Predicting of infectious complications after surgical treatment of patients with upper limb and thoracic trauma after road traffic accidents
DOI:
https://doi.org/10.11603/2414-4533.2023.4.14350Keywords:
polytrauma, upper limb, chest, Bayesian model, rank analysis, retrospective studyAbstract
The aim of the work: to identify prognostic factors for the development of infectious complications in operated patients with upper limb and thoracic injuries.
Materials and Methods. A retrospective study of 186 medical records of patients with upper limb and thoracic injuries, who underwent inpatient treatment at the Ternopil City Emergency Hospital from 2015 to 2020, was conducted. To address the issue of predicting postoperative infectious complications, a sequential diagnostic procedure based on Bayes’ method was employed, followed by the determination of the level of clinical effective risk (CER).
Results and Discussion. An analysis of the clinical and epidemiological characteristics of victims in road traffic accidents was conducted to identify key factors affecting the development of infectious complications. Demographic characteristics, road user type, comorbid diagnoses, trauma severity as per the Injury Severity Score (ISS), the number of surgical interventions, and other prognostic signs were thoroughly analyzed. A protocol treatment scheme for patients with upper limb and thoracic trauma post-accident was developed. The final CER indicator was calculated considering updated probabilities according to the database analysis based on Bayes’ theorem. The analysis of complications shows that local infectious complications are the most common, necessitating the development of effective prevention strategies and early treatment of these complications. Clinical Effective Risk (CER) is a key indicator in predicting the likelihood of infectious complications after surgical intervention. The principle of a comprehensive approach in treating patients with polytrauma should include not only emergency medical care but also long-term treatment planning with the prediction of infectious complications, their prevention, and subsequent rehabilitation of the victims.
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