Incidence and Early Outcome of Coagulopathy among Major Trauma Patients
| Autor: | Josiah Mwendwa, Daniel Ojuka, Peter Odhiambo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty low and middle income countries Coagulopathy Major trauma Incidence Outcomes Low and middle income countries lcsh:Surgery 030204 cardiovascular system & hematology outcomes coagulopathy Continuous variable 03 medical and health sciences 0302 clinical medicine Transfusion requirement medicine Coagulopathy business.industry Major trauma Incidence (epidemiology) 030208 emergency & critical care medicine lcsh:RD1-811 medicine.disease major trauma Exact test Low and middle income countries incidence Surgery business Uncontrolled bleeding |
| Zdroj: | Annals of African Surgery; Vol 15, No 1 (2018) The Annals of African Surgery, Vol 15, Iss 1, Pp 20-24 (2018) |
| ISSN: | 2523-0816 1999-9674 |
| Popis: | Background : Despite improvement in many aspects of acute trauma care, uncontrolled bleeding is responsible for more than 50% of all trauma related deaths within the first two days of admission. Objective : This study sought to determine the incidence of coagulopathy among major trauma patients and their associated outcome. Methods : A prospective descriptive study carried at KNH among major trauma patients. Coagulation status was determined within 30 minutes of arrival. Outcomes assessed included length of hospital stay, transfusion requirement and mortality for 30 days. Fischer’s exact test was used to analyze categorical variables and Student T test used to analyze continuous variables. Results : Majority (85.7%) of the 140 patients recruited were male and, the mean age was 29.4 years (SD=12.0). Coagulopathy was present in 52.1% of the patients. The mean ISS on admission was 23.3 (SD=4.8), patients with coagulopathy had a higher ISS 22.2 (SD=5.2, p=0.018). The patients with coagulopathy stayed longer in hospital 12 days and their mortality was higher 21 (95.5%) p |
| Databáze: | OpenAIRE |
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