Ulus Travma Acil Cerrahi Derg. 2001; 7(3): 146-150 | |||
The evaluation of the suitability of our cases for referral to a level I trauma centerKorhan Taviloğlu1, Arzu Aydın2, B. Deniz Çuhalı3, Tamer Demiralp4, Recep Güloğlu1, Cemalettin Ertekin11İ.Ü. İstanbul Tıp Fakültesi Genel Cerrahi Anabilim Dalı, İstanbul2Zeynep Kamil Hastanesi Kadın Doğum Servisi, İstanbul 3İ.Ü. İstanbul Tıp Fakültesi Öğrencisi, İstanbul 4İ.Ü. İstanbul Tıp Fakültesi Fizyoloji Anabilim Dalı, İstanbul This study was performed on 200 patients with a prospective method, between July and October 1998. The aim of the study was to analyze the patients who were admitted directly or referred from another hospital, if they were suitable with the transfer criteria to a level I trauma center. One hundred and seven patients (53.5%) were admitted without ambulance and 93 patients (46.5%) by ambulance to our center. 34% of those patients applied directly and 66% of them were sent from other hospitals. Private ambulances consisted 70%, and 30% the belonged to the national health service. Only 26% of the ambulances had doctor as staff. The most common trauma etiologies were: traffic accidents (42.5%), falling from a height (37.5%) and assaults (11.5%). The mean Glasgow coma score (GCS) of the patients was calculated as 13.9 and mean revised trauma score was 11.7. The Glasgow coma score, revised trauma score and appropriateness to the transfer criteria of the American College of Surgeons were statistically analyzed according to the Fischer Exact test. The results revealed that 96% of the patients with RTS, 86% of the patients with GCS and 60% of the patients with ACS were not appropriate to the transfer criteria to a level I trauma center. In conclusion; we believe that GCS will predict better results in the triage of trauma patients with head trauma in our country Olgularımızın birinci derece travma merkezine sevk edilme kriterlerine uygunluğunun değerlendirilmesiKorhan Taviloğlu1, Arzu Aydın2, B. Deniz Çuhalı3, Tamer Demiralp4, Recep Güloğlu1, Cemalettin Ertekin11İ.Ü. İstanbul Tıp Fakültesi Genel Cerrahi Anabilim Dalı, İstanbul2Zeynep Kamil Hastanesi Kadın Doğum Servisi, İstanbul 3İ.Ü. İstanbul Tıp Fakültesi Öğrencisi, İstanbul 4İ.Ü. İstanbul Tıp Fakültesi Fizyoloji Anabilim Dalı, İstanbul Korhan Taviloğlu, Arzu Aydın, B. Deniz Çuhalı, Tamer Demiralp, Recep Güloğlu, Cemalettin Ertekin. The evaluation of the suitability of our cases for referral to a level I trauma center. Ulus Travma Acil Cerrahi Derg. 2001; 7(3): 146-150 |
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