The epidemiology of serious and fatal injury in San Diego county over an 11-year period
The epidemiology of serious and fatal injury in San Diego county over an 11-year period
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DOI：
10.1097/01.ta.0000101490.32972.9f
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发表时间：
2004-01-01
影响因子：
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通讯作者：
Hollingsworth-Fridlund, P
中科院分区：
文献类型：
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作者：
Potenza, BM;Hoyt, DB;Hollingsworth-Fridlund, P
背景资料：随着时间的推移，损伤的机制和严重程度的分析可能会允许一个更有针对性的规划急性护理和创伤预防programmes.Methods：一个回顾性的，以人口为基础的研究，研究严重的创伤性损伤，在一个县进行。三个重叠的数据集被用来形成一个复合损伤dataset.Results：有55,664例患者纳入研究。共有40，897例（73.5%）患者存活，14，767例（26.5%）患者死亡。在这些死亡的患者中，有8，910人（60.3%）在现场死亡，没有被送往创伤中心。所有创伤受害者的平均年龄增加（3岁），致命伤患者的平均年龄增加5岁。平均损伤严重度评分从14.7降至11.6（p < 0.01）;然而，致命患者的损伤严重度评分保持不变（39.7）。在11年的研究期间，总体伤害率保持不变（195/10（5）），而致命伤害率下降了22%（45.9/10（5））。受伤的主要原因是车祸，其次是殴打。致命伤害的主要原因是自杀，其次是他杀。结论：三个独立的伤害数据源的组合产生的严重和致命伤害的复合数据集。这一区域伤害分析是对本区域伤害的最全面概述。结果表明：我县严重伤害总体发生率没有变化，致命性伤害发生率明显下降，非致命性伤害的主要死因与致命性伤害的排序不相关，故意伤害是伤害死亡的主要原因;和现场死亡代表了一个研究不足的患者群体，他们可能受益于初级预防和伤害控制研究。
Background: Analysis of the mechanism and severity of injury over time may permit a more focused planning of acute care and trauma prevention programs.Methods: A retrospective, population-based study examining severe traumatic injury in a single county was undertaken. Three overlapping data sets were used to form a composite injury data set.Results: There were 55,664 patients included in the study. A total of 40,897 (73.5%) patients survived and 14,767 (26.5%) died. Of those patients who died, 8,910 (60.3%) died in the field and were not transported to a trauma center. There was an increase in the mean age of all trauma victims (3 years) and an in-crease of 5 years in fatally injured patients. The mean Injury Severity Score decreased from 14.7 to 11.6 (p < 0.01); however, Injury Severity Score for fatal patients remained constant (39.7). The overall injury rate remained unchanged (195 per 10(5)), whereas the fatal injury rate decreased by 22% (45.9 per 10(5)) over the 11-year study period. The leading cause of injury was motor vehicle crash, followed by assault. The leading cause of fatal injury was suicide, followed by homicide.Conclusion: A combination of three independent injury data sources generated a composite data set of serious and fatal injury. This regional injury analysis was the most comprehensive overview of injury in our region. Important observations included the following: there has been no change in the overall incidence of severe injury within our county; the incidence of fatal traumatic injury has significantly decreased; the leading causes of nonfatal injury do not correlate with the rank order of fatal injury; intentional injury was the leading cause of injury deaths; and scene fatalities represent a poorly studied group of patients who may benefit from primary prevention and injury control research.