Clinical and epidemiologic monitoring of polytrauma and concomitant injuries

Abstract

Current forms of medical reports cannot be used for clinical and epidemiological and medical and economic researches because they don’t contain information about competitive, associated diseases and its complications. Authors developed the method of clinical and epidemiological monitoring of nosologic structure of patients in military-medical institutions based on personalized record-keeping of patients with additional informational resources for recording of all diagnoses and performed medical service. With the help of the given method were analyzed nosologic structure and treatment results of 548 patients with vehicular trauma from the 442 nd District Military Clinical Hospital. Polytrauma was revealed in 22% of patients, concomitant injury — in 39%, combined injures — in 0,4%. Besides, in 8% of patients were revealed associated chronic diseases that not only confound trauma, but also make difficult to diagnose and assess the severity of trauma.