The quality of a trauma system can be assessed by the rate of preventable deaths.
A random selected sample of 110 trauma patients was examined using both clinical and autopsy data.
The assessors were asked the following question: If this patient had sustained the accident in front of the hospital in a normal working day, might death have been prevented?
Death was found to be unavoidable in 61 cases; in 25 cases death was classified potentially preventable; 11 cases were classified as clearly preventable death.
The main failures of treatment were identified as errors and delays during the first phases of in-hospital assessment and care.
An improvement in the pre-hospital phase will be almost useless if the quality of the definitive in-hospital management is not addressed.
Mots-clés Pascal : Traumatisme, Epidémiologie, Prévention, Pronostic, Homme, Urgence, Soin, Italie, Europe, Mortalité
Mots-clés Pascal anglais : Trauma, Epidemiology, Prevention, Prognosis, Human, Emergency, Care, Italy, Europe, Mortality
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0350720
Code Inist : 002B16N. Création : 199406.