Clinical efficient risks, associated with clinic-epidemiological and clinic-nosological risk-creating factors in thoraco-cranial trauma

Keywords: closed thoraco-cranial trauma; closed trauma of thoracic cage; clinical efficient risks.

Abstract

Objective. Formulation of clinical efficient risks, associated with- clinic-epidemiological signs and clinic-nosological forms of injuries.

Materials and methods. The calculation data of clinical efficient risks, associated with clinic-epidemiological and clinic-nosological characteristics of 254 injuries are adduced, including 178 combined closed thoraco-cranial traumas and 76 isolated thoracic traumas.

Results. Using polychoric analysis, the clinical efficient risks for combined thoraco-cranial traumas and isolated closed traumas of thoracic cage were calculated. The data base was formatted in accordance to the method of irrevocable randomization of general massive of 20 592 injuries and the method of the random numbers in accordance to presence of cranial and thoracic injuries - for the main group and in accordance to signs of the isolated thoracic trauma presence - for the control one. The conducted polychoric analysis of data have permitted to establish, that in the injured men-patients with combined closed thoraco-cranial trauma between clinic-epidemiological factors and clinic-nosological signs a positive (c=0.43) , moderate (φ²=0.23) and trustworthy (χ²=29.26) association exists, and the above-mentioned establishments are localized in the trustworthiness field borders. In the injured women-patients with combined closed thoraco-cranial trauma between clinic-epidemiological factors and clinic-nosological signs a positive (c=0.3), mild (φ²=0.1) and trustworthy (χ²=4.97) association exists, but the trustworthiness degree indicates on essential impact of other factors.

Conclusion. Clinical efficient risks, associated with clinic-epidemiological and clinic-nosological risk-creating factors, are certainly trustworthy, their values are distributed from minimal to critical and owe a trustworthy association with clinic-epidemiological signs and clinic-epidemiological forms of the injuries. Occurrence of certain clinic-nosological forms of combined thoraco-cranial trauma owes strong positive and trustworthy association with clinic-epidemiological characteristics.

Author Biographies

S. O. Gurev, Ukrainian Scientific-Practical Centre of Urgent Medical Help and Medicine of Disasters МH of Ukraine, Kyiv

Gurev Sergey Omelyanovich, MD, DSci(Med), professor
Deputy Director for Research
Ukrainian Scientific and Practical Center for Emergency Care and Disaster Medicine
3, Bratyslavska Str, 02660, Kyiv,
044 518 5708
gurevsergej1959@gmail.com
ORCID https://orcid.org/0000-0003-0191-945X

V. V. Khmel, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Khmel Vitaliy Volodymyrovych, MD, thoracic surgeon
Department of Surgical Treatment of Tuberculosis and NZL,
F.G. Yanovsky National Institute of Tuberculosis and Pulmonology
10 Amosova Str, 0303,8 Kyiv
044 275 2700
khmelvitaliy@gmail.com
ORCID https://orcid.org/0000-0002-3072-7230

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Published
2020-06-26
How to Cite
Gurev, S. O., & Khmel, V. V. (2020). Clinical efficient risks, associated with clinic-epidemiological and clinic-nosological risk-creating factors in thoraco-cranial trauma. Klinicheskaia Khirurgiia, 87(3-4), 69-73. https://doi.org/10.26779/2522-1396.2020.3-4.69
Section
General Problems of Surgery