Quantiffication of Polytrauma and Hospital Mortality in Clinical Center University of Sarajevo in Five-year Period -
Polytrauma is defined as injury that have affected at least two different organ systems or organs, with at least one of them is life-threatening. It as a sum of severe anatomical and functional impairments, whose evolution is difficult to predict and often questionable outcomes. According to statistics obtained from MTOS (Major Trauma Outcome Study) and TARN (Trauma Audit Research Network) totals up to 10% of all hospitalized injuries. Accompanied by a high mortality rate, especially in the population of young and middle-aged, which in the levels of the organization of our health service is 25-35%. The causes of polytrauma are numerous, and the most common consequence of road accidents, falls, violent crimes with the actions and use of weapons, natural disasters, wars, mining accidents etc. The mortality rate in polytrauma depends on many factors related to all levels of care polytraumatised person in the organization of the health system. According to data from the NTDB ACS for 2004. mortality rate in polytrauma was 18,04% (with ISS value 16-24, mortality rate was 6,21%, and with ISS value >24 mortality rate was 33,05%). TARN data it has about 17,7%. The aim of our study is to make the quantification of polytrauma in a five-year period (2000. to 2004.) taken care of at the Clinical Center University of Sarajevo, to process data received by multiple scoring for each individual patient and to calculate and display total mortality rate in the sample with the comparison of results from the MTOS and TARN baseline norms.