A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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The Dependence of Successful Life-Saving Interventions after Traffic Accidents on Effective Cooperation between Medical Institutions and Related Agencies

For citation: Kuzmin A. G., Nosov A. V. The Dependence of Successful Life-Saving Interventions after Traffic Accidents on Effective Cooperation between Medical Institutions and Related Agencies. Doctor.Ru. 2017. 10(139): 63–67.

Study Objective: To analyze the interaction between various agencies (Russian Ministry of Civil Defense, Emergencies and Disaster Relief, State Road Traffic Safety Inspectorate; and medical services) after road accidents; to analyze regional statistics on road accidents involving casualties in Vologda Region; and to study the outcomes of road accidents in Vologda Region in 2011-2016 and compare them with data collected before the opening of a level 1 trauma center.

Materials and Methods: The study data were compared using parametric and non-parametric tests. Sample rates and means were compared using a two-tailed t-test. Student, Fisher, and Wilcoxon criteria were used to assess the difference between ordered samples. The Pearson χ2 test was used to detect differences in the distribution of the parameters under study. In all comparisons, the null hypothesis was rejected at a significance level of less than 5% (p < 0.05).

Study Results: Treatment outcome data were analyzed for people injured in road accidents and taken to the Neurosurgery or Trauma Departments of Vologda Regional Hospital No.1, a government-funded healthcare institution of Vologda Region, in 2004-2011. The mean annual number of patients treated in the Neurosurgery Department during the study period was 81.8 ± 5.5, and the mean annual number of days these patients were hospitalized was 1,504.6 ± 91.1. The mean annual death rate was 5.4 ± 1.2, and the mean number of days hospitalized was 17.3 ± 0.6. The death rate significantly decreased during the study period, from 6.9% in 2004 to 2.4% in 2011, i.e., by a factor of 2.9.

Conclusion: People injured in road accidents can be saved and rates of deaths and disability in this population reduced, if all agencies involved cooperate on the scene, and trauma centers and other departments at multidisciplinary facilities provided effective specialized medical care.


A. G. Kuzmin — Vologda State University. E-mail: bmt@mh.vstu.edu.ru

A. V. Nosov — Vologda Territorial Disaster Relief Center, Vologda. E-mail: doktornosov@mail.ru

Доктор.ру
REFERENCES
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