Document Detail


Injury patterns and preventability in prehospital motor vehicle crash fatalities in Victoria.
MedLine Citation:
PMID:  15283713     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the pattern of anatomical injury in victims of motor vehicle crashes who die prior to reaching hospital. Cases were identified where death was an unexpected outcome. METHODS: A retrospective review of autopsy case records including police reports, of all persons who died in motor vehicle crashes between 1 January 1998 and 31 December 1999 and underwent full autopsy at the Victorian Institute of Forensic Medicine (VIFM). Those cases where the victim died in the prehospital phase were examined. Abbreviate Injury Scores and Injury Severity Scores were calculated in each case. Bull's probit analysis was used to identify unexpected deaths. RESULTS: There were 352 motor road crash fatalities identified that underwent autopsy at the VIFM in the study period. Two hundred and six of these were prehospital deaths involving motor vehicles, which satisfied specified criteria. 82% (95% CI: 77.7-86.3%) of cases had Abbreviated Injury Scores of 5 (critical) or 6 (incompatible with life). 80.1% (95% CI: 75.7-84.5%) had an Injury Severity Score greater than 40. 36.9% (95% CI: 34.5-39.3%) of cases had the maximum Injury Severity score of 75. 88.8% (95% CI: 85-92.7%) of cases sustained a head injury and 83.9% (95% CI: 79.8-88.2%) a chest injury. Possibly preventable fatality was identified in 30 (14.6% 95% CI: 13.9-15.3%) cases. CONCLUSION: In motor vehicle crash fatalities, most victims who die before reaching hospital do so because of major injury, with the head and chest the commonest regions involved. A large proportion of these injuries could be considered unsurvivable regardless of treatment. Earlier intervention or retrieval of such patients is unlikely to influence outcome in the majority of cases.
Authors:
Matt Ryan; Julian Stella; Herman Chiu; Michael Ragg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine Australasia : EMA     Volume:  16     ISSN:  1742-6731     ISO Abbreviation:  Emerg Med Australas     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-30     Completed Date:  2004-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101199824     Medline TA:  Emerg Med Australas     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  274-9     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Geelong Hospital, Geelong, Victoria, Australia. mattr@barwonhealth.org.au
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MeSH Terms
Descriptor/Qualifier:
Abbreviated Injury Scale
Accidents, Traffic / mortality*
Adult
Age Distribution
Emergency Medical Services / statistics & numerical data*
Female
Humans
Injury Severity Score
Male
Middle Aged
Retrospective Studies
Survival Analysis
Victoria / epidemiology
Wounds and Injuries / classification*,  mortality*,  prevention & control
Comments/Corrections
Comment In:
Emerg Med Australas. 2004 Aug;16(4):265-6   [PMID:  15283709 ]

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


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