Investigation of death examination results of cardiac arrest cases due to multiple trauma

Özgür Önen; Mustafa Dalgıç; Mustafa Balkay; Ozan Demir; Fatma Mutlu Kukul Güven; İsmet Parlak

doi:10.7197/cmj.963088

EN

Investigation of death examination results of cardiac arrest cases due to multiple trauma

Abstract

Objective: This study aimed to examine the demographic characteristics of autopsy cases due to multiple trauma and contribute to the diagnosis and treatment process.

Method: Our study was carried out by examining autopsy reports of multiple trauma cases. Accordingly, two groups were formed: those who died at the scene and those in the emergency department. In addition, the demographic data of the cases, the mechanism of multiple trauma, and the cause/causes of death were recorded.

Results: A total of 278 cases involving 165 deaths at the scene and 113 deaths in the emergency service were included. The most common causes of trauma in both groups were in-vehicle traffic accidents and falling from height. The most common causes of mortality in both groups were hemothorax and subarachnoidal hemorrhage.

Conclusions: Deaths due to multiple trauma were almost four times more common in males (82%); the number of trauma under the age of 65 was approximately four times higher. This result shows that young men are at a much higher risk of trauma, resulting in more fatal consequences. We think our study will help to reveal the prevalence, coexistence, and trauma mechanisms of existing pathologies.

Keywords

References

Karakuş Ş A, Kekekç Z, Akçan R, Seydaoğlu G. The relationship of trauma severity and mortality with cardiac enzymes and cytokines at multiple trauma patients. Ulus Travma Acil Cerrahi Derg 2012;18(4):289-295.
MacKenzie EJ, Fowler CJ. Epidemiology. In: Mattox KL, Feliciano DV, Moore EE. Trauma, 4th ed. New York: McGraw-Hill; 2000:21-40.
Eachempati SR, Reed RL, St Louis JE, Fischer RP. "The Demographics of Trauma in 1995" Revisited: An Assessment of the Accuracy and Utility of Trauma Predictions. J Trauma. 1998 ;45:208-214.
Durusu M, Eryılmaz M, Toygar M, Baysal E. Analysis of preventable deaths according to postmortem reports in traumatic deaths. Turkish Journal of Trauma & Emergency Surgery. 2010;16(4):357-362.
Eyi YE, Toygar M, Karbeyaz K, Kaldırım Ü, Tuncer SK, Durusu M. Evaluation of autopsy reports in terms of preventability of traumatic deaths. Turkish Journal of Trauma & Emergency Surgery. 2015;21(2):127-133.
Ince H, Ince N, Taviloğlu K, Güloğlu R. A different approach to trauma scoring. Ulus Travma Acil Cerrahi Derg. 2006;12:195-200.
Baker CC, Oppenheimer L, Stephens B, Lewis FR, Trunkey DD. Epidemiology of trauma deaths. Am J Surg. 1980;140:144–50.
Trunkey DD. Trauma. Accidental and intentional injuries account for more years of life lost in the U.S. than cancer and heart disease. Among the prescribed remedies are improved preventive efforts, speedier surgery and further research. Sci Am. 1983;249:28–35.

Sharon H. ATLS 10th edition offers new insight into managing trauma patients. Bulletin of the American College of Surgeons (published 01 Jun,2018) (Web site. Available at: https://bulletin.facs.org/2018/06/atls-10th-edition-offers-new-insights-into-managing-trauma-patients/).
Ceylan S, Açıkel CH, Dündaröz R, Yaşar M, Güleç M, Özışık T. Bir Eğitim Hastanesi Acil Servisine Travma Nedeniyle Başvuran Hastaların Sıklığının ve Travma Özelliklerinin Saptanması. Turk Klinikleri J MedSci 2002;22:156-161.
Avcı S, Arslan ED, Büyükcam F. Acil Serviste Travmatik Ölümlerin Retrospektif Değerlendirilmesi Sakarya Tıp Dergisi. 2017;7(1):15-19 .
Arslan ED, Kaya E, Sönmez M, Kavalcı C, Solakoğlu A, Yılmaz F, Durdu T, Karakılıc E. Assesment of Traumatic Deaths in a Level One Trauma Center in Ankara, Turkey. Eur J Trauma Emerg Surg 2015;41(3):319-23.
Cothren CC, Moore EE, Hedegaard HB, Meng K. Epidemiology of urban traumadeaths: a comprehensive reassessment 10 years later. World J Surg 2007;31(7):1507-11.
Gunst M, Ghaemmaghami V, Gruszecki A, Urban J, Frankel H, Shafi S. Changing epidemiology of trauma deaths leads to a bimodal distribution. Proc. 2010;23(4):349-354.
Gruen RL, Jurkovich GJ, McIntyre LK, Foy HM, Maier RV. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Ann Surg 2006;244:371-80.
McDermott FT, Cordner SM, Cooper DJ, Winship VC. Consultative Committee on Road Traffic Fatalities in Victoria. Management deficiencies and death preventability of road traffic fatalities before and after a new trauma care system in Victoria, Australia. J Trauma 2007;63:331-8.
Esposito TJ, Sanddal TL, Reynolds SA, Sanddal ND. Effect of a voluntary trauma system on preventable death and inappropriate care in a rural state. J Trauma. 2003;54:663-70.
Ahun E, Köksal Ö, Sığırlı D, Torun G, Dönmez SS, Armağan E. Value of the Glasgow Coma Scale, Age, and Arterial Blood Pressure Score for Predicting the Mortality of Major Trauma Patients Presenting to The Emergency Department. Turkish Journal of Trauma & Emergency Surgery. 2014;20(4):241-247.
Morrison JJ, Yapp LZ, Beattie A, Devlin E, Samarage M, McCaffer C, Jansen JO. The epidemiology of Scottish trauma: A comparison of pre-hospital and in-hospital deaths, 2000 to 2011. Surgeon. 2016;14(1):1-6.
Buschmann CT, Gahr P, Tsokos M, Ertel W, Fakler JK. Clinical diagnosis versus autopsy findings in polytrauma fatalities. Scand J Trauma Resusc Emerg Med. 2010;26;18:55.
Lansink KWW, Gunning AC, Leenen LPH. Cause of deathand time of death distribution of trauma patients in a Level I trauma centre in the Netherlands. Eur J Trauma Emerg Surg. 2013;39(4):375-83.
Çökük A, Kozacı N, Ay MO, Ayça Seviner AM, Satar S. Evaluation of Head Trauma Cases in the Emergency Department. Cukurova Medical Journal 2013; 38(1):63-71.
Biffl WL, Smith WR, Moore EE, Gonzalez RJ, Morgan SJ, Hennessey T, Offner PJ, Ray Jr CE, Franciose RJ, Burch JM. Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures. Ann Surg. 2001;233(6):843-50.
Hoke RS, Chamberlain D. Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation. 2004;63:327-38.
Lederer W, Mair D, Rabl W, Baubin M. Frequency of rib and sternum fractures associated without-of-hospital cardiopulmonary resuscitation is under estimated by conventional chest X-ray. Resuscitation. 2004;60:157-62.
Rabl W, Baubin M, Broinger G, Scheithauer R. Serious complications from active compression-decompression cardiopulmonary resuscitation. Int J Legal Med. 1996;109:84-9.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Özgür Önen ^*
0000-0002-6905-2437
Türkiye

Mustafa Dalgıç
0000-0002-2475-0733
Türkiye

Mustafa Balkay
0000-0003-4336-7083
Türkiye

Ozan Demir
0000-0001-5713-0496
Türkiye

Fatma Mutlu Kukul Güven
0000-0003-3755-6021
Türkiye

İsmet Parlak
0000-0001-6754-2830
Türkiye

Publication Date

September 30, 2021

Submission Date

July 6, 2021

Acceptance Date

September 27, 2021

Published in Issue

Year 2021 Volume: 43 Number: 3

DOI

https://doi.org/10.7197/cmj.963088

IZ

https://izlik.org/JA78TC42BB

Cite

RIS / Bibtex

APA

Önen, Ö., Dalgıç, M., Balkay, M., Demir, O., Kukul Güven, F. M., & Parlak, İ. (2021). Investigation of death examination results of cardiac arrest cases due to multiple trauma. Cumhuriyet Medical Journal, 43(3), 271-280. https://doi.org/10.7197/cmj.963088

AMA

1.Önen Ö, Dalgıç M, Balkay M, Demir O, Kukul Güven FM, Parlak İ. Investigation of death examination results of cardiac arrest cases due to multiple trauma. CMJ. 2021;43(3):271-280. doi:10.7197/cmj.963088

Chicago

Önen, Özgür, Mustafa Dalgıç, Mustafa Balkay, Ozan Demir, Fatma Mutlu Kukul Güven, and İsmet Parlak. 2021. “Investigation of Death Examination Results of Cardiac Arrest Cases Due to Multiple Trauma”. Cumhuriyet Medical Journal 43 (3): 271-80. https://doi.org/10.7197/cmj.963088.

EndNote

Önen Ö, Dalgıç M, Balkay M, Demir O, Kukul Güven FM, Parlak İ (September 1, 2021) Investigation of death examination results of cardiac arrest cases due to multiple trauma. Cumhuriyet Medical Journal 43 3 271–280.

IEEE

[1]Ö. Önen, M. Dalgıç, M. Balkay, O. Demir, F. M. Kukul Güven, and İ. Parlak, “Investigation of death examination results of cardiac arrest cases due to multiple trauma”, CMJ, vol. 43, no. 3, pp. 271–280, Sept. 2021, doi: 10.7197/cmj.963088.

ISNAD

Önen, Özgür - Dalgıç, Mustafa - Balkay, Mustafa - Demir, Ozan - Kukul Güven, Fatma Mutlu - Parlak, İsmet. “Investigation of Death Examination Results of Cardiac Arrest Cases Due to Multiple Trauma”. Cumhuriyet Medical Journal 43/3 (September 1, 2021): 271-280. https://doi.org/10.7197/cmj.963088.

JAMA

1.Önen Ö, Dalgıç M, Balkay M, Demir O, Kukul Güven FM, Parlak İ. Investigation of death examination results of cardiac arrest cases due to multiple trauma. CMJ. 2021;43:271–280.

MLA

Önen, Özgür, et al. “Investigation of Death Examination Results of Cardiac Arrest Cases Due to Multiple Trauma”. Cumhuriyet Medical Journal, vol. 43, no. 3, Sept. 2021, pp. 271-80, doi:10.7197/cmj.963088.

Vancouver

1.Özgür Önen, Mustafa Dalgıç, Mustafa Balkay, Ozan Demir, Fatma Mutlu Kukul Güven, İsmet Parlak. Investigation of death examination results of cardiac arrest cases due to multiple trauma. CMJ. 2021 Sep. 1;43(3):271-80. doi:10.7197/cmj.963088