Ten-year trends in traumatic injury mechanisms and outcomes: A trauma registry analysis
| Autor: | C. Anthony Howard, William J. Fleischer, Yuen-Jing A. Chen, Nasir Mushtaq, Zhamak Khorgami, Michael S. Charles |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Patient Transfer medicine.medical_specialty Adolescent Trauma registry 03 medical and health sciences 0302 clinical medicine Patient Admission Acute care medicine Prevalence Humans 030212 general & internal medicine Registries Child Aged Trauma Severity Indices business.industry Incidence (epidemiology) Infant Newborn Infant 030208 emergency & critical care medicine Oklahoma General Medicine Length of Stay Middle Aged Annual Percent Change Icu admission medicine.anatomical_structure Traumatic injury Child Preschool Emergency medicine Etiology Abdomen Wounds and Injuries Surgery Accidental Falls Female business |
| Zdroj: | American journal of surgery. 215(4) |
| ISSN: | 1879-1883 |
| Popis: | Background The Oklahoma Trauma Registry (OTR) collects data from all state-licensed acute care hospitals. This study investigates trends and outcomes of trauma in Oklahoma using OTR. Methods 107,549 patients (2005–2014) with major severity and one of the following criteria were included: length of hospital stay ≥48 h, dead on arrival or death in the hospital, hospital transfer, ICU admission, or surgery on the head, chest, abdomen, or vascular system. Patient characteristics, mechanisms of injury, and outcomes of trauma were analyzed. Results Hospital admissions due to falls increased with an annual percent change of 4.0% (95%CI: 3.1%–4.9%) while hospital admissions due to motor vehicle crashes decreased. The number of overall deaths per year remained stable except for the fall-related deaths, which increased proportionate to the increase in the incidence of fall. Fall-related mortality was 4.2% and intracranial bleeding was present in 60% in these patients. Conclusion Falls are significantly increasing as a mechanism of trauma admissions and trauma-related deaths in Oklahoma. Analysis of state-based trauma registries can identify trends in etiologies of injuries and may indicate a reference point to prioritize preventive plans. |
| Databáze: | OpenAIRE |
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