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  1. Epidemiology of trauma deaths : a reassessment.

    Article, Communication - En anglais

    American Association for the Surgery of Trauma. Annual meeting. New Orleans LA USA, 1993/09/25.

    Objective 

    Recognizing the impact of the 1977 San Francisco study of trauma deaths in trauma care, our purpose was to reassess those findings in a contemporary trauma system.

    Design 

    Cross-sectional.

    Material and Methods 

    All trauma deaths occurring in Denver City and County during 1992 were reviewed ; data were obtained by cross-referencing four databases : paramedic trip reports, trauma registries, coroner autopsy reports and police reports.

    Measurements and Main Results 

    There were 289 postinjury fatalities ; mean age was 36.8±1.2 years and mean Injury Severity Score (ISS) was 35.7±1.2. Predominant injury mechanisms were gunshot wounds in 121 (42%), motorvehicle accidents in 75 (38%) and falls in 23 (8%) cases.

    Seven (2%) individuals sustained lethal burns.

    Ninety eight (34%) deaths occurred in the pre-hospital setting.

    The remaining 191 (66%) patients were transported to the hospital.

    Of these, 154 (81%) died in the first 48 hours (acute), 11 (6%) within three to seven days (early) and 26 (14%) after seven days (late).

    Central nervous system injuries were the most frequent cause of death (42%), followed by exsanguination (39%) and organ failure (7%). While acute and early deaths were mostly due to the first two causes, organ failure was the most common cause of late death (61%). Conclusions : In comparison with the previous report, we observed similar injury mechanisms, demographics and causes of death.

    Mots-clés Pascal : Colorado, Traumatisme, Mortalité, Etiologie, Epidémiologie, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Colorado, Trauma, Mortality, Etiology, Epidemiology, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0211827

    Code Inist : 002B30A01A2. Création : 09/06/1995.