[The assessment of clinical evaluation and treatment results of high-energy blunt polytrauma patients].
The aim of this study was to evaluate the mechanism of high-energy blunt trauma, age and gender of patients, severity of regional and multiple injury, ventilation time, length of stay in intensive care unit and in-hospital stay, in-hospital complications, and treatment outcome.


METHODS
Data on 159 patients with severe multiple injuries, meeting inclusion criteria, were collected prospectively and evaluated retrospectively.


RESULTS
The mean age of multiple trauma patients was 43.9+/-1.4 years; males were injured 2.5 times more often than females (P<0.001). More than half (66.7%) of patients were 17-64-year-old males. Majority (83%) of all patients were injured in motor vehicle crashes, and 52.2% of these patients were pedestrians. The mean Injury Severity Score was 29.5+/-0.8, and severe (Abbreviated Injury Scale score of 3 and more) injuries of extremities, head, and chest made up 69.1% of all injuries. The mean ventilation time, mean length of stay in intensive care unit, and mean in-hospital stay were 5.5+/-0.7, 7.0+/-0.8, and 23.6+/-1.6 days, respectively. Acute lung complications were the most common (25.2%). Systemic inflammatory response syndrome developed in 7.5% of patients, and sepsis in 3.8% of patients. More than one-fifth (20.8%) of polytrauma patients died.


CONCLUSIONS
Working-age male pedestrians (17-64 years old) made up two-thirds of all polytrauma patients. Severe injuries of extremities, head, and chest were present in 69.1% of all cases. Lung complications were the most common.
Pamerneckas
Algimantas
A
Clinic of Traumatology and Orthopedics, Kaunas University of Medicine, Kaunas, Lithuania. alpa@kmu.lt
Pijadin
Andrei
A
Pilipavicius
Giedrius
G
Tamulaitis
Gintaras
G
Toliusis
Vytautas
V
Macas
Andrius
A
Bilskiene
Diana
D
Blazgys
Algirdas
A
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003627:Data Interpretation, Statistical; D005260:Female; D006760:Hospitalization; D006801:Humans; D015601:Injury Severity Score; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy; D011446:Prospective Studies; D012121:Respiration, Artificial; D012189:Retrospective Studies; D012737:Sex Factors; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy