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    
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.
H Meislin; E A Criss; D Judkins; R Berger; C Conroy; B Parks; D W Spaite; T D Valenzuela
Related Documents :
8198684 - Motorcycle crashes in new zealand resulting in death and hospitalisation. i: introducti...
14979354 - Does the expert witness fit the crime? injury to a child by starvation--a dietitian's t...
9287884 - Infants with isolated skull fracture: what are their clinical characteristics, and do t...
9422234 - Clinical aspects of perinatal hypoxic-ischemic brain injury.
10999814 - Thyroid function and intellectual development of infants nursed by mothers taking methi...
8296434 - Diagnosis and treatment of metabolic acidosis in calves: a field study.
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    
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
Age Factors
Aged, 80 and over
Arizona / epidemiology
Child, Preschool
Emergency Medical Services / statistics & numerical data*
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.