ISSN: 1859 - 2872
Study on some clinical and subclinical characteristics and treatment results of polytrauma patients with liver damage at the Intensive Care Center, 108 Military Central Hospital
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Abstract
Objective: To evaluate clinical and subclinical characteristics and treatment results of patients with liver injuries in polytrauma. Subject and method: This study is a retrospective and prospective descriptive analysis of patients with liver injuries in polytrauma who were admitted to the Intensive Care Center, 108 Military Central Hospital, from January 2022 to September 2023. Result: Out of 80 eligible polytrauma patients, the average age was 34.1 ± 13.1 years, with 85% being men. The primary cause of injury was traffic accidents, and the mortality rate was 25%. Combined organ damage included traumatic brain injury and cervical spine injury (53.3%), maxillofacial injury (36.6%), chest injury (76.6%), extremities injury (46.7%), skin and soft tissue damage (23.3%). The most common grades of liver damage were grade III (33%) and grade IV (30%). Mortality rates increased progressively with the grade of liver damage. ISS score, hemodynamic status on admission, and blood levels of creatinine, bilirubin and lactate had prognostic values in mortality, in which lactate concentration had an independent value in predicting mortality. Of the patients, 65% were treated conservatively, with a survival rate of 89.5%. Conclusion: Liver injury in polytrauma is prevalent among young men and is often associated with blunt chest trauma and traumatic brain injury. Severe injuries upon admission, along with subsequent kidney and liver failure are significant predictors of mortality. Conservative treatment of liver injury yields favorable outcomes.
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References
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