ARE PREHOSPITAL DEATHS FROM ACCIDENTAL INJURY PREVENTABLE
ARE PREHOSPITAL DEATHS FROM ACCIDENTAL INJURY PREVENTABLE
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DOI：
10.1136/bmj.308.6936.1077
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发表时间：
1994-04-23
影响因子：
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通讯作者：
REDMOND, AD
中科院分区：
文献类型：
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作者：
HUSSAIN, LM;REDMOND, AD
1987年1月1日至1990年12月31日之间发生的意外伤害死亡，并报告给验尸官。设置-北斯塔福德郡。主要结果测量-伤害严重程度评分，结果：有152例院前意外伤害死亡（男110例，女42例）。同期，有257人因意外伤害住院死亡（136名男性和121名女性）。那些在到达医院之前死亡的人的平均死亡年龄为41.9岁，他们的平均损伤严重程度评分为29.3。相比之下，在医院死亡的人年龄较大，男性和女性的可能性相同。在113例院前死亡中发生了重要的神经损伤，59例有气道阻塞的证据。86例院前死亡是由于道路交通事故，其中37例是汽车内的乘客。根据损伤严重程度评分和年龄，在92例病例中发现死亡是不可避免的或极有可能的。在其余的60例死亡并不是不可避免的，气道阻塞存在于多达51例受伤，他们可能survived. Conclusion死亡是潜在的预防至少有39%的人死于意外伤害之前，他们到达医院。应更广泛地提供急救培训，特别是对驾车者，因为许多可以预防的院前死亡是由于交通事故造成的。
Objective-To determine what proportion of prehospital deaths from accidental injury-deaths at the scene of the accident and those that occur before the person has reached hospital-are preventable.Design-Retrospective study of all deaths from accidental injury that occurred between 1 January 1987 and 31 December 1990 and were reported to the coroner.Setting-North Staffordshire.Main outcome measures-Injury severity score, probability of survival (probit analysis), and airway obstruction.Results-There were 152 pre-hospital deaths from accidental injury (110 males and 42 females). In the same period there were 257 deaths in hospital from accidental injury (136 males and 121 females). The average age at death was 41.9 years for those who died before reaching hospital, and their average injury severity score was 29.3. In contrast, those who died in hospital were older and equally likely to be males or females. Important neurological injury occurred in 113 pre-hospital deaths, and evidence of airway obstruction in 59. Eighty six pre-hospital deaths were due to road traffic accidents, and 37 of these were occupants in cars. On the basis of the injury severity score and age, death was found to have been inevitable or highly likely in 92 cases. In the remaining 60 cases death had not been inevitable and airway obstruction was present in up to 51 patients with injuries that they might have survived.Conclusion-Death was potentially preventable in at least 39% of those who died from accidental injury before they reached hospital. Training in first aid should be available more widely, and particularly to motorists as many pre-hospital deaths that could be prevented are due to road accidents.