STRUCTURE OF SHOCK­-PRODUCING TRAUMA IN PATIENTS ADMITTED TO I LEVEL INJURY CARE CENTER IN ARKHANGELSK

We present structural specification of shock-producing trauma in 140 patients admitted to I level injury care center (Arkhangelsk Regional Hospital) in 2008-2013 and in 104 patients with shock-producing trauma, treated in Arkhangelsk Medical Preventive Institution (MPI) in 2002. Study is observational, cohort, longitudinal, retrospective. Statistic analysis was made by using programmes EpiInfo (TM) 3.4.1. and SPSS 19.0 for Windows. Among 140 patients I degree traumatic shock (TS) was identified in 36 (25,7 %; 95 % CI: 18,5-32,9), II degree - in 72 (51,4 %; 95 % CI: 43,2-59,7), III degree in 30 (21,4 %; 95 % CI: 14,6-28,2) and IV degree in 2 (1,5 %; 95 % CI: 0,5-3,4) patients. As can be seen from the above among patients with shock-producing trauma more than half have TS II degree and its occurrence exceeds 2 times - TS I degree, 2,4 times - TS III degree and 36 times - TS IV degree. Changes are observed in structure of polytrauma and traumatic shock in patients treated in Arkhangelsk Regional Hospital till (2002) and later when the hospital got the status of I level injury care center (2013). Patients' density with TS I degree increased 2,6 times, with с TS II degree - 5,6 times and with TS III degree - 2,4 times. These structural changes are due to routing of injured in pedestrian accidents and patients with catatrauma to I level injury care center. We have found out statistically significant decrease of patients density with pelvis injury - 1,7 times, 2 times with spinal cord injury and 1,6 times with intra-abdominal injury. However, significant increase of patients density with chest injury in 1,6 times is registered.