DOI: 10.36347/sjams.2018.v06i04.056

Pages: 1652-1655

By analyzing 175 cases of severe trauma admitted to resuscitation room at MOHAMMED VI University Hospital in Marrakesh, between 1 June 2016 and 31 May 2017, this study aims to describe epidemiological characteristics, somatic injuries and to identify prognostic factors of mortality. The mean age of the patients was 35 ± 13.44 years (15 to 80 years). The male predominance was clear, with a sex ratio of 4. The majority were victims of road accidents (74.28%). Only 8.57% of patients had a post-traumatic admission delay of less than 1 hour. Somatic injuries were dominated by cranio-cerebral injuries in 85.71% of cases. 57, 14% of patients spent more than 24h in the ER (emergency room), the length of hospitalization was 5 ± 2 days. Mortality in our series was 27.42%. Prognosis was influenced significantly by multiple factors such as; age >45 years, non-medical transportation of patients, the state of hemorrhagic choc upon admission, Glasgow Coma scale <8, Injury Severity Score >20 and severe brain damage. Prognosis Improvement requires improvement of pre-hospital care and especially founding prevention protocols against road accidents, development of road structures, vehicle control, and to respect the rules of the road.