Citation

Wurm S, Rose M, von Rüden C, Woltmann A, Bühren V. Z. Orthop. Unfall. 2012; 150(3): 296-301.

Vernacular Title

Das schwere Polytrauma mit einem ISS >/= 50.

Affiliation

Unfallchirurgie, BG-Unfallklinik Murnau.

Copyright

(Copyright © 2012, Georg Thieme Verlag)

DOI

10.1055/s-0031-1280415

PMID

22328201

Abstract

In Germany 427,500 persons per year are injured in traffic accidents. So we analysed in a retrospective study the post-traumatic quality of life of patients suffering from a severe trauma (ISS ≥ 50). Highlights of interest were: (i) pattern of injury, (ii) injured part of the body, (iii) days in ICU, (iv) outcome, (v) actual state of health, (vi) mental health. Between 1/2000 and 12/2005, 1,435 patients with multiple trauma were hospitalised in the Trauma Center Murnau. 88 suffered from a severe trauma with ISS ≥ 50. 23 % of these patients had a good outcome and 36 % died. Actually, more than half of the patients were physically handicapped or suffered from pain. 41 % showed characteristics typical for a post-traumatic stress disorder. In conclusion the patients with severe trauma had a good survival rate, but they showed a poor post-traumatic quality of life. Thus, in the time after trauma it is important to treat the "whole patient" and not only the physical lesions.

Language: de