THE SOCIOMEDICAL CHARACTERISTICS OF PATIENTS WITH SEVERE CONCOMITANT MIDFACIAL INJURIES AND THE SPECIFIC FEATURES OF MEDICAL CARE TO THEM IN AN INTENSIVE CARE UNIT
I. S Kopetsky , A. M. Nasibullin
Russian Medicine ›› 2012, Vol. 18 ›› Issue (2) : 3 -6.
THE SOCIOMEDICAL CHARACTERISTICS OF PATIENTS WITH SEVERE CONCOMITANT MIDFACIAL INJURIES AND THE SPECIFIC FEATURES OF MEDICAL CARE TO THEM IN AN INTENSIVE CARE UNIT
The paper gives the results of an analysis of case histories of 511 patients with traumatic midfacial lesions (TMFL), admitted to the intensive care unit of Moscow City Clinical Hospital One. It also evaluates the state of patients with TMFL. Particular attention is given to the role of factors that influence mortality rates among the patients with TMFL. The most important aspects of organization of medical care to patients with TMFL are shown to be essential in the first 24 hours after injury. Shorter prehospital times and early adequate respiratory support within the first 60 minutes are noted to cause a 51.7% death reduction as compared with later medical care. The proposed measures permit mortality rates to be decreased in the severe forms of TMFL in particular.
midfacial injury / mortality / intensive care
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