Characteristics of traffic injuries in Montenegro regarding the availabilyty of health care

[D. N. Peličić]

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Uvod: Cilj ove studije je bio da se ispita trend učestalosti smrtno stradalih i povređenih u saobraćajnim nezgodama u Crnoj Gori, sa svrhom prepoznavanja najugroženijih učesnika u saobraćajnim nezgodama. Metode: Istraživanje je dizajnirano kao opservaciona studija slučajeva – kontrola. Uzorkovani su učesnici saobraćajnih nezgoda u Crnoj Gori kod kojih je došlo do teškog telesnog povređivanja ili smrtnog ishoda u periodu od 2011-2020. godine. Ispitanici su podeljeni u tri grupe prema vrsti povreda: povrede vezane za krvarenja, poremećaje disanja i povrede glave. Grupu „kontrola“ činili su slučajevi koji su preživeli neposredni period nakon povređivanja. Rezultati: Statistički značajno veći broj saobraćajnih nesreća beleži se tokom leta u odnosu na ostala godišnja doba. Utvrđeno je da je najveći broj ispitanika stradao u saobraćajnim nesrećama zbog povreda centralnog nervnog sistema (CNS-a). Postoji statistički značajan uticaj prisustva združenih povreda na ishod saobraćajnih nesreća u ispitivanoj populaciji: kategorija asfiksija, kategorija povreda glave i kategorija krvarenja, dok je smrtni ishod bio najčešći u slučaju politraume. Uočena je značajna razlika u graničnim vrednostima koje prate blizinu i vreme transporta do bolnice koja je specifična za zadobijenu povredu, kao i za najbližu bolnicu tercijarnog nivoa. Zaključak: Formiranje dostupne mreže traumatoloških centara i uvođenje registra traume, najbolje je rešenje za bolju stopu preživljavanja teško traumatizovanih bolesnika u saoraćaju.

Introduction: The aim of this study was to examine the trend in the frequency of fatalities and injuries in traffic accidents in Montenegro, with the aim of identifying the most vulnerable participants in traffic accidents. Methods: The research was designed as an observational case-control study. Participants in traffic accidents in Montenegro that resulted in serious bodily injury or death in the period from 2011-2020 were sampled. years. The respondents were divided into three groups according to the type of injuries: injuries related to bleeding, breathing disorders and head injuries. The "control" group consisted of cases that survived the immediate post-injury period. Results: A statistically significantly higher number of traffic accidents is recorded during the summer compared to other seasons. It was found that the largest number of respondents died in traffic accidents due to central nervous system (CNS) injuries. There is a significant influence of the presence of combined injuries on the outcome of traffic accidents in the studied population: category of asphyxia, category of head injuries and category of bleeding, while death was the most common in the case of polytrauma. A significant difference was observed in the threshold values that follow the proximity and time of transport to the hospital, which is specific to the injury sustained, as well as to the nearest tertiary level hospital. Conclusion: The formation of an accessible network of trauma centers and the introduction of a trauma registry is the best solution for a better survival rate of severely traumatized patients in cooperation.

trauma, saobraćaj, povrede glave, povrede grudnog koša, krvarenje, zlatni sat

trauma, traffic, head injuries, chest injuries, bleeding, golden hour

616-058(043.3)

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