Document Detail


Fatal trauma: the modal distribution of time to death is a function of patient demographics and regional resources.
MedLine Citation:
PMID:  9314304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Unlike previous studies in an urban environment, this study examines traumatic death in a geographically diverse county in the southwestern United States. METHODS: All deaths from blunt and penetrating trauma between November 15, 1991, and November 14, 1993, were included. As many as 150 variables were collected on each patient, including time of injury and time of death. Initial identification of cases was through manual review of death records. Information was supplemented by review of hospital records, case reports, and prehospital encounter forms. RESULTS: A total of 710 traumatic deaths were analyzed. Approximately half of the victims, 52%, were pronounced dead at the scene. Of the 48% who were hospitalized, the most frequent mechanism of injury was a fall. Neurologic dysfunction was the most common cause of death. Two distinct peaks of time were found on analysis: 23% of patients died within the first 60 minutes, and 35% of patients died at 24 to 48 hours after injury. CONCLUSIONS: Although there appears to continue to be a trimodal distribution of trauma deaths in urban environments, we found the distribution to be bimodal in an environment with a higher ratio of blunt to penetrating trauma.
Authors:
H Meislin; E A Criss; D Judkins; R Berger; C Conroy; B Parks; D W Spaite; T D Valenzuela
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of trauma     Volume:  43     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-10-21     Completed Date:  1997-10-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  433-40     Citation Subset:  AIM; IM    
Affiliation:
Arizona Emergency Medicine Research Center, Department of Surgery, College of Medicine, University of Arizona, Tucson 85724-5057, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Arizona / epidemiology
Child
Child, Preschool
Demography
Emergency Medical Services / statistics & numerical data*
Female
Humans
Infant
Male
Middle Aged
Rural Population
Time Factors
Urban Population
Wounds, Nonpenetrating / epidemiology,  mortality*
Wounds, Penetrating / epidemiology,  mortality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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