• Injury · Nov 2015

    Pattern of emergency room mortality among road traffic crash victims.

    • Oladimeji Ranti Babalola, Kehinde Oluwadiya, Goran Vrgoč, Ugochukwu Akpati, Joško Sindik, Miran Čoklo, Marin Marinović, and Bore Bakota.
    • Department of Orthopaedic and Trauma National Orthopaedic Hospital, Igbobi, Lagos, Nigeria. Electronic address: ladibabalola@yahoo.co.uk.
    • Injury. 2015 Nov 1; 46 Suppl 6: S21-3.

    AbstractRoad traffic injuries are a major cause of death in the emergency room. The goal of this study was to highlight the demographic pattern of road traffic-related deaths in the accident and emergency room of a regional trauma centre. This was a 5-year retrospective study in which road traffic-related cases of emergency room mortality between June 2009 and June 2014 were reviewed. A total of 33 road traffic crash-related deaths occurred during this period with a male-to-female ratio of 2.3:1. Most of these patients were pedestrians with severe injuries involving two or more Abbreviated Injury Scale (AIS) coded regions. The mean time between injury and presentation in the first trauma facility was 112.1 (±55.4)min, and between presentation in the emergency room and death was 410 (±645)min. Mangled lower extremity, bilateral long bone lower limb fractures, pelvic injuries, blunt injuries to the chest and abdomen, and cranial fossae fractures were the common injury pattern. Median ISS and NISS in these patients were 22 (interquartile range [IQR]=11) and 25 (IQR=17), respectively. Severe injuries, delayed presentation, multiple referrals and delayed resuscitative measures contribute to road traffic crash-related mortality. Copyright © 2015 Elsevier Ltd. All rights reserved.

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