| 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 |
Related Documents
:
|
18827684 - Spinal cord injury without radiological abnormality in an infant with delayed presentat... 12438674 - White matter injury after repeated endotoxin exposure in the preterm ovine fetus. 326724 - Cold injury in early infancy. 8806144 - Lethal airbag injury in an infant. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake.
Next Document: Early but not late burn wound excision partially restores viral-specific T lymphocyte cytotoxicity.