Daly K E, Thomas P R
St George's Hospital, London, UK.
Injury. 1992;23(6):393-6. doi: 10.1016/0020-1383(92)90015-k.
This is an epidemiological study based on Coroners' records analysing mode of injury and place and cause of death. The aim of the study is to provide data on the incidence and patterns of death from trauma and to assess the need for changes in trauma management. All traumatic deaths occurring in the South West Thames Region during 1988 were studied. We analysed 434 of these deaths (mean age 52 years) in some detail. Of the deaths, 59 per cent occurred before arrival at hospital. Road traffic accidents are the commonest cause of death from trauma, being most prevalent in the areas containing major trunk roads. The majority of deaths due to chest injury (79 per cent) and multiple injuries (70 per cent) occurred before arrival at a hospital, whereas the majority of deaths due to head injury (63 per cent) occurred after admission. The majority of deaths from trauma occur before arrival at a hospital, particularly in the semi-rural areas. Improvements in hospital trauma care could have only a limited effect on the death rate in existing circumstances. If important reductions in deaths from severe injury are to be made then prevention and prehospital care need to be improved.
这是一项基于验尸官记录的流行病学研究，分析损伤方式、死亡地点和死因。该研究的目的是提供创伤死亡的发生率和模式的数据，并评估创伤管理方面改变的必要性。对1988年发生在泰晤士河西南部地区的所有创伤性死亡进行了研究。我们详细分析了其中434例死亡（平均年龄52岁）。在这些死亡案例中，59%发生在到达医院之前。道路交通事故是创伤死亡的最常见原因，在有主要干线公路的地区最为普遍。大多数胸部损伤（79%）和多处损伤（70%）导致的死亡发生在到达医院之前，而大多数头部损伤（63%）导致的死亡发生在入院之后。大多数创伤死亡发生在到达医院之前，尤其是在半农村地区。在现有情况下，医院创伤护理的改善对死亡率的影响有限。如果要大幅降低重伤导致的死亡人数，那么预防和院前护理需要得到改善。
