Consideration on defining polytrauma as a single disease
10.3760/cma.j.cn501098-20220827-00584
- VernacularTitle:对多发伤是一种独立“疾病”类型的思考
- Author:
Zhaohui TANG
1
;
Zhanfei LI
;
Xiangjun BAI
Author Information
1. 华中科技大学同济医学院附属同济医院创伤外科，同济创伤中心，武汉 430030
- Keywords:
Disease;
International classification of diseases;
Polytrauma
- From:
Chinese Journal of Trauma
2022;38(12):1067-1070
- CountryChina
- Language:Chinese
-
Abstract:
Polytrauma represents severe injuries to multiple body regions, which is associated with high risk of complications and mortality. The definition of polytrauma relies on the basic concept of a combination of injuries that cause a life-threatening condition. The authors strongly call on the healthcare community to list polytrauma as a single disease in the international classification of diseases, rather than "disease combination". Because polytrauma has definite etiology and unique pathophysiological changes after polytrauma, treatment models are different from single trauma. Polytrauma can certainly fulfil any practical and nosological criteria of a single disease according to Berlin definition. The authors explore the importance of polytrauma as a single disease in preventive intervention strategies, therapeutic measures and traumatology development in the future.
