Prevalence of Missed Injuries in Multiple Trauma Patients at a Level-1 Trauma Center in Saudi Arabia.

Autor:	Al Babtain I; General Surgery, King Abdulaziz Medical City, Riyadh, SAU., Almalki Y; General Surgery, King Abdulaziz Medical City, Riyadh, SAU., Asiri D; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Masud N; Department of Biostatistics, Epidemiology and Environmental Health Sciences, Georgia Southern University, Statesboro, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Feb 09; Vol. 15 (2), pp. e34805. Date of Electronic Publication: 2023 Feb 09 (Print Publication: 2023).
DOI:	10.7759/cureus.34805
Abstrakt:	Background Missed injuries are defined as injuries neither detected in the emergency department (ED) nor after admission to the hospital. The objective of this research was to identify missed injury rates, contributing factors, and clinical outcomes. Methods A total of 657 trauma patients' records were retrospectively reviewed after admission to King Abdulaziz Medical City (KAMC) during the period from January 2016 to December 2018. Patients' demographic characteristics, presence of a missed injury, and Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and Injury Severity Score (ISS) were assessed. Results Among 657 patients who were admitted to our emergency department, only 11 (1.7%) patients were reported to have a missed injury during the hospital stay. None of those missed injuries contributed to the overall mortality. Higher GCS is a protective factor for missed injury with OR=0.12-0.81 and p-value=0.01. RTS and intensive care unit (ICU) stays were borderline although p-value=0.05 and OR=9 for RTS. Both longer ICU stays and high RTS were related to a higher risk of missed injury. Conclusion In our study, the prevalence of missed injuries was on the lower end of the spectrum in comparison to multiple published data. The most common missed injuries were fractures and joint dislocations of extremities. None of those missed injuries were life-threatening or contributed to overall mortality. Higher GCS was a protective factor against missed injuries while high RTS and longer ICU stays were related to a higher likelihood of developing missed injuries during the hospital course. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Al Babtain et al.)
Databáze:	MEDLINE
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