The Courses of Organ Dysfunctions in the Complex MODS in Traumatized Patients and the Prognosis

Overview

1113 of traumatized patients treated on ICU in the Trauma hospita lin Brno were divided into the groups second the posttraumatic clinical course.Consecutively we have analysed a reasons for the development of the multiple organ dysfunction syndrome.Incidence of the traumatic shock was 34.77 % with mortality of 22.99 %. Incidence of the MODS was 12.03 %, with the mortality 58.23 %.The typical clinical find of the patients with the MODS was respiratory dysfunction (outcome in 60 %, mortality in 80 %). The difference betweenoutcome and mortality was found with the marked incidence of cardiovascular dysfunction (60 % contrary 10 %) and acute renal dysfunction (40 %contrary 10 %). This finds confirmed very good known fact – high mortality in patient with combination of renal and respiratory dysfunction.The typical find in the patients with the MODS – outcome was incidence of the liver and the gut dysfunction. The difference between MODS –outcome and MODS mortality was in the number of existing organ dysfunction. 75 % of the patients in the group MODS – outcome had two-organdysfunction and contrary wise in the group MODS of mortality 50 % where the patients had three-organ dysfunction and 75 % patients three-fourorgan dysfunctions. We found in the group of the EMODS high incidence of the trauma of the ext remities and combination of more traumatizatedorgans-systems. In the LMODS group the most frequent was the spinal trauma.

Key words:
organs dysfunction – trauma – survival