Why the study?
Trauma care is a major component of orthopedic practice, making it important to understand the role and implementation of ICUs.
Acute trauma orthopaedic patients are more likely to require ICU admission and have higher mortality, often due to infection.
Acute trauma cases linked to higher ICU use and mortality; leaves open whether targeted protocols improve outcomes in observational data.
Background: Trauma is classified as bodily injury severe enough to pose a threat to life or to individual parts of the body such as a limb or an organ. Trauma remains a national and worldwide public health problem and is a leading cause of morbidity and mortality. The most of trauma care is carried out by orthopedic surgeons and is a major component of their practice. So it's important to understand the role and implementation of ICU's in practice. Aim: The aim of study is to evaluate the causes, numbers, demographic, and outcome of patients, who needed intensive care input during their inpatient stay. Methods: A retrospective, singlecentred, non-randomised observational study of all elective and trauma patients admitted to ICU during their inpatient stay was undertaken. Results: patients were split into four groups: [mean age/median age]1) Elective-17 patients 2) Trauma-28 patients [1 fracture] 3) Poly Trauma-12 patients [>2 fractures] 4) Transfer [Inter hospital] 3 patients. Conclusion: The majority of orthopaedic admissions are elderly patients undergoing elective surgery or acute trauma patients. This study highlights the latter as being markedly more likely to require ICU admission postoperatively. Mortality is higher in this group with infection being a significant cause.
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Rahul Janbandhu Parikshit Patil (2023) studied this question.
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