Unit:
ΠΜΣ Μονάδες Εντατικής ΘεραπείαςLibrary of the School of Health Sciences
Supervisors info:
Χριστίνα Μαρβάκη, Καθηγήτρια, Νοσηλευτική, ΤΕΙ Αθήνας
Όλγα Καδδά, Νοσηλεύτρια PhD, Ωνάσειο Καρδιοχειρουργικό Κέντρο
Γεωργία Τουλιά,Επίκουρη Καθηγήτρια, Νοσηλευτική, ΤΕΙ Αθήνας
Original Title:
Έκβαση πολυτραυματιών μετά τη νοσηλεία στη ΜΕΘ
Translated title:
Outcome of polytrauma patients after hospitalization in ICU
Summary:
Introduction: As road accidents are a major problem of modern times, trauma is becoming one of the most difficult and insoluble problems of global public health with social, economic and political impact and is characterized as one of the main causes of mortality and morbidity.
Purspose: The purpose of this study was to study the outcome of polytrauma patients after hospitalization at the Intensive Care Unit (ICU) and the parameters that affect it.
Material and Methods: This is a retrospective study. The sample of the study consisted of 85 patients hospitalized in intensive care units in two hospitals in Thessaloniki with the cause of "polytrauma patient" or "polytrauma patient – traumatic brain injury (TBI)". A specific registration form was used for the collection of data. Data analysis was performed with the statistical package Statistical Package for Social Sciences (SPSS) ver.20.
Results: The majority of patients were male and the mean age of the participants was 40,6±19,8 years. 40% of the participants were diagnosed as polytrauma patients, 30.6% diagnosed as "polytrauma patient - TBI" and 29.4% diagnosed with "TBI". Traffic accidents either with car or motorcycle were recorded as 31.8% each as the main cause of injury, while 67.1% of the population was diagnosed with TBI. The mean duration of hospitalization in the ICU was 14.9 ± 11.3 days, while the duration of mechanical ventilation was 12,1 ± 9,7 ημέρες. From the complications that occurred during hospitalization in the ICU 10.6% was microviaemia and 9.4% were respiratory infections - pneumonia and septic shock each. 22.4% died before leaving ICU, while 12.1% died during their stay in the department. However, a statistically significant correlation was found between patients who had a history of arterial hypertension and coronary artery disease and discharge, (p <0.05). In addition, there was a statistically significant difference between the age of the patients, the Glasgow scale and their outcome.
Conclusions: The outcome of the polytrauma is affected by the age, severity of the trauma and the time of hospitalization in the ICU. Adoption of prevention strategies by nursing staff can reduce hospital stay in ICU and increase the quality of care provided.
Main subject category:
Health Sciences
Keywords:
Outcome, Polytrauma patient, Intensive care unit
File:
File access is restricted only to the intranet of UoA.
Sofia Tsompanou-master.pdf
2 MB
File access is restricted only to the intranet of UoA.
