Hospital Lethality in Concomitant Injury and Possi­bility of Its Reduction

Hospital lethality in victims with polytrauma who had been treated at specialized Polytrauma Center (Barnaul City Hospital # 1) during 1997-2002 was analyzed. Total number of patients made up 3878 including 617 (15,9%) lethal cases. It was shown that the level of hospital lethality was dependent upon such factors as age, inner organs and cranio-cerebral injuries, severity of both traumatic shock and cranio-cerebral injury. Authors believe that after emergency specialized care all patients with concomitant injury independently of a dominant injury should be hospitalized to special department of multiple and concomitant injury. In 2000 such de­partment was organized within the structure of Center and that enabled to reduce hospital lethality from 18,2% to 13,4%.