E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients

Adel Hamed Elbaih, Sameh T. Abu-Elela.

Cited by (2)

Abstract
Introduction: “polytrauma” patients are higher risk of complications and death than the summation of expected mortality and morbidity of their individual injuries. The ideal goal in trauma resuscitation care is to identify and treat all injuries. With clinical and technological advanced imaging available for diagnosis and treatment of traumatic patients, missed injuries still significant affect modern trauma services and its outcome.
Aim: to improve outcome and determine the incidence and nature of missed injuries in polytrauma patients.
Methods: the study is a cross-sectional, prospective study included 600 polytraumatized patients admitted in Suez Canal University Hospital. Firstly assessed and treated accordingly to Advanced Trauma Life Support (ATLS) guidelines and treat the life threading conditions if present with follow-up short outcome for 28 days.
Results: The most common precipitate factor for missed injuries in my study was clinical evaluation error due to Inadequate diagnostic workup in 42.9%. And the second risk factor was Deficiency in Physical Examination in 35.7%. Lastly Incomplete assessment due to patient instability in 10.7% and incorrect interpretation of imaging10.7%.low rates of missed injuries (40.8%) in patients arriving during the day compared with (59.2%) of night arrivals.
Conclusion: the incidence of missed injuries in the study is 9.0 % which is still high compared to many trauma centers. And mostly increase the period of stay in the hospital and affect the outcome of polytrauma patients.

Key words: Patterns, Missed injuries, polytrauma


 
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How to Cite this Article
Pubmed Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. Int J Surg Med. 2018; 4(1): 13-21. doi:10.5455/ijsm.missed-injuries-management


Web Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. http://www.ejos.org/?mno=253235 [Access: February 20, 2019]. doi:10.5455/ijsm.missed-injuries-management


AMA (American Medical Association) Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. Int J Surg Med. 2018; 4(1): 13-21. doi:10.5455/ijsm.missed-injuries-management



Vancouver/ICMJE Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. Int J Surg Med. (2018), [cited February 20, 2019]; 4(1): 13-21. doi:10.5455/ijsm.missed-injuries-management



Harvard Style

Adel Hamed Elbaih, Sameh T. Abu-Elela (2018) Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. Int J Surg Med, 4 (1), 13-21. doi:10.5455/ijsm.missed-injuries-management



Turabian Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. 2018. Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. International Journal of Surgery and Medicine, 4 (1), 13-21. doi:10.5455/ijsm.missed-injuries-management



Chicago Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. "Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients." International Journal of Surgery and Medicine 4 (2018), 13-21. doi:10.5455/ijsm.missed-injuries-management



MLA (The Modern Language Association) Style

Adel Hamed Elbaih, Sameh T. Abu-Elela. "Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients." International Journal of Surgery and Medicine 4.1 (2018), 13-21. Print. doi:10.5455/ijsm.missed-injuries-management



APA (American Psychological Association) Style

Adel Hamed Elbaih, Sameh T. Abu-Elela (2018) Patterns and Outcome of Missed Injuries in Egyptians Polytrauma Patients. International Journal of Surgery and Medicine, 4 (1), 13-21. doi:10.5455/ijsm.missed-injuries-management