Original Article

The Eff ective Factors in Emergency Department Observation on Hospitalization Requirement and Mortality in Blunt Trauma Patients


  • Yusuf Ali Altuncı
  • Mustafa Aldemir
  • Cahfer Güloğlu
  • Mehmet Üstündağ
  • Murat Orak

Received Date: 14.02.2010 Accepted Date: 25.02.2010 Eurasian J Emerg Med 2010;9(3):117-120


Today, despite social and economic development, trauma is the most important public health problem for all countries. Our aim is to retrospectively overview patients with blunt multi trauma who applied to our emergency department within their treatment period in the emergency department or other surgical departments and evaluate the factors which were eff ective for hospitalization and mortality.

Materials and Methods:

In our study we evaluated 226, patients over 15 years of age who applied to Dicle University Emergency Department between January 2006 and January 2008 due to blunt multi trauma such as motor vehicle crash, fall etc. retrospectively according to their defi nitive medical records. For statistical analysis, we divided our patients into two groups: treated in emergency department (n=105), treated in surgical departments (n=121).


Of our 226 patients 71.7% (n=162) were male and 28.3% (n=64) were female. Nineteen (8.4%) of trauma patients died. The average age for all patients was 35.9±15.882 (15-94). Blood transfusion requirement eff ected transfer of patients to surgical department (p=0.00). Between our groups, alanin transaminase, aspartate transaminase, hematocrit and white blood cells were submitted for statistical analysis (p>0.05). Injury Severity Score (ISS) and Abbreviated Injury Scale (AIS) were available for group 2 patients scientifi cally (p<0.05).


Multivariate analysis showed that high white blood cell levels (OR=1.0, CI=1.00+1.00, P<0,01), high AIS score (OR=4.17, CI=2.34+7.43, P=0,00) and blood transfusion requirement (OR=0.042, CI=0.005+0.33, P<0,01) were eff ective factors for hospitalization.

Keywords: Blunt trauma, emergency department, mortality