Lanitis S, Kontovounisios C, Zafeiriadou P, Sgourakis G, Karkoulias K, Armoutides V, Papaconstandinou T, Karaliotas C
2nd Surgical Department and Unit of Surgical Oncology, "Korgialenio-Benakio", Red Cross Athens General Hospital, 115 26, Athens, Greece.
, 14 Proairesiou St., 116 36, Athens, Greece.
Eur J Trauma Emerg Surg. 2013 Aug;39(4):369-74. doi: 10.1007/s00068-012-0221-y. Epub 2012 Sep 14.
In the absence of dedicated trauma centers, surgical emergency departments in hospitals assigned as trauma centers accept a huge load of trauma patients. In this audit, we aim to document and assess the epidemiologic data of trauma patients and their injuries in order to give a picture of the impact of trauma in the workload of a surgical department in the Greek healthcare system.
During a period of 2 years, we managed 6,041 trauma patients in the accident and emergency (A&E) department based on the Advanced Trauma Life Support (ATLS) protocols. We retrospectively reviewed the emergency department registry and the admissions.
47.56 % of the patients seen in the A&E department were trauma patients. The mean age of the trauma patients was 44.52 years (range 15-106 years). The majority were men (60.4 %). The leading cause of trauma was motor and vehicle accidents, followed by slip and fall accidents, physical assault, fall from height, and vehicle pedestrian accidents. The majority of the patients were discharged from the hospital. Only 29 (4.6 %) out of 624 patients who were admitted to the general surgery department underwent an operation, while the rest were admitted for observation. On the other hand, patients were admitted to other departments only when surgical treatment was necessary.
In the absence of level one trauma centers, in multispecialty urban hospitals, the coordination of trauma burdens the general surgery team. This has financial and administrative implications. The collection of important epidemiologic data from these hospitals is mandatory in order to develop national prevention measures against injuries.
在缺乏专门创伤中心的情况下，被指定为创伤中心的医院的外科急诊科接收大量创伤患者。在本次审计中，我们旨在记录和评估创伤患者及其损伤的流行病学数据，以便了解创伤对希腊医疗系统中外科科室工作量的影响情况。
在为期2年的时间里，我们根据高级创伤生命支持（ATLS）协议，在急诊（A&E）科管理了6041例创伤患者。我们回顾性地查阅了急诊科登记册和入院记录。
在急诊科就诊的患者中，47.56%为创伤患者。创伤患者的平均年龄为44.52岁（范围为15 - 106岁）。大多数为男性（60.4%）。创伤的主要原因是机动车事故，其次是滑倒和跌倒事故、人身攻击、高处坠落以及车辆与行人事故。大多数患者出院。在624例入住普通外科的患者中，只有29例（4.6%）接受了手术，其余患者入院观察。另一方面，只有在需要手术治疗时患者才会被收入其他科室。
在缺乏一级创伤中心的情况下，在多专科城市医院中，创伤的协调工作给普通外科团队带来了负担。这具有财务和行政方面的影响。为了制定全国性的伤害预防措施，必须从这些医院收集重要的流行病学数据。
