Epidemiology of trauma deaths

Baker, Christopher C.; Oppenheimer, L.; Stephens, Boyd G.; Lewis, Frank R.; Trunkey, Donald D.

doi:10.1016/0002-9610(80)90431-6

Cited by 608 publications

(270 citation statements)

References 16 publications

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“…By comparison, 64% of the deaths were immediate in the original 1972 study. 4 A later study in the US found 53% of trauma deaths to be in the immediate category. 6 Recognition of the extent of these immediate deaths led to rapid development of regionalised integrated trauma systems in North America.…”

Section: Timing Of Deathmentioning

confidence: 98%

“…4,6,10,11 Additionally, studies from Nigeria have shown challenges with airway management in patients with severe head injuries. Half of all the surgeries carried out during the period under study were craniotomies for haematoma evacuation.…”

Section: Cause Of Deathmentioning

confidence: 99%

“…3 In a classic paper in 1983, Trunkey described a "trimodal" distribution of trauma deaths based upon the time interval from injury to death. 4 This represents 3 peaks of deaths following trauma, characterised as immediate, early, and late deaths. The first peak included immediate deaths, within the first hour after trauma, and contains about 45% of all deaths.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Subsequent to this recognition, comprehensive trauma systems were developed to reduce the burden of injuries and trauma deaths by devising interventions to reduce all 3 types of trauma deaths. 6 Over the last 3 decades, these developments have included injury prevention, use of prehospital advanced life support interventions, rapid transport, widespread adoption of advanced trauma life support by prehospital providers and emergency departments, designated trauma centres with personnel and resources to care for the injured, evidence-based protocols for acute care of injuries, advances in critical care medicine, and multidisciplinary care of the injured.…”

Section: Introductionmentioning

confidence: 99%

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Timing of death at National Trauma Center, Abuja, Nigeria

Gwaram¹,

Ameh²

2018

East. Cent. Afr. J. Surg.

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Background: We aimed to analyse the burden and timing of trauma deaths over a 1-year period at a trauma centre in Nigeria.Methods: This was a retrospective review of in-hospital trauma deaths during the period of January to December 2015. Sociodemographic data, cause of injury, mode of presentation, time interval between presentation and death, injury diagnoses, treatment, and place of death were analysed.Results: There were 2230 trauma consultations during the study period; 85 were brought in dead from the scene. We analysed data from 103 of 121 in-hospital deaths. Patient ages ranged from 0 to 90 years, with a mean age of 31.1. The male-to-female ratio was 5:1. Following injury, 46.6% of the victims presented directly to our tertiary centre, while 53.4% were referred from other hospitals. Most of the injuries were from RTA. Isolated head injury was the predominant diagnosis (44.7%), followed by polytrauma (29%). Immediate deaths (exclusive of those brought in already dead) comprised 5.8% of cases; 37.9% were early deaths and 56.3% were late deaths.Conclusions: The timing of trauma deaths closely approximated the original trimodal description in North America about half a century ago even though advances in trauma care have resulted in changes from this pattern in developed countries. Regionalised integrated care including prehospital trauma services are recommended.

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Section: Timing Of Deathmentioning

confidence: 98%

Section: Cause Of Deathmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Timing of death at National Trauma Center, Abuja, Nigeria

Gwaram¹,

Ameh²

2018

East. Cent. Afr. J. Surg.

View full text Add to dashboard Cite

show abstract

“…By 2020, an estimated 8.4 million people will die annually secondary to trauma [2,3]. The concept of trimodal distribution of trauma mortality from the early eighties [4] of the last century has changed in terms of prevalence of early death after injury. There is a decrease of 50% of deaths within 60 min after massive trauma, head injury and respiratory problems, but the majority of deaths still occur within 24 h of injury [5].…”

Section: Introductionmentioning

confidence: 99%