institute — Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics №1, Krasnodar, Russia

Mukhanov M.L.

Department of Orthopedics, Traumatology and Military Surgery of Kuban State Medical University of Healthcare Ministry of the Russian Federation, Krasnodar, Russia

Shkhalakhov A.K.

Research Institute — Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics №1, Krasnodar, Russia

Polyushkin K.S.

Research Institute — Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics №1, Krasnodar, Russia

Treatment of patients with multiple trauma in multi-field hospital

Authors:

Porkhanov V.A., Baryshev A.G., Blazhenko A.N., Shevchenko A.V., Mukhanov M.L., Shkhalakhov A.K., Polyushkin K.S.

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Journal: Pirogov Russian Journal of Surgery. 2018;(12): 82‑85

DOI: 10.17116/hirurgia201812182

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To cite this article:

Porkhanov VA, Baryshev AG, Blazhenko AN, Shevchenko AV, Mukhanov ML, Shkhalakhov AK, Polyushkin KS. Treatment of patients with multiple trauma in multi-field hospital. Pirogov Russian Journal of Surgery. 2018;(12):82‑85. (In Russ.)
https://doi.org/10.17116/hirurgia201812182

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim — to analyze treatment of victims with multiple trauma in multi-field hospital. Material and methods. Retrospective analysis of 2139 medical records of patients with multiple trauma (NISS score over 17) was performed. In-hospital mortality, patient transfer time, dominant injury, hospital-stay, gender and age of victims were assessed. Results. New diagnostic and treatment options allowed achieving significant decrease of mortality from 39.7% (2004) to 10.8% (2016). Conclusion. Improved mortality was achieved due to organized work of the «regional traumatological systems». Mortality rate was below 10.7% if victims were transferred to the hospital within 6 hours after trauma. The highest mortality was observed in patients who were transferred to the hospital within 6—12 hours after injury (20.3%).

Keywords:

multiple trauma

traumatological system

traumatological centers

in-hospital mortality

Authors:

Porkhanov V.A.

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

Baryshev A.G.

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Blazhenko A.N.

Department of Orthopedics, Traumatology and Military Surgery of Kuban State Medical University of Healthcare Ministry of the Russian Federation, Krasnodar, Russia

Shevchenko A.V.

Research Institute — Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics №1, Krasnodar, Russia

Mukhanov M.L.

Department of Orthopedics, Traumatology and Military Surgery of Kuban State Medical University of Healthcare Ministry of the Russian Federation, Krasnodar, Russia

Shkhalakhov A.K.

Research Institute — Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics №1, Krasnodar, Russia

Polyushkin K.S.

Research Institute — Ochapovsky Regional Clinical Hospital of Healthcare Ministry of the Krasnodar Territory, Department of Traumatology and Orthopedics №1, Krasnodar, Russia

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References:

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