| Abstrakt: |
Background: Hanging is a commonly used method for suicide worldwide. Hanging is a form of strangulation in which the body is suspended through the neck and weight of the body act as constricting force. Despite of high mortality and morbidity associated with hanging survival is possible with effective resuscitation and management. In this study we aimed to investigatethe prognostic factors on the survival rate of the hanging patient treated in emergency department and intensive care unit. Methods: It is a descriptive observational study, which was conducted in the period of January 2021- June 2022 and 26 patients fulfilling the inclusion criterias were enrolled in our study. Patternof injury, clinical presentation, hemodynamic parameters, Q- SOFA scoring, investigation, length of hospital stay, ICU requirements were studied Results: According to our study 73.1 % patients were survived. GCS after 48hrs, q-SOFA at arrival and after 48hrs are the significant parameters affecting morbidity and mortality. Deranged hemodynamic parameters are also associated with mortality and morbidity. Other significant mortality predictors are CT brain, 2decho, inotropic support. Morbidity prediction was considered according to the ICU admission, length of hospital stay. Type of hanging, leadtime, clinical presentations like irritability & loss of consciousness considered to be of higher morbidity. Cervical spine injury was not found in any of our study groups. Pattern of injury and clinical presentation was evaluated in detail, but both the factors are not a significant outcome predictors. Conclusions: According to our study early intervention and treatment can reduce both mortality and morbidity. Long term complication was not explained in our study. Even though hanging is one of the most common method of suicide with high fatality, proper management in the ED can significantly improve the outcome of the patient [ABSTRACT FROM AUTHOR] |
