The Structure of Trauma Patients, its Management and Health Care in the University Hospital of Alexandroupolis

Georgios V. Tsatsanidis 1 , Georgios I. Minopoulos 1 , Nicolaos D. Liratzopoulos 1 , Jannis V. Papathanasiou 2  and Konstantinos E. Simopoulos 1
  • 1 University General Hospital, Democritus University of Thrace, Alexandroupolis, Greece
  • 2 Department of Physical and Rehabilitation Medicine, Medical University of Plovdiv, Bulgaria


OBJECTIVE: The present study was designed to describe the patterns of trauma patients using a newly-introduced trauma registry, as well as retrospectively assess the management and outcome facts of these patients. MATERIALS AND METHODS: The study included 2346 patients (62.15% male) with a mean age of 34.06 ± 23.77 years. Of these patients, 355 were multiple trauma patients. Privately owned vehicles were used as a mode of transportation for most of the trauma patients (96.65%). Data regarding patient demographics, arrival at the Emergency Department, mechanism of injury, injury severity, anatomical location and type of injury were collected and analyzed. RESULTS: Falls were the most prevalent mechanism of injury, accounting for 62.19% of the total admitted cases, with other causes (that also included occupational accidents and machinery trauma) being the second most prevalent, and MVAs - the third with a rate of 11.46%. The most commonly injured body regions were the extremities (50.26%), the head (42.50%), and the torso (19.39%). Fractures represented 11.46% of the injuries, while open wounds were much more frequent (29.41%). The mean abbreviated injury severity (AIS) score was 1.78 ± 1.48 for all admitted patients and 3.56 ± 1.02 for multiple trauma patients. A multi-disciplinary approach was required for 23% of the multiple trauma patients. The clinic admission rate for the whole patient sample was 13.55% and 48.96% for multiple trauma patients. The mean duration of stay for all clinic admissions was 2.7 days and 2.9 days for multiple trauma patients. CONCLUSIONS: With the epidemiology of trauma in Greece being rather poorly investigated, the present study manages to identify the major epidemiological patterns of trauma cases presenting to a tertiary regional hospital and addresses the need for development and implementation of injury prevention activities and policies

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  • 1. Meyer, AA. Death and disability from injury: a global challenge. J Trauma 1998;44:1-12.

  • 2. Sharma BR. Road traffi c injuries: a major global public health crisis. Public Health 2008;122(12):1399-406.

  • 3. Staff T, Eken T, Hansen TB, et al. A fi eld evaluation of real-life motor vehicle accidents: presence of unrestrained objects and their association with distribution and severity of patient injuries. Accid Anal Prev 2012;45:529-38.

  • 4. Majdan M, Mauritz W, Wilbacher I, et al. Traumatic brain injuries caused by traffi c accidents in fi ve European countries: outcome and public health consequences. Eur J Public Health 2013;23(4):682-7.

  • 5. Kaczynski J, Hilton J. Trauma care services in the United Kingdom: past, present and future. J Perioper Pract 2012;22:266-9. 6 Markogiannakis H, Sanidas E, Messaris E, et al. Motor vehicle trauma: analysis of injury profi les by road-user category. Emerg Med J 2006;23:27-31.

  • 7. Soreide K, Kruger AJ, Vardal AL, et al. Epidemiology and contemporary patterns of trauma deaths: changing place, similar pace, older face. World J Surg 2007;31:2092-03.

  • 8. Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000;90:523-6.

  • 9. Patton GC, Coffey C, Sawyer SM, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet 2009;374:881-92.

  • 10. Guice KS, Cassidy LD, Mann NC. State trauma registries: survey and update-2004. J Trauma 2007;62:424-35.

  • 11. Sleet DA, Dahlberg LL, Basavaraju SV, et al. Injury prevention, violence prevention, and trauma care: building the scientifi c base. MMWR Surveill Summ 2010;60 Suppl 4:78-85.

  • 12. Campbell BT, Saleheen H, Borrup K, et al. Epidemiology of trauma at a level 1 trauma center. Conn Med 2009;73:389-94.

  • 13. Soreide K. Epidemiology of major trauma. Br J Surg 2009;96:697-8.

  • 14. Beuran M, Negoi I, Paun S, et al. [Mechanism of injury-trauma kinetics. What happened? How?] Chirurgia 2012;107:7-14 (Romanian).

  • 15. Bener A, Omar AO, Ahmad AE, et al. The pattern of traumatic brain injuries: a country undergoing rapid development. Brain Inj 2010;24:74-80.

  • 16. Soreide, K., Epidemiology of trauma deaths: location, location, location! World J Surg 2010;34: 1720-3.

  • 17. WHO. Global Status Report On Road Safety Time For Action. Geneva: World Health Organization, 2009, Available at: http:(( t(publications(2009(9789241563840_eng.pdf (25 September 2011, date last accessed).


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