Epidemiology of severe trauma
Epidemiology of severe trauma
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DOI：
10.1016/j.medin.2014.06.012
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发表时间：
2014-12-01
影响因子：
3
通讯作者：
Zabarte, M.
中科院分区：
文献类型：
--
作者：
Alberdi, F.;Garcia, I.;Zabarte, M.
重大伤害是全球第六大死亡原因。在35岁以下的人中，它是导致死亡和残疾的主要原因。交通事故是主要原因，主要发生在低收入和中等收入国家。65岁以上的患者是一个越来越受影响的群体。对于类似程度的损伤，由于存在重要的合并症和相关治疗，这些患者的死亡率是年轻人的两倍，并且更有可能死于住院后期的医疗并发症。对于记录、报告和比较严重创伤患者的数据，目前尚无世界性的标准化定义。最常见的创伤评分是简易损伤量表（AIS）、损伤严重程度评分（ISS）和创伤和损伤严重程度评分（TRISS）。记录伤害负担还需要评估创伤后损伤、残疾和残障的影响。创伤流行病学有助于确定保健服务和研究的优先事项，有助于查明弱势群体，并有助于制定预测结果的可比措施。(C) 2014 Elsevier Espana， S.L.U. and semiyuc。版权所有。
Major injury is the sixth leading cause of death worldwide. Among those under 35 years of age, it is the leading cause of death and disability. Traffic accidents alone are the main cause, fundamentally in low- and middle-income countries.Patients over 65 years of age are an increasingly affected group. For similar levels of injury, these patients have twice the mortality rate of young individuals, due to the existence of important comorbidities and associated treatments, and are more likely to die of medical complications late during hospital admission.No worldwide, standardized definitions exist for documenting, reporting and comparing data on severely injured trauma patients. The most common trauma scores are the Abbreviated Injury Scale (AIS), the Injury Severity Score (ISS) and the Trauma and Injury severity Score (TRISS).Documenting the burden of injury also requires evaluation of the impact of post-trauma impairments, disabilities and handicaps. Trauma epidemiology helps define health service and research priorities, contributes to identify disadvantaged groups, and also facilitates the elaboration of comparable measures for outcome predictions. (C) 2014 Elsevier Espana, S.L.U. and SEMICYUC. All rights reserved.