American Association for the Surgery of Trauma. Annual meeting. New Orleans LA USA, 1993/09/25.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0211827
Code Inist : 002B30A01A2. Création : 09/06/1995.