CIRCUMSTANCES AND MECHANISMS OF RECEIVING INJURIES IN POLYSYSTEM INJURIES AMONG PATIENTS OF THE REHABILITATION HOSPITAL AT THE LATE STAGES OF TRAUMATIC DISEASE WHO WHO RECEIVED TREATMENT WITH THE HELP OF TELEREHABILITATION
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i2.13880Keywords:
polytrauma, circumstances and mechanisms of trauma, rank analysis, rehabilitationAbstract
SUMMARY. Understanding common traumogenesis in polysemic injuries is essential for effective rehabilitation in the late stages of the traumatic disease.
The aim – to study the main clinical-epidemiological indices of associated injuries in aspects of mechanisms and circumstances of trauma in patients in the late stages of traumatic disease who were treated with a telemedicine approach.
Material and Methods. We treated 30 patients with polytrauma in the late stages of traumatic disease in the Bilche-Zolote Regional Rehabilitation Hospital named after V.H. Vershyhora for 2018–2021 years. Among victims aged from 18 to 80 years old (average age was 61.05 years), the main part of the cohort consisted of the males – 22 persons (average age 49.68 years) and 8 females (average age 54, 87 years).
Results. Main part of the array consists of the victims with polytrauma aged 25–60 years old. In around half of all cases, the cause of the injury was falling (1st rank 14 (46.6 %). Traffic road incidences and bicycle traumas were 2nd ranked (8 cases or 26.7 % each). It should be indicated that if we calculated the abovementioned cause of trauma together, traffic road incidence will prevail in the array with 53.4 % of cases. Patients with polytrauma ISS 25–40 were 1st ranked (50.05 %), and ISS less than 25 were 2nd ranked (43.3 %). Among patients older than 60 years, victims with ISS less than 25 comprised 55.5 %. The most frequent combination of trauma types was a head and skeletal injury in women (62.5 %) and men (68.18 %).
Conclusions. We found out that traumagenesis depends on age and sex. The most common reason for associated injury was falling, then traffic road incidences. Men compromised the main part of patients with polytrauma, they prevail by 2.75 times over women. The most of array were persons of working age 25–60 years old (66.7 %).
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