keyword
https://read.qxmd.com/read/36939860/tri-modal-distribution-of-trauma-deaths-in-a-resource-limited-setting-perception-versus-reality
#1
JOURNAL ARTICLE
Jared Gallaher, Selena J An, Linda Kayange, Dylane Davis, Anthony Charles
BACKGROUND: Advances in trauma care in high-income countries have significantly reduced late deaths following trauma, challenging the classical trimodal pattern of trauma-associated mortality. While studies from low and middle-income countries have demonstrated that the trimodal pattern is still occurring in many regions, there is a lack of data from sub-Saharan Africa evaluating the temporal epidemiology of trauma deaths. METHODS: We conducted a retrospective analysis of the trauma registry at Kamuzu Central Hospital in Lilongwe, Malawi, including all injured patients presenting to the emergency department (ED) from 2009 to 2021...
March 20, 2023: World Journal of Surgery
https://read.qxmd.com/read/35695949/nine-year-in-hospital-mortality-trends-in-a-high-flow-level-one-trauma-center-in-italy
#2
JOURNAL ARTICLE
Elisa Reitano, Roberto Bini, Margherita Difino, Osvaldo Chiara, Stefania Cimbanassi
Trauma is the leading cause of death in young people with a considerable socio-economic impact worldwide. A trimodal distribution of trauma mortality was described in the past, but recently different studies underlined a progressive change in trauma mortality distribution linked to improvement in trauma care. This study aimed to analyze the mortality trends in a Level-One Trauma Center in Italy. Data on 6065 patients consecutively admitted to the Trauma Center between 2011 and 2020 were selected and retrospectively analyzed...
August 2022: Updates in Surgery
https://read.qxmd.com/read/35141623/spinal-fractures-and-or-spinal-cord-injuries-are-associated-with-orthopedic-and-internal-organ-injuries-in-proximity-to-the-spinal-injury
#3
JOURNAL ARTICLE
Nidharshan S Anandasivam, Nathaniel T Ondeck, Paul S Bagi, Anoop R Galivanche, Andre M Samuel, Daniel D Bohl, Jonathan N Grauer
BACKGROUND: the demographics, mechanisms of injury, and concurrent injuries associated with cervical, thoracic and lumbar spinal fracture and/or spinal cord injury remain poorly characterized. METHODS: Patients aged 18 and older with spinal injury between 2011 and 2015 in the National Trauma Data Bank (NTDB) were identified. Patient demographics, comorbidity burden, mechanism of injury, and associated injuries were analyzed. RESULTS: in total, 520,183 patients with acute spinal injury were identified including 216,522 cervical, 191,218 thoracic, and 220,294 lumbar...
June 2021: N Am Spine Soc J
https://read.qxmd.com/read/34003478/epidemiology-of-trauma-admissions-in-a-level-1-trauma-center-in-northern-italy-a-nine-year-study
#4
JOURNAL ARTICLE
Margherita Difino, Roberto Bini, Elisa Reitano, Roberto Faccincani, Fabrizio Sammartano, Laura Briani, Stefania Cimbanassi, Osvaldo Chiara
The aim of this study was to analyze the results of 9 years of trauma care and data collection in a level 1 urban trauma center in Northern Italy. Overall, 6065 patients have been included in the study; the number of patients managed yearly has doubled between 2011 and 2019. This rise mostly involved patients with injury severity score (ISS) < 16. Most injuries (94%) were blunt. Road traffic accidents, especially involving motorcycles, were the most common cause of injury. Self-inflicted injuries were responsible for less than 5% of trauma but they were severe in 56% of cases...
October 2021: Updates in Surgery
https://read.qxmd.com/read/31285055/older-polytrauma-mortality-and-complications
#5
JOURNAL ARTICLE
Rob de Vries, Inge H F Reininga, Max W de Graaf, Erik Heineman, Mostafa El Moumni, Klaus W Wendt
INTRODUCTION: Older adults enduring a polytrauma have an increased mortality risk. Apart from age, the role of other predisposing factors on mortality are mainly described for the total polytrauma population. This study aimed to describe the mortality pattern of older polytrauma patients, its associated risk factors, and the role and etiology of in-hospital complications. METHODS: An eight-year retrospective cohort was constructed from 380 polytrauma patients aged ≥65 in a Dutch level 1 trauma center and linked to the national trauma database (DTR)...
August 2019: Injury
https://read.qxmd.com/read/30794579/changes-in-the-temporal-distribution-of-in-hospital-mortality-in-severely-injured-patients-an-analysis-of-the-traumaregister-dgu
#6
JOURNAL ARTICLE
Rauend Rauf, Francesca von Matthey, Moritz Croenlein, Michael Zyskowski, Martijn van Griensven, Peter Biberthaler, Rolf Lefering, Stefan Huber-Wagner
BACKGROUND: The temporal distribution of trauma mortality has been classically described as a trimodal pattern with an immediate, early and late peak. In modern health care systems this time distribution has changed. METHODS: Data from the TraumaRegister DGU was analysed retrospectively. Between 2002 and 2015, all registered in-hospital deaths with an Injury Severity Score (ISS) ≥ 16 were evaluated considering time of death, trauma mechanism, injured body area, age distribution, rates of sepsis and multiple organ failure...
2019: PloS One
https://read.qxmd.com/read/29111081/timing-of-mortality-in-pediatric-trauma-patients-a-national-trauma-data-bank-analysis
#7
JOURNAL ARTICLE
Cory McLaughlin, Jessica A Zagory, Michael Fenlon, Caron Park, Christianne J Lane, Daniella Meeker, Randall S Burd, Henri R Ford, Jeffrey S Upperman, Aaron R Jensen
BACKGROUND/PURPOSE: The classic "trimodal" distribution of death has been described in adult patients, but the timing of mortality in injured children is not well understood. The purpose of this study was to define the temporal distribution of mortality in pediatric trauma patients. METHODS: A retrospective cohort of patients with mortality from the National Trauma Data Bank (2007-2014) was analyzed. Categorical comparison of 'dead on arrival', 'death in the emergency department', and early (≤24h) or late (>24h) inpatient death was performed...
February 2018: Journal of Pediatric Surgery
https://read.qxmd.com/read/28538377/time-distribution-of-injury-related-in-hospital-mortality-in-a-trauma-referral-center-in-south-of-iran-2010-2015
#8
JOURNAL ARTICLE
Hamidreza Abbasi, Shahram Bolandparvaz, Mahnaz Yadollahi, Mehrdad Anvar, Zahra Farahgol
In Iran, there are no studies addressing trauma death timing and factors affecting time of death after injuries. This study aimed to examine time distribution of trauma deaths in an urban major trauma referral center with respect to victims' injury characteristics during 2010 to 2015.This was a cross-sectional study of adult trauma-related in-hospital deaths resulting from traffic-related accidents, falls, and violence-related injuries. Information on injury characteristics and time interval between admission and death was extracted from 3 hospital databases...
May 2017: Medicine (Baltimore)
https://read.qxmd.com/read/26816280/mortality-distribution-in-a-trauma-system-from-data-to-health-policy-recommendations
#9
JOURNAL ARTICLE
Ernestina Gomes, Rui Araújo, António Carneiro, Cláudia Dias, Fiona E Lecky, Altamiro Costa-Pereira
INTRODUCTION: Trimodal distribution of deaths and the golden hour concepts are in part responsible for the genesis of all modern trauma systems but these concepts have been challenged recently. Our aim was to describe distribution of death in trauma using data from a trauma system and discuss what could be done from the organizational point of view to improve outcome. METHODS: We included all traumatic deaths occurring between 2001 and 2005 in a trauma system. Data on age, gender, time and place of injury, time of first and second hospital arrival, cause of trauma and type of accident, hospital characteristics, dominant injury and time of death were collected for this study...
December 2008: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/26815666/epidemiology-of-in-hospital-trauma-deaths
#10
JOURNAL ARTICLE
R Lefering, T Paffrath, O Bouamra, T J Coats, M Woodford, T Jenks, A Wafaisade, U Nienaber, F Lecky
PURPOSE: About half of all trauma-related deaths occur after hospital admission. The present study tries to characterize trauma deaths according to the time of death, and, thereby, contributes to the discussion about factors considered as the cause of death. METHODS: Data from two large European trauma registries (Trauma Registry of the German Society of Trauma Surgery, TR-DGU, and the Trauma Audit and Research Network, TARN) were analyzed in parallel. All hospital deaths with Injury Severity Score (ISS) > 9 documented between 2000 and 2010 were considered...
February 2012: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/26494012/timing-of-death-after-traumatic-injury-a-contemporary-assessment-of-the-temporal-distribution-of-death
#11
JOURNAL ARTICLE
Carrie Valdez, Babak Sarani, Hannah Young, Richard Amdur, James Dunne, Lakhmir S Chawla
BACKGROUND: The trimodal distribution of traumatic death was first described by Trunkey in 1983, which demonstrated that most deaths occur in the first 24 h. We postulate that since 1983, the time-to-death histogram described has shifted. METHODS: A retrospective analysis identifying timing of death was conducted on the National Trauma Data Bank (version 7.2) from 2002 to 2006. Early death was defined as death within 24 h of admission. International Classification of Diseases ninth edition codes with greater than 20% early deaths were called "high-risk codes"...
February 2016: Journal of Surgical Research
https://read.qxmd.com/read/26037980/assessment-of-traumatic-deaths-in-a-level-one-trauma-center-in-ankara-turkey
#12
JOURNAL ARTICLE
E D Arslan, E Kaya, M Sonmez, C Kavalci, A Solakoglu, F Yilmaz, T Durdu, E Karakilic
Trauma management shows significant progress in last decades. Determining the time and place of deaths indicate where to focus to improve our knowledge about trauma. We conducted this retrospective study from data of trauma victims who were brought to a major tertiary hospital which is a level one trauma center in Ankara, Turkey, and died even if during transport or in the hospital between 1 March 2010 and 1 March 2013. The patients' demographic characteristics, trauma mechanisms, time frames and causes of deaths determined by physicians were recorded...
June 2015: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/24436855/epidemiological-trends-of-spine-trauma-an-australian-level-1-trauma-centre-study
#13
JOURNAL ARTICLE
J W Tee, C H P Chan, M C B Fitzgerald, S M Liew, J V Rosenfeld
Knowledge of current epidemiology and spine trauma trends assists in public resource allocation, fine-tuning of primary prevention methods, and benchmarking purposes. Data on all patients with traumatic spine injuries admitted to the Alfred Hospital, Melbourne between May 1, 2009, and January 1, 2011, were collected from the Alfred Trauma Registry, Alfred Health medical database, and Victorian Orthopaedic Trauma Outcomes Registry. Epidemiological trends were analyzed as a general cohort, with comparison cohorts of nonsurvivors versus survivors and elderly versus nonelderly...
June 2013: Global Spine Journal
https://read.qxmd.com/read/23543966/timing-and-causes-of-death-after-injuries
#14
JOURNAL ARTICLE
Justin Sobrino, Shahid Shafi
Currently, long-term outcomes are significant because health care system changes will likely lead to a single payment for each occurrence of care, including readmissions-the "bundled payment" system. Therefore, it is essential to understand the outcomes of trauma patients discharged alive from trauma centers. This article reviews the current knowledge base on the timing and causes of deaths after trauma. The trimodal mortality model (immediate deaths, early deaths, and late deaths) is utilized as the early research describing trimodal distribution is discussed...
April 2013: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/23271104/trajectories-to-death-in-patients-with-burn-injury
#15
JOURNAL ARTICLE
Jordan W Swanson, Andrew M Otto, Nicole S Gibran, Matthew B Klein, C Bradley Kramer, David M Heimbach, Tam N Pham
BACKGROUND: With unprecedented survival rates in modern burn care, there is increasing focus on optimizing long-term functional outcomes. However, 3% to 8% of patients admitted to burn centers still die of injury. Patterns in which these patients progress to death remain poorly characterized. We hypothesized that burn nonsurvivors will follow distinct temporal distributions and patterns of decline, parallel to the trimodality of deaths previously described for trauma. METHODS: We retrospectively identified all adult deaths from 1995 to 2007 in the National Burn Repository database (n = 5,975) and at our regional burn center (n = 237)...
January 2013: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/22610265/overall-distribution-of-trauma-related-deaths-in-berlin-2010-advancement-or-stagnation-of-german-trauma-management
#16
JOURNAL ARTICLE
Christian Kleber, Moritz T Giesecke, Michael Tsokos, Norbert P Haas, Klaus D Schaser, Poloczek Stefan, Claas T Buschmann
BACKGROUND: Trauma is the leading cause of death among children, adolescents, and young adults. The latest data from the German Trauma Registry reveals a constant decrease in trauma mortality, indicating that 11.6 % of all trauma patients in 2010 died in hospital. Notably, trauma casualties dying before admission to hospital have not been systematically surveyed and analyzed in Germany. METHODS: We conducted a prospective observational study of all traumatic deaths in Berlin, recording demographic data, trauma mechanisms, and causes/localization and time of death after trauma...
September 2012: World Journal of Surgery
https://read.qxmd.com/read/22402976/the-distribution-of-survival-times-after-injury
#17
JOURNAL ARTICLE
David E Clark, Jing Qian, Kristen C Sihler, Lee D Hallagan, Rebecca A Betensky
INTRODUCTION: The distribution of survival times after injury has been described as "trimodal," but several studies have not confirmed this. The purpose of this study was to clarify the distribution of survival times after injury. METHODS: We defined survival time (t(s)) as the interval between injury time and declared death time. We constructed histograms for t(s) ≤ 150 min from the 2004-2007 Fatality Analysis Reporting System (FARS, for traffic crashes) and National Violent Death Reporting System (NVDRS, for homicides)...
July 2012: World Journal of Surgery
https://read.qxmd.com/read/21538190/rural-high-north-a-high-rate-of-fatal-injury-and-prehospital-death
#18
JOURNAL ARTICLE
Håkon Kvåle Bakke, Torben Wisborg
BACKGROUND: Finnmark County is the northernmost county in Norway. For several decades, the rate of mortality after injury in this sparsely inhabited region has remained above the national average. Following documentation of this discrepancy for the period 1991-1995, improvements to the trauma system were implemented. The present study aims to assess whether trauma-related mortality rates have subsequently improved. METHODS: All injury-associated fatalities in Finnmark from 1995-2004 were identified retrospectively from the National Registry of Death and reviewed...
July 2011: World Journal of Surgery
https://read.qxmd.com/read/20944754/changing-epidemiology-of-trauma-deaths-leads-to-a-bimodal-distribution
#19
JOURNAL ARTICLE
Mark Gunst, Vafa Ghaemmaghami, Amy Gruszecki, Jill Urban, Heidi Frankel, Shahid Shafi
Injury mortality was classically described with a trimodal distribution, with immediate deaths at the scene, early deaths due to hemorrhage, and late deaths from organ failure. We hypothesized that the development of trauma systems has improved prehospital care, early resuscitation, and critical care and altered this pattern. This population-based study of all trauma deaths in an urban county with a mature trauma system reviewed data for 678 patients (median age, 33 years; 81% male; 43% gunshot, 20% motor vehicle crashes)...
October 2010: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/20581382/deaths-from-trauma-in-london-a-single-centre-experience
#20
JOURNAL ARTICLE
Dane Chalkley, Grace Cheung, Michael Walsh, Nigel Tai
INTRODUCTION: Trauma data collection by UK hospitals is non-mandatory and data regarding trauma mortality are deficient. Our aim was to provide a contemporary description of mortality in a maturing trauma-receiving hospital serving an inner-city population. METHODS: A prospectively maintained registry was analysed for demographics; injury mechanism; and time, location and cause of death in trauma patients admitted via the Emergency Department between 2004 and 2008...
April 2011: Emergency Medicine Journal: EMJ
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