Document Detail


Preventable prehospital trauma deaths in a Hellenic urban health region: an audit of prehospital trauma care.
MedLine Citation:
PMID:  8913218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify preventable prehospital deaths, caused by trauma. DESIGN: Analysis of 82 trauma victims who were dead on arrival (DOA) into our hospital. SETTING: General Hospital of Piraeus, Greece. MATERIALS AND METHODS: Evaluation of the autopsy findings of 82 DOAs. MEASUREMENTS: Demographic, autopsy, and toxicology data, ICD9 codes, Abbreviated Injury Score (AIS)-90, Injury Severity Score (ISS)-body regions, central nervous system (CNS) deaths, non-CNS deaths, p values, and opinion of a clinical assessor. MAIN RESULTS: The 29 (35.36%) DOAs had at least one AIS6 injury. Extracranial hemorrhage, airway, and breathing dysfunction were contributing factors of death of 27 "possibly preventable" CNS deaths, and the causes of death for the 20 non-CNS deaths. p value (0.5) indicated that 24 (29.26%) of the DOAs expected to survive. The clinical assessor characterized four (4.87%) as "definitely preventable" and 35 (42.65%) as "possibly preventable" deaths. CONCLUSIONS: Upgrading of the emergency medical care service is required.
Authors:
I N Papadopoulos; D Bukis; E Karalas; S Katsaragakis; S Stergiopoulos; G Peros; G Androulakis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  41     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1996-12-11     Completed Date:  1996-12-11     Revised Date:  2007-07-18    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  864-9     Citation Subset:  AIM; IM    
Affiliation:
4th Surgical Department, University of Athens, General Hospital of Piraeus, Greece.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Injuries / epidemiology
Accident Prevention
Adolescent
Adult
Aged
Aged, 80 and over
Autopsy
Brain Injuries / epidemiology
Central Nervous System / injuries
Emergency Medical Services / standards*
Ethanol / blood
Female
Greece / epidemiology
Hemorrhage / etiology,  mortality
Humans
Injury Severity Score
Male
Medical Audit*
Middle Aged
Neck Injuries
Prospective Studies
Thoracic Injuries / epidemiology
Urban Population
Wounds and Injuries / classification,  epidemiology,  mortality*,  therapy*
Chemical
Reg. No./Substance:
64-17-5/Ethanol
Comments/Corrections
Comment In:
J Trauma. 2007 May;62(5):1316   [PMID:  17495750 ]

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


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