Relation between prehospital hypertension in trauma patient with hospital and prehospital mortality

Abstract

It is important to know the factors which can change hospital stay or changing the degree of mortality of patients. Therefore, we decided to investigate the relationship between pre-hospital hypertension in multiple trauma patients with hospitalized and out-patient mortality rates.

Materials and Methods: All patients who were transferred to Imam Reza Hospital Emergency Department because of multiple trauma from the beginning of the July of 2015 to the first of July of 2016 will be included in the study. Dead patients were extracted and treated as an external hospital mortality. For other patients, the vital signs were recorded in the vital signs sheet and also vital signs were recorded in the researcher's forms when the patient was discharged. Pre-hospital hypertension was defined as high blood pressure recorded outside the hospital. The outcome of patients, including emergency discharge, hospital admission, or death, will be recorded. Patients who have incomplete pre-hospital documentation, or for each reason did not give consent or continue treatment in the emergency department or other wards and left the site were excluded.

Results: Of the 539 multiple trauma patients, 251were men and the rest were women. The mean age of women and men was 46.8 ± 17.7 and 41.4 ± 16.0 years, respectively. Also, 41.3% of women and 18.3% of men (23.9% of all patients) had a history of high blood pressure. Gender variables and hypertension at the scene did not show any relation with the outcome of the patients (P> 0.05). However, age showed a significant relationship with death (P = 0.002).