Document Detail


An evaluation of outcome after severe trauma.
MedLine Citation:
PMID:  11892825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is a perception that patients with severe trauma either die soon after the trauma or survive. This study evaluated 123 patients with severe trauma until 6 months after discharge from the Intensive Care Unit (ICU). At baseline, the median Injury Severity Score was 29 (interquartile range 20-38) and the median Acute Physiology and Chronic Health Evaluation II score was 13 (interquartile range 9-15). Injuries related to road transport accounted for 79% (97/123) of the injuries and the patients were predominantly male (66%) and young (75% < 38 years of age). The median stay in ICU was 11 days. Ten per cent of the patients (12/123) died during the study period, but one-quarter of the deaths were in hospital after discharge from ICU and one-quarter of the deaths occurred after discharge from hospital. It is impossible to carefully document the mortality due to severe trauma unless the survivors of ICU are reviewed after discharge from hospital.
Authors:
H C Hall; G Dobb; J L Hall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of quality in clinical practice     Volume:  21     ISSN:  1320-5455     ISO Abbreviation:  J Qual Clin Pract     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2002-03-14     Completed Date:  2002-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9430670     Medline TA:  J Qual Clin Pract     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  66-8     Citation Subset:  IM    
Affiliation:
University Department of Surgery, Royal Perth Hospital, Western Australia, Australia. jchall@cyllene.uwa.edu.au
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MeSH Terms
Descriptor/Qualifier:
APACHE
Adult
Australia / epidemiology
Female
Hospital Mortality
Humans
Injury Severity Score
Intensive Care Units / utilization*
Length of Stay
Male
Medical Futility
Multiple Trauma / mortality,  therapy*
Outcome Assessment (Health Care)*
Patient Discharge
Prospective Studies
Time Factors

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


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