Prize in Charge of the Polytraumatized at the Center
Hospitalo-Universitaire Mustapha Pacha in Algiers
Volume 2 - Issue 3
Sakhraoui R1*, Habchi N2, Bekralas H2, Bouallag M2, Ziane H3, Maouche H1 and Guerinik M1
- 1Department of Medical and Surgical Emergencies, Mustapha University Hospital, Algiers
- 2Neurosurgery service, Mustapha University Hospital, Algiers
- 3Microbiology department of Mustapha University Hospital, Algiers
Received: November 04, 2019; Published: December 05, 2019
Corresponding author: Sakhraoui R, Department of Medical and Surgical Emergencies, Mustapha University Hospital, Algiers
DOI: 10.32474/GJAPM.2019.02.000137
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Abstract
Introduction: A polytraumatized patient is a victim of violent trauma.
Objective: to evaluate the management of polytrauma patients after describing their epidemiologic characteristics and to
individualize the predictive factors of mortality.
Materials and Methods: This is a prospective and descriptive study on the observations of 147 polytrauma patients admitted
to the medical and surgical emergency department of the University Hospital Center Mustapha Pacha between June 2011 and June
2013. We have not included in the final examinations of the present, but the half-way to the vital prediction for the clinical, biologic,
therapeutic and epidemiological aspects of each patient admitted for polytrauma.
Results: 147 cases of polytrauma were collected: 23 women and 124 men. The average age is 38.46±2.93 years. The voices
of puberty were the most common cause of trauma 69.38% The average duration of hospitality east of 14.25days±2.56 days. The
average rate of care is 9.57±15.09 hours. 44.88% of our patients had 2 associated lesions. The average clinical GCS is 10.80±0.69.
Respiratory distress dominates the clinical picture at admission (63.94%), consciousness disorders are observed in 80 patients
(54.42%), The anisocoria was observed in 10 patients (6.80%). The thoracic lesions are predominant in our series, found in
63.26% of cases. 54.42% of polytrauma patients had head trauma associated with 18 cases (22.5%) of HED, 16 cases of HSD (20%)
and cerebral edema was found in 29 cases (19.72%). The abdominal lesions were discovered in 30.61% of the cases. 57 of our
patients died (38.77%). The predictive factor for mortality was: a respiratory distress syndrome (P<0.038), GCS low(P=2×10-6),
the presence of anisocoria (P<0.018), inhalatory pneumonitis (P<0.01), low hemoglobin (P<10-4), and low hematocrit (P<10-
4), hypoprothrombopenia (P<10-4), use of controlled ventilation (P<0.001) and vasopressor drugs (P<0.001). Blood transfusion
was needed in 35.37%, controlled ventilation in 47.61% of cases and vasopressor drugs in 16.32% of cases. Ninety-two patients
(62.58%) required an urgent surgical intervention. Neurosurgical procedures involved 26 patients (17.68%). The laparotomy was
indispensable in 23 patients (15.64%).
Conclusion: The decoration of the predictive polytraumatic based on urgent care and efficacy at the scene of the accident, for
which the need for a real pre-hospital medicine, and the must be taken care of in the whole of the technical plateau needed and
honed to this exercise is difficult.
Keywords: Kinetics; golden hour; evolutivity of lesions; mortality; sequelae.
Abstract|
Introduction|
Patients and Method|
Data collection|
Data Analysis|
Results|
Discussion|
Conclusion|
References|