南澳大利亚州严重创伤后接受主要创伤服务的病例的死亡风险：一个州创伤系统运营的头四年

Risk of death among cases attending South Australian major trauma services after severe trauma: the first 4 years of operation of a state trauma system.

作者信息

Brennan Peter W, Everest Evan R, Griggs William M, Slater Anthony, Carter Libby, Lee Christine, Semmens Julie K, Wood Debra J, Nguyen Anh-Minh T, Owen Dorothy L, Pilkington Prudence, Roder David M, Somers Ronald L

机构信息

Master of Applied Epidemiology (Disease Control) Program, National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory, Australia.

出版信息

J Trauma. 2002 Aug;53(2):333-9. doi: 10.1097/00005373-200208000-00024.

DOI:10.1097/00005373-200208000-00024

PMID:12169943

Abstract

BACKGROUND

Factors predictive of death at South Australian major trauma services were investigated among 8,654 patients who had experienced severe trauma from 1997 to 2000.

METHOD

Univariate and multivariate analyses of age, sex, injury severity, presence of comorbid conditions, and calendar year of presentation were performed.

RESULTS

Multiple logistic regression indicated that factors predictive of death were older age; higher injury severity as indicated by the New Injury Severity Score and the Revised Trauma Score; and accompanying chronic liver disease, ischemic heart disease, and chronic renal failure. A decrease in risk of death by calendar year was statistically significant (p = 0.001). Using 1997 as the reference, the relative odds of death were 0.86 (95% confidence limits) (0.53, 1.39) for 1998, 0.60 (0.36, 0.99) for 1999, and 0.45 (0.27, 0.76) for 2000.

CONCLUSION

Results show a decrease in risk of death of patients attending South Australian major trauma services, from injuries of equivalent severity, during the first 4 years of operation of the State Trauma System.

摘要

背景

在1997年至2000年间经历严重创伤的8654例患者中，对南澳大利亚主要创伤服务机构中预测死亡的因素进行了调查。

方法

对年龄、性别、损伤严重程度、合并症的存在情况以及就诊年份进行单因素和多因素分析。

结果

多因素逻辑回归表明，预测死亡的因素包括年龄较大；新损伤严重程度评分和修订创伤评分所显示的较高损伤严重程度；以及伴有慢性肝病、缺血性心脏病和慢性肾衰竭。按年份计算，死亡风险的降低具有统计学意义（p = 0.001）。以1997年为参照，1998年死亡的相对比值为0.86（95%置信区间）（0.53，1.39），1999年为0.60（0.36，0.99），2000年为0.45（0.27，0.76）。