The Pattern of Traumatic Surgical Emergencies in Al-Kindy Teaching Hospital in Baghdad
Background: In Iraq mass casualty incidents have become unfortunate reality and this
affects the pattern of trauma injury profile, hospital services utilization and patients’
outcome, and the study of this pattern would affect the decision for resources distribution
Objectives: Retrospective study of the pattern of traumatic surgical emergencies.
Methods: The data were collected from 1st Jan. 2007 to 30th June 2007 and were
recorded in the emergency department of Al-Kindy teaching hospital, Baghdad-Iraq. The
data included in this study were age, gender, causative agent, body part(s) injured, injury
severity score, victims were categorized into those who had treatment and discharged
home and those who were admitted to hospital, also rate of referral and death rates.
Results: Four thousands seven hundred and thirty (4730) victims were included in this
study, (776) victims had excluded from the study because of incomplete data registry.
The commonest causative agent causing injury was explosions (35.25%) followed by
gunshot missile (24.56%). Seventy three point sixty seven percent of injured people were
in the range of (15-44) years old, the mean was 29.80 ± 8.6 year. Eighty three point sixty
six percent of injured people were males; mean age group was 30.70 ± 13.91 year
ranging from 6 months - 81 years. Only (14.06%) of injured patients were admitted to
hospital. The lower limbs were affected in (36.89%) followed by head and neck (35.35%).
The highest mortality was among victims who had gunshot wounds (28.11%) followed by
explosions victims (27.18%). The overall mortality among all trauma victims was (21.20%).
Forty point forty six percent of victims had injury severity score more than (9), (52.12%) of
victims who had gunshot wounds had injury severity score more than (9).
Conclusions: It was found that trauma affects young age groups and mainly males. Small
percentage of victims needed hospital admission. Explosions and gunshot missile results
in severe injuries with highest injury severity score (ISS) with highest mortality rate and the
need for providing of subspecialties to manage these cases which needs such
management to decrease morbidity, mortality and referrals.
Keywords: Trauma, blast injuries.
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