Analysis of the patients admitted to emergency department due to urogenital trauma and investigation of factors that affect mortality
Semih Sozen1, Simsek Celik1, Cafer Akpinar2, Fatma Mutlu Kukul Güven3, Cihat Yel4, Cemil Kavalci5, Ömer Salt6
1 Emergency Department, Sivas State Hospital, Sivas, Turkey
2 Emergency Department, Ankara Etimesgut State Hospital, Ankara, Turkey
3 Emergency Department, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
4 Emergency Department, State Hospital, Hatay, Turkey
5 Emergency Department, Faculty of Medicine, Baskent University, Ankara, Turkey
6 Emergency Department, Faculty of Medicine, Trakya University, Edirne, Turkey
Emergency Department, Faculty of Medicine, Baskent University, Ankara
Source of Support: None, Conflict of Interest: None
Objective: To determine the general characteristics of urogenital trauma, and the factors that impact on mortality.
Methods: Patients who were over 18 years of age admitted to the emergency service with urogenital injury between 1 January 2010 and 31 December 2014 were evaluated retrospectively. Age, gender, type of trauma, injured urogenital organs, vital parameters, additional organ injuries and mortality rate were investigated. Categorical variables were compared by using Chi-square test and comparing to groups data were performed with the Mann-Whitney and Kruskal-Wallis tests. P < 0.05 was considered statistically significant.
Results: The median age of 174 patients was 35 years (interquartile range: 22), and 150 patients (86.2%) were males. It was determined that the incidence of urogenital trauma increased in August and September. The kidney was the most frequently injured organ (41.4%) and the most common cause of injury was traffic accidents (49.4%). Mean arterial pressure and revised trauma score were the lowest while pulse rate was the highest in renal trauma patients (P < 0.05). Mean arterial pressure, revised trauma score and respiratory rate were low in mortal group while pulse rate and Glasgow coma scale scores were significantly higher (P < 0.05).
Conclusions: It is determined that the most common injured organs in trauma patients are kidneys and bladder and also no single factor is effective on mortality.