Where should the damage control surgery be performed, at the nearest health center or at a fully equipped hospital?

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dc.authoridUgur, Mustafa/0000-0002-5922-2367
dc.contributor.authorUgur, Mustafa
dc.contributor.authorAkkucuk, Seckin
dc.contributor.authorKoca, Yavuz Savas
dc.contributor.authorOruc, Cem
dc.contributor.authorAydogan, Akin
dc.contributor.authorKilic, Erol
dc.contributor.authorYetim, Ibrahim
dc.date.accessioned2024-09-18T20:15:00Z
dc.date.available2024-09-18T20:15:00Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBACKGROUND: Transport of casualties from a combat area to a fully equipped hospital where all techniques of damage control surgery (DCS) can be performed requires a great deal of time. Therefore, prior to transport, prompt control of hemorrhage and contamination should be achieved, and resuscitative procedures should be performed at the nearest health center. The aim of the present study was to investigate the effect of the location at which DCS was performed on rates of mortality. METHODS: The present retrospective study included 51 combat casualties who underwent DCS at the present clinic or at hospitals nearest the combat area due to high kinetic energy gunshot injuries to the abdomen between 2010 and 2015. Patients were evaluated in terms of acidosis, hypothermia, coagulopathy, and mortality. RESULTS: Patients were divided into 2 groups depending on the location where the first step of DCS was performed: (1) at the present hospital or (2) at other hospitals. Group 1 comprised 26 patients (51%), and Group 2 comprised 25 (49%). Total mortality occurred in 23 (45.1%) patients, including 15 (57.7%) patients in Group 1 and 8 (32%) in Group 2. In Group 1, mean time from injury to hospital admission was longer, and deep acidosis, hypothermia, and coagulopathy were more marked. CONCLUSION: Initial surgical control of hemorrhage and contamination in patients injured by high kinetic gunshots should be promptly achieved at the nearest health center. In this way, acidosis, hypothermia, and coagulopathy can be prevented, and the risk of mortality can be reduced.en_US
dc.identifier.doi10.5505/tjtes.2015.63833
dc.identifier.endpage277en_US
dc.identifier.issn1306-696X
dc.identifier.issue3en_US
dc.identifier.pmid27598593en_US
dc.identifier.scopus2-s2.0-84969247246en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage273en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2015.63833
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9378
dc.identifier.volume22en_US
dc.identifier.wosWOS:000376401200011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDamage control surgeryen_US
dc.subjectlocality of surgeryen_US
dc.subjectmortalityen_US
dc.titleWhere should the damage control surgery be performed, at the nearest health center or at a fully equipped hospital?en_US
dc.typeArticleen_US

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