Data on all deaths after injuries in Lothian and Borders regions of south-east Scotland were collected prospectively over 2 years.
Postmortems were performed after all deaths and Injury Severity Scores (ISS) calculated.
There were 331 deaths at a rate of 20 per 100 000 per year ; of those who died 49 per cent were younger than 40 years and most were male ; 37 per cent of deaths were caused by road traffic accidents, 16 per cent by falls and 15 per cent by hangings.
Two hundred and forty-eight patients (75 per cent) were either dead when found or died instantly with unsurvivable injuries (ISS=75).
A further five patients died in the first hour after injury and before reaching hospital.
Nineteen (7 per cent) died between 1 and 4h after injury, 59 (17 per cent) died more than 4h after.
These results demonstrate the rate, causes and timing of deaths following injuries in one UK region.
The pattern of these deaths differs markedly from that previously described in the US.
There is no evidence to support the concept of a trimodal distribution of trauma deaths.
The greatest potential to reduce the number of trauma deaths lies with prevention.
Mots-clés Pascal : Ecosse, Grande Bretagne, Royaume Uni, Europe, Epidémiologie, Mortalité, Traumatisme, Homme, Etiologie, Délai, Fréquence
Mots-clés Pascal anglais : Scotland, Great Britain, United Kingdom, Europe, Epidemiology, Mortality, Trauma, Human, Etiology, Time lag, Frequency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0305949
Code Inist : 002B30A01A2. Création : 10/04/1997.